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:2/23/2017)... ... 2017 , ... Los Angeles-based weight loss surgeon Michael Feiz, M.D., F.AC.S. will ... to Hot,” which will begin airing on February 24, 2017. The show chronicles the ... 2012 reality television series, “Here Comes Honey Boo Boo.” The earlier series from TLC ...
(Date:2/23/2017)... ... February 23, 2017 , ... On April 13, ... symposium on “Doping in Sport: How the Culture Might Change,” in ... LLP. The symposium will be held at Pepperdine University in Malibu, California. , ...
(Date:2/23/2017)... ... February 23, 2017 , ... ... that it will soon begin franchising throughout the U.S. starting this spring. Current ... bring the practice of meditation mainstream. Current Meditation will be the first meditation ...
(Date:2/23/2017)... CA (PRWEB) , ... February 23, 2017 , ... CALNOC, ... FACP, FACMPE, FACPE, will keynote their upcoming conference – Empowerment, Value and Collaboration – ... the chairman and CEO of the Virginia Mason Health System in Seattle since 2000. ...
(Date:2/23/2017)... ... , ... Thomas Vas-Don suffered from severe injury due to an ... to successfully recover. In “ Origin & Insertion Charts for Massage Therapists ” (published ... of massage, anatomy , trigger points and referral pain patterns . , ...
Breaking Medicine News(10 mins):
(Date:2/23/2017)... , Feb. 23, 2017  Cogentix Medical, Inc. ... and markets innovative proprietary products for the urology market, ... fiscal year ended December 31, 2016 before the market ... The Company will host a conference call and webcast ... Thursday, March 9, 2017 at 11:00 a.m. Eastern Time ...
(Date:2/23/2017)... -- Nevro Corp. (NYSE: NVRO), a global medical device company ... chronic pain, today reported financial results for the three months ... 2016 Accomplishment & Highlights: Achieved revenue of ... 228% as reported, over the prior year U.S. ... over the prior year International revenue of ...
(Date:2/23/2017)... GUIYANG, China , 23. Februar 2017 ... Area , eine nationale Wirtschaftszone in der südwestlichen chinesischen Provinz ... Beschleunigung der Errichtung einer Innovationsplattform aktiv an der Entwicklung einer ... Continue Reading ... ...
Breaking Medicine Technology: