title: Teaching chest X-ray reading for child tuberculosis suspects.
abstract: METHODS
  Cape Town, South Africa.
  
  
  OBJECTIVE
  To improve the reading of chest X-rays (CXRs) in child tuberculosis (TB) suspects.
  
  
  METHODS
  We designed a reporting and recording form to assist in the diagnosis of childhood TB from CXRs. We then developed an image bank of antero-posterior and lateral CXR pairs, with each image pair assigned to one of four diagnostic categories. Finally, we designed and carried out a 1-day training course to teach clinicians how to read paediatric CXRs, with pre- and post-course assessments.
  
  
  RESULTS
  Of the 27 participants included, 17 (63%) were women. The median age was 38 years (interquartile range [IQR] 32.5-43.5). The median pre-training score was 16.0/30 (IQR 13.0-18.0) and the median post-training score was 17.0 (IQR 13.5-21.0). Sensitivity (P = 0.09) and specificity (P = 0.06) to detect TB did not change as a result of the course; however, the Wilcoxon signed ranks paired-sample test indicated an increase in the participants' overall ability to read CXRs (P = 0.017).
  
  
  CONCLUSIONS
  Teaching clinicians with a 1-day training course using a systematic approach and a standardised form led to a limited improvement in CXR reading ability.
authors.affiliation: <label>*</label>Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
authors.forename: J A
authors.initials: JA
authors.lastname: Seddon
authors.affiliation: <label><sup>‡</sup></label>Biostatistics Unit, Medical Research Council, Tygerberg, South Africa.
authors.forename: T
authors.initials: T
authors.lastname: Padayachee
authors.affiliation: <label><sup>§</sup></label>Department of Radiology, Tygerberg Hospital, Tygerberg, South Africa.
authors.forename: A-M
authors.initials: AM
authors.lastname: Du Plessis
authors.affiliation: <label><sup>¶</sup></label>Tygerberg Children's Hospital, Tygerberg, South Africa.
authors.forename: P
authors.initials: P
authors.lastname: Goussard
authors.affiliation: <label>*</label>Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
authors.forename: H S
authors.initials: HS
authors.lastname: Schaaf
authors.affiliation: <label><sup>‡</sup></label>Biostatistics Unit, Medical Research Council, Tygerberg, South Africa.
authors.forename: C
authors.initials: C
authors.lastname: Lombard
authors.affiliation: <label>*</label>Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.
authors.forename: R P
authors.initials: RP
authors.lastname: Gie
mesh_terms: D000328:Adult; D002648:Child; D002983:Clinical Competence; D004502:Education, Medical, Continuing / Q000379:methods*; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008297:Male; D013902:Radiography, Thoracic / Q000379:methods*; D012680:Sensitivity and Specificity; D013019:South Africa; D018709:Statistics, Nonparametric; D014376:Tuberculosis / Q000175:diagnosis / Q000000981:diagnostic imaging*