title: Computer-assisted mammography feedback program (CAMFP) an electronic tool for continuing medical education.
abstract: 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.
authors: Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue N., M2-B230, Seattle, WA 98109-1024, USA. nurban@fhcrc.org
authors: Nicole
authors: N
authors: Urban
authors: Gary M
authors: GM
authors: Longton
authors: Andrea D
authors: AD
authors: Crowe
authors: Mariann J
authors: MJ
authors: Drucker
authors: Constance D
authors: CD
authors: Lehman
authors: Susan
authors: S
authors: Peacock
authors: Kimberly A
authors: KA
authors: Lowe
authors: Steve B
authors: SB
authors: Zeliadt
authors: Marcia A
authors: MA
authors: Gaul
mesh_terms: 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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