title: Assessment of radiation dose awareness among pediatricians.
abstract: BACKGROUND
  There is increasing awareness among pediatric radiologists of the potential risks associated with ionizing radiation in medical imaging. However, it is not known whether there has been a corresponding increase in awareness among pediatricians.
  
  
  OBJECTIVE
  To establish the level of awareness among pediatricians of the recent publicity on radiation risks in children, knowledge of the relative doses of radiological investigations, current practice regarding parent/patient discussions, and the sources of educational input.
  
  
  METHODS
  Multiple-choice survey.
  
  
  RESULTS
  Of 220 respondents, 105 (48%) were aware of the 2001 American Journal of Roentgenology articles on pediatric CT and radiation, though only 6% were correct in their estimate of the quoted lifetime excess cancer risk associated with radiation doses equivalent to pediatric CT. A sustained or transient increase in parent questioning regarding radiation doses had been noticed by 31%. When estimating the effective doses of various pediatric radiological investigations in chest radiograph (CXR) equivalents, 87% of all responses (and 94% of CT estimates) were underestimates. Only 15% of respondents were familiar with the ALARA principle. Only 14% of pediatricians recalled any relevant formal teaching during their specialty training. The survey response rate was 40%.
  
  
  CONCLUSIONS
  Awareness of radiation protection issues among pediatricians is generally low, with widespread underestimation of relative doses and risks.
authors.affiliation: Department of Diagnostic Imaging, The Hospital for Sick Children, and Department of Family and Community Medicine, University of Toronto, Ontario, M5G 1X8, Canada. Karen.thomas@sickkids.ca
authors.forename: Karen E
authors.initials: KE
authors.lastname: Thomas
authors.forename: June E
authors.initials: JE
authors.lastname: Parnell-Parmley
authors.forename: Salwa
authors.initials: S
authors.lastname: Haidar
authors.forename: Rahim
authors.initials: R
authors.lastname: Moineddin
authors.forename: Ellen
authors.initials: E
authors.lastname: Charkot
authors.forename: Guila
authors.initials: G
authors.lastname: BenDavid
authors.forename: Connie
authors.initials: C
authors.lastname: Krajewski
mesh_terms: D002983:Clinical Competence; D003625:Data Collection; D006801:Humans; D007258:Informed Consent; D009381:Neoplasms, Radiation-Induced / Q000209:etiology; D010372:Pediatrics / Q000193:education; D011835:Radiation Protection; D011878:Radiotherapy / Q000009:adverse effects*; D011879:Radiotherapy Dosage; D012306:Risk; D011795:Surveys and Questionnaires