Navigation Links
Decision-making by residents on-call has 'miniscule' negative impact on patient care
Date:9/20/2007

The study consisted of the review of approximately 12,000 emergency diagnostic imaging exams that were interpreted after hours by residents. In the midst of our research, a vigorous national debate began concerning the appropriate stage of radiology resident training prior to independent call, said Richard B. Ruchman, MD, lead author of the study. Specifically, the ACGME proposed and subsequently approved a new requirement that would mandate one year of residency training prior to independent call, said Dr. Ruchman. Our study examined the discrepancy rate by year of training, and attempted to answer the question whether it was safe for first year residents to take independent call with faculty back up, he said.

The study showed that the major discrepancy rate (the rate which the interpretation by residents after hours disagreed with the attending physicians final interpretation and the difference in diagnosis had some negative affect on patient care) was 2.6 percent. A significant negative clinical effect of a discrepancy was only found in 0.3 percent. This discrepancy rate is comparable to the discrepancy rates of the attending radiologists in our program, Dr. Ruchman noted.

Most major discrepancies involved abdominal or chest examinations, with the most frequently missed or corrected diagnosis being acute appendicitis, Dr. Ruchman said. The second most commonly missed diagnosis was pulmonary embolism.

The results of our study demonstrate that well-trained and supervised residents at all levels can interpret imaging studies safely, said Dr. Ruchman. The rate of significant adverse consequences was miniscule and, in fact, was not greater for residents in the early years of training. This should give a sense of confidence to referring physicians and patients that off-hour imaging studies are being interpreted accurately. It also suggests a re-examination of the ACGME's recent revision of the rule regarding resident independent on call duties, he said.


'/>"/>

Contact: Necoya Lightsey
necoya@arrs.org
703-858-4304
American Roentgen Ray Society
Source:Eurekalert

Related medicine news :

1. Decision-Making Enabled By Neurons: Value Assigned To Available Choices.
2. Decline in Concentration, Decision-Making and Problem-Solving
3. Understanding the Effects of Sleep Deprivation on Decision-Making
4. Sleep Deprivation can Affect Competent Decision-making
5. Sleep Deprivation can Affect Competent Decision-making
6. Time For Jodhpur Residents To Have A Health Check: New Hospital Coming Up
7. San Francisco Mayor Proposes An Alternate Plan For The Uninsured City Residents
8. Free Medical Care for Residents of San Francisco
9. Bhopal Residents Relish Chicken despite Bird Flu Scare
10. Nursing Home Residents Receive Appropriate Emergency Care Despite Poor Funds
11. Residents Doctors Call Off Strike In Rajasthan
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/5/2016)... Chicago, Illinois (PRWEB) , ... February 05, 2016 ... ... advisors and independent PROSHRED franchises from across the country gathered at the La ... to recognize top performers. PROSHRED Chicago was named the year’s most outstanding ...
(Date:2/5/2016)... ... 05, 2016 , ... Boar’s Head Brand®, one of the nation’s leading providers ... Game. Take the stress out of your party preparation – follow these easy, yet ... stage of the game. , “The key to hosting a successful game-day party is ...
(Date:2/5/2016)... ... 05, 2016 , ... Stuart Bentkover, MD, FACS is thrilled to ... the most effective tattoo removal today, Dr. Bentkover is the only doctor in Central ... the PicoSure has been approved by the Food and Drug Administration (FDA) as a ...
(Date:2/5/2016)... (PRWEB) , ... February 05, 2016 , ... Health and ... more relevant to individuals in the event they are experiencing an illness. Migraines are ... Those Americans that are afflicted with migraines would not wish the pain on their ...
(Date:2/5/2016)... ... 2016 , ... KICVentures ( http://www.kicventures.com ) announced today that ... York City on Thursday, January 21, 2016. Kingsley R. Chin, the CEO ... the varsity Columbia soccer program) spoke at the event, offering professional insight based ...
Breaking Medicine News(10 mins):
(Date:2/5/2016)... Calif. , Feb. 5, 2016  Syneron ... global aesthetic device company, announced today that ... Candela North America, is scheduled to participate in ... Healthcare Conference on February 11, 2016 in ... will allow institutional investors to meet with the ...
(Date:2/5/2016)... 5, 2016  Patients in Alabama ... (HIFU) therapy no longer have to travel out of state. ... with Urology Centers of Alabama to provide a ... for qualifying patients. Alabama ... treatment of prostate cancer using many different modalities. They are ...
(Date:2/5/2016)... 5, 2016 Aethlon Medical, Inc. (Nasdaq: AEMD ... CEO, will be presenting at Source Capital Group,s 2016 Disruptive ... at 2:15 p.m. ET on Wednesday, February 10, ... discussion taking place at 3:15 p.m. ET. http://www.aethlonmedical.com ... hour after the conclusion of the live event. The panel ...
Breaking Medicine Technology: