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:6/25/2016)... Montreal, Canada (PRWEB) , ... June 25, 2016 , ... ... the pursuit of success. In terms of the latter, setting the bar too high ... low, risk more than just slow progress toward their goal. , Research from ...
(Date:6/24/2016)... ... 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was out of ... verbally and physically. , “When something upset him, he couldn’t control his emotions,” remembers Marcy. ... throw rocks at my other children and say he was going to kill them. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, CA is ... Road To Recovery® program to drive cancer patients to and from their cancer treatments. ... the highest quality of life and ongoing independence. Getting to and from medical ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Haute ... Dr. Barry M. Weintraub as a prominent plastic surgeon and the network’s newest ... world, and the most handsome men, look naturally attractive. Plastic surgery should be ...
(Date:6/24/2016)... ... ... Venture Construction Group (VCG) sponsors Luke’s Wings 5th ... Woodmont Country Club at 1201 Rockville Pike, Rockville, Maryland, 20852. The event raised ... have been wounded in battle and their families. Venture Construction Group is a 2016 ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Any dentist who has made an implant supported ... Many of them do not even offer this as a ... laboratory costs involved. And those who ARE able to offer ... high cost that the majority of today,s patients would not ... Zadeh , founder of Dental Evolutions Inc. and inventor of ...
(Date:6/23/2016)... , June 23, 2016  In a startling report released today, ... their residents by lacking a comprehensive, proven plan to eliminate prescription ... definitive ranking of how states are tackling the worst drug crisis ... four states – Kentucky , New ... Vermont . Of the 28 failing states, three – ...
(Date:6/23/2016)... Research and Markets has announced the ... 2016 - Forecast to 2022" report to their offering. ... up to date financial data derived from varied research sources ... with potential impact on the market during the next five ... comprises of sub markets, regional and country level analysis. The ...
Breaking Medicine Technology: