Overnight radiology resident discrepancies at a large pediatric hospital: categorization by year of training, program, imaging modality, and report type.
Publication/Presentation Date
1-1-2022
Abstract
BACKGROUND: Overnight radiology resident discrepancies have been described in multiple studies; however, study of resident discrepancies specific to pediatric radiology is limited.
PURPOSE: To examine radiology resident discrepancies as they pertain to a large pediatric hospital system.
MATERIAL AND METHODS: A total of 21,560 preliminary reports issued by 39 residents over a one-year period were scored as agreement, minor discrepancy, or major discrepancy by faculty members using a modification of the 2009 RADPEER scoring system. Residents were trainees of three different diagnostic radiology programs: large university-based, medium-sized community-based, or small community-based. Discrepancy rates were evaluated based on resident postgraduate year, program, and imaging modality. The effect of a general pediatric radiology report versus pediatric neuroradiology report of a CT scan was also tested. CT was the only modality in which there were comparable numbers of studies scored by both general pediatric radiologists and neuroradiologists.
RESULTS: The rate of major resident to faculty assessment discrepancies was 1.01%, and the rate of minor resident to faculty assessment discrepancies was 4.47%. Major discrepancy rates by postgraduate years 3-5 were 1.08%, 0.75%, and 1.59%, respectively. Major discrepancy rates were highest for MR (11.22%), followed by CT (1.82%), radiographs (0.91%), and ultrasound (0.56%). There was no significant difference in discrepancy rate between residency programs and general pediatric radiology report of a CT versus pediatric neuroradiology report of a CT.
CONCLUSION: Radiology discrepancy rates for residents issuing preliminary reports at a large children's hospital system are similar to those reported for adult procedures.
Volume
63
Issue
1
First Page
122
Last Page
126
ISSN
1600-0455
Published In/Presented At
Dinh, M. L., Yazdani, R., Godiyal, N., & Pfeifer, C. M. (2022). Overnight radiology resident discrepancies at a large pediatric hospital: categorization by year of training, program, imaging modality, and report type. Acta radiologica (Stockholm, Sweden : 1987), 63(1), 122–126. https://doi.org/10.1177/0284185120981574
Disciplines
Medicine and Health Sciences
PubMedID
33406888
Department(s)
Fellows and Residents
Document Type
Article