Malek, Muhammad Hanif Abdul
(2020)
Appropriateness in imaging studies selection among emergency medicine post-graduate student in Hospital Universiti Sains Malaysia.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background
Radiological imaging has played a significant role in evaluating patients in the emergency
department (ED). Thus, emergency department personnel needs to be competent in
selecting appropriate radiological imaging for the patients.
Objectives
This study aims to determine competency in appropriate imaging studies selection among
the postgraduate students and look for association in this matter with their academic year
and clinical experiences.
Methods
Emergency medicine postgraduate students were recruited from Hospital Universiti Sains
Malaysia and were given a set of questionnaires that consist of 10 common clinical
scenarios. The questions were selected from American College of Radiology
appropriateness criteria, and cross-reference was made using the local guideline. The
results were then graded as a whole and stratified by academic year and clinical experiences
using analysis of variance and independent T-test.
Results
A total of 92 respondents completed the survey. The mean of the overall correct answer
was 7.61 (SD, 1.41). First to fourth year postgraduate students scored 6.88 (SD, 0.85), 7.29
(SD, 1.04), 7.23 (SD, 1.41), and 9.13 (SD, 1.13). The inferential analysis found a
significant association between competency and academic year and a non-significant
difference between competency and clinical experiences.
Conclusion
Significant improvement was noted in the competency throughout the program. However,
the average score that was not perfect concludes that a more structured curriculum and
familiarization towards appropriateness guidelines might help in producing a more
proficient emergency physician.
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