title: The effect of international teleradiology attending radiologist coverage on radiology residents' perceptions of night call.
abstract: OBJECTIVE
  The purpose of this study was to determine the effects of international teleradiology attending radiologist coverage (ITARC) of emergency examinations on radiology residents' perceptions of night call.
  
  
  METHODS
  A survey was administered at 2 different radiology residency programs that have attending radiologists who cover the night shift via teleradiology from Israel 5 nights per week. The survey consisted of 12 questions concerning residents' education and anxiety during on-call shifts and the effects of ITARC on these aspects of residency training. The questions were answered on a scale ranging from 1 to 5, with 3 being neutral.
  
  
  RESULTS
  The radiology residents felt that ITARC improved the on-call learning experience (score = 3.7; 1 = much worse, 5 = much improved). The residents felt neutral about the statements "Review of cases with the attending radiologist over the telephone is comparable educationally to having the attending radiologist in person at the workstation" (score = 3.0) and "Having an attending radiologist easily available diminishes the need for me to commit to a diagnosis on my own and is therefore detrimental to my education" (score = 2.9; 1 = strongly disagree, 5 = strongly agree). The residents' stress levels on call were high without ITARC (score = 1.8; 1 = very high, 5 = very low) and moderate with ITARC (score = 2.7). The residents' anxiety levels before a night on call were moderate without ITARC (score = 2.9; 1 = very high, 5 = very low) and low with ITARC (score = 3.7).
  
  
  CONCLUSIONS
  Radiology residents felt that ITARC improved their educational experience. International teleradiology attending radiologist coverage also decreased radiology residents' stress and anxiety related to on-call shifts.
authors.affiliation: Department of Radiology, Beth Israel Medical Center, New York, NY 10003, USA. sjoffe@chpnet.org
authors.forename: Sandor A
authors.initials: SA
authors.lastname: Joffe
authors.forename: Jarett S
authors.initials: JS
authors.lastname: Burak
authors.forename: Marlene
authors.initials: M
authors.lastname: Rackson
authors.forename: Devon A
authors.initials: DA
authors.lastname: Klein
authors.forename: Marshall M
authors.initials: MM
authors.lastname: Joffe
mesh_terms: D000359:Aftercare / Q000706:statistics & numerical data*; D001291:Attitude of Health Personnel; D017598:Efficiency, Organizational; D007396:Internship and Residency / Q000706:statistics & numerical data*; D007557:Israel; D010561:Personnel Staffing and Scheduling / Q000706:statistics & numerical data; D011871:Radiology / Q000193:education* / Q000706:statistics & numerical data*; D019112:Teleradiology / Q000706:statistics & numerical data*; D016526:Workload / Q000706:statistics & numerical data*