title: Residents managed trauma adequately using their own radiological interpretation as compared with "nighthawk" radiologists.
abstract: OBJECTIVE
  To determine whether senior surgical residents can independently interpret radiologic studies for the trauma patients under their care.
  
  
  METHODS
  Five senior surgical residents (PGY-4 and -5) participated in this prospective study. The residents independently read trauma films as part of the emergency assessment, documenting their interpretations to be compared with the reports by nighthawk radiologists.
  
  
  RESULTS
  During a period of 4 months, 426 films of 124 trauma patients admitted to a Level II trauma center were read by one of the five senior surgical residents, and by nighthawk radiologists. Approximately 22% of these were penetrating injuries and the remainder blunt trauma. Residents identified 127 injuries versus 128 injuries identified by the radiologists, with 99.2% agreement. The residents missed two injuries, while the radiologists missed one.
  
  
  CONCLUSIONS
  Senior surgical residents can independently and accurately interpret the trauma radiology studies, a skill essential for time-critical decision making.
authors.affiliation: Department of Surgery, Huron Hospital, Cleveland Clinic Health System, Cleveland, Ohio 44112, USA. nahmed@cchseast.org
authors.forename: Naveed
authors.initials: N
authors.lastname: Ahmed
authors.forename: Alan
authors.initials: A
authors.lastname: Guo
authors.forename: Hisham
authors.initials: H
authors.lastname: Elhassan
authors.forename: Rabia
authors.initials: R
authors.lastname: Qaiser
authors.forename: Raphael
authors.initials: R
authors.lastname: Chung
mesh_terms: D002983:Clinical Competence; D003284:Contract Services; D003951:Diagnostic Errors / Q000706:statistics & numerical data*; D006801:Humans; D007396:Internship and Residency; D008505:Medical Staff, Hospital; D015588:Observer Variation; D011446:Prospective Studies; D011871:Radiology / Q000592:standards*; D012680:Sensitivity and Specificity; D014057:Tomography, X-Ray Computed; D014947:Wounds and Injuries / Q000000981:diagnostic imaging*