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. 2023 Apr;30(2):143-151.
doi: 10.1007/s10140-022-02109-2. Epub 2022 Dec 21.

In-person radiologist to review the trauma panscan: a high-fidelity simulation training program for radiology trainees at an academic level 1 trauma center

Allison Y Yang  1 , Nishant A Patel  2 , Mansoor Khan  3 , Jill R Cherry-Bukowiec  4 , Laura R Brown  5 , David A Machado-Aranda  6 , Michael B Mazza  7 , Suzanne Chong  8
Affiliations

In-person radiologist to review the trauma panscan: a high-fidelity simulation training program for radiology trainees at an academic level 1 trauma center

Allison Y Yang et al. Emerg Radiol. 2023 Apr.

Erratum in

Abstract

Background: Radiology trainees were uncomfortable going to the CT scanner to review trauma panscans and interacting with trauma surgeons.

Objective: This study aims to determine if radiology residents can be trained to accurately identify injuries requiring immediate surgical attention at the CT scanner.

Methods: A high-fidelity simulation model was created to provide an immersive training experience. Between February 2015 and April 2017, 62 class 1 trauma panscans were read at the CT scanner by 11 PGY-3 radiology residents. Findings made at the scanner were compared to resident preliminary and attending radiology reports and correlated with clinical outcomes. Timestamps were recorded and analyzed. Surveys were administered to assess the impact of training on radiology residents' self-confidence and to assess trauma surgeons' preference for radiology at the scanner. Significance level was set at p < 0.05.

Results: The mean time to provide results at the CT scanner was 11.1 min. Mean time for the preliminary report for CT head and cervical spine was 24.4 ± 9.8 min, and for the CT chest, abdomen, and pelvis was 16.3 ± 6.9 min. 53 traumatic findings on 62 panscans were identified at the scanner and confirmed at preliminary and final reports, for a concordance rate of 85%, compared to 72% for the control group. Radiology residents agreed or strongly agreed the training prepared them for trauma panscan reporting. Trauma surgeons shifted in favor of radiology presence at the scanner.

Conclusion: Radiology residents can be trained to accurately and rapidly identify injuries requiring immediate surgical attention at the CT scanner.

Clinical impact: These findings support the value-added of an in-person radiologist at the CT scanner for whole-body trauma panscans to facilitate timely detection of life-threatening injuries and improve professional relations between radiologists and trauma surgeons.

Keywords: Acute care imaging; Emergency radiology; Trauma.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
Panscan checklist jointly created by radiology and trauma surgery. A paper version was used for the “wet read” at the CT scanner but was not included in the electronic medical record. Patient names, medical record numbers, relevant times, and imaging findings were recorded on the checklist
Fig. 2
Fig. 2
Graphical depiction in the time difference between result communication at the CT scanner compared to the preliminary report for head and cervical spine (HC) and chest, abdomen, and pelvis (CAP) CT studies
Fig. 3
Fig. 3
Graph demonstrating increase in confidence amongst radiology trainees before and after dedicated training sessions
Fig. 4
Fig. 4
Graph depicting trauma surgery survey responses to the statement, “We would like to have Radiology present at the CT scanner during trauma CT scans,” prior to and 1 year after implementation of training sessions
See this image and copyright information in PMC

References

    1. Centers for Disease Control and Prevention, Injury Prevention and Control: Web-based Injury Statistics Query and Reporting System (WISQARS™). Available at https://www.cdc.gov/injury/wisqars. Accessed 3 Apr, 2017.
    1. Chidambaram S, Goh EL, Khan MA. A meta-analysis of the efficacy of whole-body computed tomography imaging in the management of trauma and injury. Injury. 2017;48(8):1784–1793. doi: 10.1016/j.injury.2017.06.003. - DOI - PubMed
    1. Caputo ND, Stahmer C, Lim G, Shah K. Whole-body computed tomographic scanning leads to better survival as opposed to selective scanning in trauma patients: a systematic review and meta-analysis. J Trauma Acute Care Surg. 2014;77(4):534–539. doi: 10.1097/TA.0000000000000414. - DOI - PubMed
    1. Hsieh S-L, Hsiao C-H, Chiang W-C, Shin SD. Association between the time to definitive care and trauma patient outcomes: every minute in the golden hour matters. Eur J Trauma Emerg Radiol. 2022;48(4):2709–2716. doi: 10.1007/s00068-021-01816-8. - DOI - PubMed
    1. Geiss CS, Ip IK, Gupte A, et al. Self-reported burnout: comparison of radiologists to non-radiologist peers at a large academic medical center. Acad Radiol. 2022;29(2):277–283. doi: 10.1016/j.acra.2020.10.013. - DOI - PubMed

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