title: Radiology residents' experience with intussusception reduction.
abstract: BACKGROUND
  Residents should be exposed to adequate procedural volume to act independently upon completion of training. Informal inquiry led us to question whether residents encounter enough intussusception reductions to become comfortable with the procedure.
  
  
  OBJECTIVE
  We sought to determine radiology residents' exposure to intussusception reductions, and whether their experiences vary by region or institution.
  
  
  METHODS
  U.S. radiology residency program directors were asked to encourage their residents to complete a 12-question online survey describing characteristics of their pediatric radiology department, experiences with intussusception reduction, and confidence in their own ability to perform the procedure.
  
  
  RESULTS
  Six hundred sixty-four residents responded during the study period. Of those, 308 (46.4%) had not experienced an intussusception reduction, and 228 (34%) had experienced only one or two. Twenty-two percent of fourth-year residents had never experienced an intussusception reduction, and 21% had experienced only one. Among second- through fourth-year residents, only 99 (18.3%) felt confident that they could competently reduce an intussusception (P < 0.0001), and 336 (62.2%) thought they would benefit from a computer-assisted training model simulating intussusception reduction (P < 0.0001).
  
  
  CONCLUSIONS
  Radiology residents have limited opportunity to learn intussusception reduction and therefore lack confidence. Most think they would benefit from additional training with a computer-simulation model.
authors.affiliation: Department of Radiology, University of California at Davis, 4860 Y St., Suite 3100, Sacramento, CA 95817, USA. rebecca.steinwexler@ucdmc.ucdavis.edu
authors.forename: Cyrus
authors.initials: C
authors.lastname: Bateni
authors.forename: Rebecca
authors.initials: R
authors.lastname: Stein-Wexler
authors.forename: Sandra L
authors.initials: SL
authors.lastname: Wootton-Gorges
authors.forename: Chin-Shang
authors.initials: CS
authors.lastname: Li
mesh_terms: D000328:Adult; D002140:California; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D007443:Intussusception / Q000000981:diagnostic imaging* / Q000517:prevention & control*; D008297:Male; D011361:Professional Competence; D011859:Radiography; D011871:Radiology / Q000193:education* / Q000706:statistics & numerical data*; D013334:Students / Q000706:statistics & numerical data*; D055815:Young Adult