title: Radiology medical student education: an outcome-based survey of PGY-1 residents.
abstract: OBJECTIVE
  Postgraduate year (PGY)-1 residents are frequently required to order imaging studies and make preliminary interpretations on them. This study determines whether PGY-1 residents feel their radiology education in medical school sufficiently trained them for the clinical responsibilities of internship.
  
  
  METHODS
  This multicenter, institutional review board-approved survey asked PGY-1 trainees three categories of questions: 1) extent of medical school training for ordering and interpreting imaging studies, 2) confidence levels in ordering appropriate imaging studies and making common/emergent diagnoses, and 3) rating the importance of radiologic interpretation by interns. Respondents also submitted ideas for medical school teaching topics deemed most useful for interns.
  
  
  RESULTS
  A total of 175 questionnaires were returned with good representation across specialties. Although 63.7% of interns were frequently asked to independently preview radiology studies, 12.6% received no formal radiology training in medical school. Participants rated chest radiographs as the most important study for interns to competently interpret (93.4% reporting very or extremely important). However, only 60.2% of interns reported high confidence in recognizing common/emergent pulmonary findings, and 56.3% for evaluating line and tube position. With regard to ordering imaging studies, 81.0% had never used or never heard of the American College of Radiology Appropriateness Criteria®. Only 33.1% had high confidence in knowing when to order oral/intravenous contrast. Similar low percentages had high confidence identifying and premedicating contrast allergies (36.4%) and knowing risk factors of nephrogenic systemic fibrosis (13.2%).
  
  
  CONCLUSIONS
  PGY-1 residents feel that medical school curriculum emphasizing interpretation of chest radiographs and ordering appropriate imaging studies would better prepare students for the responsibilities of internship.
authors: Allegheny General Hospital, 320 East North Avenue, Pittsburgh, PA 15212, USA. asaha@wpahs.org
authors: Arnold
authors: A
authors: Saha
authors: R Andrew
authors: RA
authors: Roland
authors: Matthew S
authors: MS
authors: Hartman
authors: Richard H
authors: RH
authors: Daffner
mesh_terms: D001290:Attitude; D002983:Clinical Competence / Q000706:statistics & numerical data*; D003479:Curriculum / Q000706:statistics & numerical data*; D003625:Data Collection; D004521:Educational Measurement; D007722:Health Knowledge, Attitudes, Practice; D007396:Internship and Residency / Q000706:statistics & numerical data*; D010414:Pennsylvania; D011159:Population Surveillance; D011871:Radiology / Q000193:education* / Q000706:statistics & numerical data*