title: Radiologists' interpretive skills in screening vs. diagnostic mammography: are they related?
abstract: OBJECTIVE
  This study aims to determine whether radiologists who perform well in screening also perform well in interpreting diagnostic mammography.
  
  
  METHODS
  We evaluated the accuracy of 468 radiologists interpreting 2,234,947 screening and 196,164 diagnostic mammograms. Adjusting for site, radiologist, and patient characteristics, we identified radiologists with performance in the highest tertile and compared to those with lower performance.
  
  
  RESULTS
  A moderate correlation was noted for radiologists' accuracy when interpreting screening versus their accuracy on diagnostic examinations: sensitivity (rspearman=0.51, 95% CI: 0.22, 0.80; P=.0006) and specificity (rspearman=0.40, 95% CI: 0.30, 0.49; P<.0001).
  
  
  CONCLUSIONS
  Different educational approaches to screening and diagnostic imaging should be considered.
authors.affiliation: Division of General Internal Medicine, University of Washington, 325 Ninth Avenue, Box 359780, Seattle, WA, 98104, USA. Electronic address: jelmore@u.washington.edu.
authors.forename: Joann G
authors.initials: JG
authors.lastname: Elmore
authors.affiliation: Group Health Research Institute, Group Health Cooperative, 1730 Minor Avenue, Suite 1600, Seattle, WA, 98101, USA.
authors.forename: Andrea J
authors.initials: AJ
authors.lastname: Cook
authors.affiliation: RAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA.
authors.forename: Andy
authors.initials: A
authors.lastname: Bogart
authors.affiliation: Department of Family Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Mail Code: FM, Portland, OR, 97239, USA.
authors.forename: Patricia A
authors.initials: PA
authors.lastname: Carney
authors.affiliation: University of Vermont, 1 South Prospect Street, UHC, Burlington, VT, 05401, USA.
authors.forename: Berta M
authors.initials: BM
authors.lastname: Geller
authors.affiliation: Healthcare Delivery Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute National Institutes of Health, 9609 Medical Center Drive, Rockville, MD, 20850, USA.
authors.forename: Stephen H
authors.initials: SH
authors.lastname: Taplin
authors.affiliation: Group Health Research Institute, Group Health Cooperative, 1730 Minor Avenue, Suite 1600, Seattle, WA, 98101, USA.
authors.forename: Diana S M
authors.initials: DS
authors.lastname: Buist
authors.affiliation: Dartmouth Medical School, One Medical Center Drive, HB7937, Lebanon, NH, 03756, USA.
authors.forename: Tracy
authors.initials: T
authors.lastname: Onega
authors.affiliation: Department of Radiology, University of Washington School of Medicine, 825 Eastlake Avenue E, G3-200, Seattle, WA, 98109, USA; Department of Health Services, University of Washington School of Public Health, 1959 NE Pacific St., Box 357660, Seattle, WA, 98195, USA.
authors.forename: Christoph I
authors.initials: CI
authors.lastname: Lee
authors.affiliation: Group Health Research Institute, Group Health Cooperative, 1730 Minor Avenue, Suite 1600, Seattle, WA, 98101, USA; Division of Biostatistics, Department of Public Health Sciences, University of California Davis School of Medicine, One Shields Avenue, Med Sci 1C, Room 144, Davis, CA, 95616, USA.
authors.forename: Diana L
authors.initials: DL
authors.lastname: Miglioretti
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis*; D002983:Clinical Competence; D005260:Female; D006801:Humans; D008327:Mammography / Q000379:methods*; D008403:Mass Screening; D008875:Middle Aged; D000072177:Radiologists; D012680:Sensitivity and Specificity
keywords: Diagnostic mammography; Interpretive performance; Screening mammography; Sensitivity; Specificity