Chest radiograph interpretation skills of anesthesiologists

Kaufman, Brian; Dhar, Panchali; O'Neill, D; Leitman, Barry S.; Fermon, C.; Wahlander, Staffan; Sutin, Kenneth M.

doi:10.1053/jcan.2001.28307

Cited by 26 publications

(28 citation statements)

References 4 publications

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“…The influence of the level of experience and of previous training on the reliability of chest x-ray interpretation has not being sufficiently studied, particularly in children with ALRI, and the results from published reports are not entirely consistent. [23][24][25][26] We furthermore emphasize that physicians and particularly pediatric residents must take into account that chest-x rays constitute only one of the ways of reliably diagnosing pneumonia in children. Clinical assessments that encompass efficiently determining the symptoms and physical signs are of paramount importance for reaching a good diagnostic performance.…”

Section: Discussionmentioning

confidence: 99%

Inter-observer agreement in interpreting chest X-rays on children with acute lower respiratory tract infections and concurrent wheezing

et al. 2007

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CONTEXT AND OBJECTIVE: Many children with acute lower respiratory tract infections (ALRI) present to the emergency ward with concurrent wheezing. A chest x-ray is often requested to rule out pneumonia. We assessed inter-observer agreement in interpreting x-rays on such children. DESIGNS AND SETTING: Prospective consecutive case study at Instituto de Salud del Niño, Lima, Peru. METHODS: Chest x-rays were obtained from eligible children younger than two years old with ALRI and concurrent wheezing who were seen in the emergency ward of a nationwide pediatric referral hospital. The x-rays were read independently by three different pediatric residents who were aware only that the children had a respiratory infection. All the children had received inhaled beta-adrenergic agonists before undergoing chest x-rays. Lobar and complicated pneumonia cases were excluded from the study. RESULTS: Two hundred x-rays were read. The overall kappa index was 0.2. The highest individual kappa values for specific x-ray findings ranged from 0.26 to 0.34 for rib horizontalization and from 0.14 to 0.31 for alveolar infiltrate. Inter-observer variation was intermediate for alveolar infiltrate (kappa 0.14 to 0.21) and for air bronchogram (kappa 0.13 to 0.23). Reinforcement of the bronchovascular network (kappa 0.10 to 0.16) and air trapping (kappa 0.05 to 0.20) had the lowest agreement. CONCLUSIONS: There was poor inter-observer agreement for chest x-ray interpretation on children with ALRI and concurrent wheezing seen at the emergency ward. This may preclude reliable diagnosing of pneumonia in settings where residents make management decisions regarding sick children. The effects of training on inter-observer variation need further studies.

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Section: Discussionmentioning

confidence: 99%

Inter-observer agreement in interpreting chest X-rays on children with acute lower respiratory tract infections and concurrent wheezing

et al. 2007

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“…Several methods can be used to gather the information during the analysis phase, such as focus groups [8][9][10], oneon-one interviews, anonymous questionnaires or surveys [11,12], mixed qualitative-quantitative studies [13], expert consensus [14,15] or Delphi studies with content experts [16], audits or tests of current performance [17,18], opinions of graduates of the program [19], or a combination of these techniques [13,20]. Using these information gathering tools, the analysis phase can be subdivided into a needs analysis, task analysis, learner analysis, and performance analysis.…”

Section: Discussionmentioning

confidence: 99%

Using the ADDIE Model of Instructional Design to Teach Chest Radiograph Interpretation

Cheung

2016

Journal of Biomedical Education

125

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Interpreting basic chest radiographs is an important skill for internal medicine residents to help them adequately diagnose and manage respiratory diseases. Educators need tools to ensure that they take a systematic approach when creating a curriculum to teach this, as well as other skills, knowledge, or attitudes. Using an instructional design model helps educators accomplish this task by giving them a guide they can follow to ensure that the curriculum meets the needs of the learners. Using the creation of a curriculum to teach chest radiograph interpretation as an example, this paper illustrates how educators can use the ADDIE model of instructional design to help develop their own curricula.

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“…1), die aufgrund des letztlich kleinen operativen Spektrums gut anwendbar sind, jedoch nicht als Ersatz der etablierten Sepsistherapie gemäß den DIVI-Leitlinien verstanden werden dürfen. [16,24]. Erfreulicherweise lassen heute nur noch wenige thoraxchirurgisch/pneumologische Zentren eigene radiologische Abteilungen vermissen.…”

Section: Sepsis Mit Der Komplikation Pneumonie/ardsunclassified

Intensivmedizin aus Sicht des Thoraxchirurgen

Diemel

Branscheid

2006

Chirurg

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Intensive care in thoracic surgery requires highly specialised abilities and knowledge in addition to usual intensive care standards. The operative chest intensivist must be experienced in special surgical methods, interventional bronchology, and tube management. Cooperating with chest physicians and anaesthesiologists, he takes the central position in intensive therapy. This is described in detail and explained by examples. Furthermore, aspects of education in this specialty will be emphasised.

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Chest radiograph interpretation skills of anesthesiologists

Cited by 26 publications

References 4 publications

Inter-observer agreement in interpreting chest X-rays on children with acute lower respiratory tract infections and concurrent wheezing

Inter-observer agreement in interpreting chest X-rays on children with acute lower respiratory tract infections and concurrent wheezing

Using the ADDIE Model of Instructional Design to Teach Chest Radiograph Interpretation

Intensivmedizin aus Sicht des Thoraxchirurgen

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