Assessment of the skill of pediatric residents in interpreting emergency pediatric radigraphs
Keywords:Residentsâ€™ skill, interpretation of x-rays, emergency patients. Ethiopia
Background: Paediatrics Emergency ward is one of the critical wards in hospitals Overcrowding and urgent nature of the patients makes Emergency rooms a particularly challenging area. Therefore, fast and accurate diagnosis is very crucial & mandatory for a proper patient management. So, Paediatrics residents, working in paediatric ER(emergency room) are required to preliminarily interpret imaging for management. This study assessed the skill level of paediatrics residents in interpreting emergency X-rays &identified some factors associated with their interpretations.
Methods: A Cross sectional study was conducted among paediatric residents in TikurAnbesa Specialized Hospital (TASH). Ten X-rays (7 CXRs, 2 abdominal and one extremity X-ray) were selected based on the most commonly seen emergency cases residents are expected to diagnose. The x-rays were displayed in Power Point and residents asked to complete a questionnaire. A consultant radiologist also interpreted the images in the same setting. The data was then analysed by using SPSS 25.0.
Results: A total of 79 paediatrics residents were enrolled in this study. Only 32 (40.5 %)of the residents had a good skill level of interpretation with 73% accuracy rate which was very low. The overall discrepancy rate was 49.6%.The sensitivity of the residents in detecting abnormal radiographs was 72 (91.1 %) with specificity of 34 (43 %). Significant association was found with year of residency and confidence level with (P- 0.020 and P-0.044) respectively.
Conclusions: Skills of residents in interpreting radiographs were very low regardless of the prevalence of the condition in the Emergency.
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