Towards Consensus: Training in Procedural Skills for Diagnostic Radiology Residents--Current Opinions of Residents and Faculty at a Large Academic Center

Publication date: Available online 31 October 2017
Source:Current Problems in Diagnostic Radiology
Author(s): Adam Prater, Bradley S. Rostad, Emily L. Ebert, Mark E. Mullins, Christopher P. Ho
Rationale and ObjectivesThe Diagnostic Radiology Milestones Project provides a framework for measuring resident competence in radiologic procedures, but there is limited data available to assist in developing these guidelines [1]. We performed a survey of current radiology residents and faculty at our institution as a first step towards obtaining data for this purpose. The survey addressed attitudes toward procedural standardization and procedures that trainees should be competent in by the end of residency.Materials and MethodsCurrent residents and faculty members were surveyed about: whether or not there should be standardization of procedural training; in which procedures residents should achieve competency; and the number of times a procedure needs to be performed to achieve competency.ResultsSurvey data were received from 60 study participants with an overall response rate of 32%. Sixty-five percent of respondents thought that procedural training should be standardized. Standardization of procedural training would include both the list of procedures that trainees should be competent in at the end of residency and the standard minimum number of procedures to achieve competency. Procedures that both residents and faculty agreed are important in which to achieve competency in included: central line/port procedures; CT guided abdominal, thoracic, and musculoskeletal procedures; minor fluoroscopic guided procedures; general fluoroscopy; peripheral line placements; and US guided abdominal procedures. For most of these categories, the majority of respondents believed that these procedures needed to be performed 6–20 times to achieve competency.ConclusionBoth resident and faculty respondents agreed that procedural training should be standardized during residency and competence in specific procedures should be achieved at the completion of residency. While this study is limited to a single institution, our data may provide assistance in developing future guidelines for standardizing image guided procedure training. Future studies could be expanded to create a national consensus regarding the implementation of the Diagnostic Radiology Milestones Project [1].



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