Computer-assisted mammography feedback program (CAMFP) an electronic tool for continuing medical education.
OBJECTIVE
Our goal was to develop and evaluate software to support a computer assisted mammography feedback program (CAMFP) to be used for continuing medical education (CME).


METHODS
Thirty-five radiologists from our region signed consent to participate in an institutional review board-approved film-reading study. The radiologists primarily assessed digitized mammograms and received feedback in five film interpretation sessions. A bivariate analysis was used to evaluate the joint effects of the training on sensitivity and specificity, and the effects of image quality on reading performance were explored.


RESULTS
Interpretation was influenced by the CAMFP intervention: Sensitivity increased (Delta sensitivity = 0.086, P < .001) and specificity decreased (Delta specificity = -0.057, P = .04). Variability in interpretation among radiologists also decreased after the training sessions (P = .035).


CONCLUSIONS
The CAMFP intervention improved sensitivity and decreased variability among radiologist's interpretations. Although this improvement was partially offset by decreased specificity, the program is potentially useful as a component of continuing medical education of radiologists. Dissemination via the web may be possible using digital mammography.
Urban
Nicole
N
Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue N., M2-B230, Seattle, WA 98109-1024, USA. nurban@fhcrc.org
Longton
Gary M
GM
Crowe
Andrea D
AD
Drucker
Mariann J
MJ
Lehman
Constance D
CD
Peacock
Susan
S
Lowe
Kimberly A
KA
Zeliadt
Steve B
SB
Gaul
Marcia A
MA
D003194:Computer-Assisted Instruction / Q000379:methods*; D003479:Curriculum; D004502:Education, Medical, Continuing / Q000379:methods* / Q000458:organization & administration; D004521:Educational Measurement; D008327:Mammography; D011871:Radiology / Q000193:education*; D012984:Software; D013663:Teaching / Q000379:methods* / Q000458:organization & administration; D014861:Washington
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