title: Interactive Learning Module Improves Resident Knowledge of Risks of Ionizing Radiation Exposure From Medical Imaging.
abstract: Physician awareness of the risks of ionizing radiation exposure related to medical imaging is poor. Effective educational interventions informing physicians of such risk, especially in emergency medicine (EM), are lacking. The SIEVERT (Suboptimal Ionizing Radiation Exposure Education - A Void in Emergency Medicine Residency Training) learning module was designed to improve provider knowledge of the risks of radiation exposure from medical imaging and comfort in communicating these risks to patients. The 1-hour module consists of introductory lecture, interactive discussion, and role-playing scenarios. In this pilot study, we assessed the educational effect using unmatched, anonymous preintervention and postintervention questionnaires that assessed fund of knowledge, participant self-reported imaging ordering practices in several clinical scenarios, and trainee comfort level in discussing radiation risks with patients. All 25 EM resident participants completed the preintervention questionnaire, and 22 completed the postintervention questionnaire within 4 hours after participation. Correct responses on the 14-question learning assessment increased from 6.32 (standard deviation = 2.36) preintervention to 12.23 (standard deviation = 1.85) post-intervention. Overall, 24% of residents were comfortable with discussing the risks of ionizing radiation exposure with patients preintervention, whereas 41% felt comfortable postintervention. Participants ordered fewer computed tomography scans in 2 of the 4 clinical scenarios after attending the educational intervention. There was improvement in EM residents' knowledge regarding the risks of ionizing radiation exposure from medical imaging, and increased participant self-reported comfort levels in the discussion of these risks with patients after the 1-hour SIEVERT learning module.
authors.affiliation: Department of Emergency Medicine, Boston University Medical Center, Boston, MA. Electronic address: shenga@bu.edu.
authors.forename: Alexander Y
authors.initials: AY
authors.lastname: Sheng
authors.affiliation: Department of Emergency Medicine, Boston University Medical Center, Boston, MA.
authors.forename: Alan H
authors.initials: AH
authors.lastname: Breaud
authors.affiliation: Department of Emergency Medicine, Boston University Medical Center, Boston, MA.
authors.forename: Jeffrey I
authors.initials: JI
authors.lastname: Schneider
authors.affiliation: Department of Radiology, Boston University Medical Center, Boston, MA.
authors.forename: Nadja
authors.initials: N
authors.lastname: Kadom
authors.affiliation: Department of Emergency Medicine, Boston University Medical Center, Boston, MA.
authors.forename: Patricia M
authors.initials: PM
authors.lastname: Mitchell
authors.affiliation: Department of Emergency Medicine, Boston University Medical Center, Boston, MA.
authors.forename: Judith A
authors.initials: JA
authors.lastname: Linden
mesh_terms: D002983:Clinical Competence / Q000706:statistics & numerical data*; D004635:Emergency Medicine / Q000193:education* / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D061214:Patient Safety; D010865:Pilot Projects; D011829:Radiation Dosage; D011832:Radiation Injuries / Q000517:prevention & control*; D011839:Radiation, Ionizing; D012306:Risk; D000066908:Simulation Training / Q000379:methods*; D011795:Surveys and Questionnaires; D014057:Tomography, X-Ray Computed / Q000706:statistics & numerical data*