Evidence map›Paper›PMID 33596838›Full record

ArticleBMC family practice2021

Family medicine residents' skill levels in emergency chest X-ray interpretation.

Malak Al Shammari, Ali Hassan, Nouf AlShamlan, Sarah Alotaibi, Manar Bamashmoos, Amani Hakami, Abdullatif Althunyan, Shymaa Basager, Sameerah Motabgani, Sawsan Aljubran and 1 more

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Article in BMC family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Malak Al Shammari *Department of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.ORCID 0000-0002-7434-7432
Ali Hassan *Department of Radiology, Salmaniya Medical Complex, Manama, Bahrain. alihy8@gmail.com.ORCID 0000-0001-6485-5460
Nouf AlShamlanDepartment of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.ORCID 0000-0002-8049-237X
Sarah AlotaibiDepartment of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.ORCID 0000-0002-0024-262X
Manar BamashmoosDepartment of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.ORCID 0000-0003-0334-0855
Amani HakamiDepartment of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.ORCID 0000-0001-5247-4337
Abdullatif AlthunyanDepartment of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.ORCID 0000-0001-7924-0004
Shymaa BasagerDepartment of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.ORCID 0000-0002-8376-1029
Sameerah MotabganiDepartment of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.ORCID 0000-0001-6645-322X
Sawsan AljubranDepartment of Family and Community Medicine, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.ORCID 0000-0001-6811-0423
Hind S AlsaifDepartment of Radiology, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Al-Khobar, Saudi Arabia.ORCID 0000-0002-1376-7652

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamily medicine physicians may encounter a wide variety of conditions, including acute and urgent cases. Considering the limited access to diagnostic investigations in primary care practice, chest X-ray remains the imaging modality of choice. The current study assessed the competency of family medicine residents in the interpretation of chest X-rays for emergency conditions and to compare it with that of diagnostic radiology residents, general practitioners, and medical interns.

methodsAn online survey was distributed to 600 physicians, including family medicine residents, medical interns, general practitioners, and diagnostic radiology residents. The study included some background information such as gender, years in practice, training type, interest in pulmonary medicine and diagnostic radiology, and having adequate training on the interpretation of chest X-rays. The survey had 10 chest X-ray cases with brief clinical information. Participants were asked to choose the most likely diagnosis and to rate their degree of confidence in the interpretation of the chest X-ray for each case.

resultsThe survey was completed by 205 physicians (response rate = 34.2%). The overall diagnostic accuracy was 63.1% with a significant difference between family medicine and radiology residents (58.0% vs. 90.5%; P < 0.001). The COVID-19 pneumonia (85.4%) and pneumoperitoneum (80.5%) cases had the highest diagnostic accuracy scores. There was a significant correlation between the diagnostic confidence and accuracy (r

conclusionThe competency of family medicine residents in the interpretation of chest X-ray for emergency conditions was far from optimal. The introduction of radiology training courses on emergency conditions seems imperative. Alternatively, the use of tele-radiology in primary healthcare centers should be considered.

Indexed as

Clinical CompetenceCOVID-19EmergenciesFemaleHumansInternship and ResidencyMalePhysicians, FamilyPneumoperitoneumRadiography, ThoracicSurveys and QuestionnairesChest X-rayDiagnostic accuracyEmergency medicineFamily medicineResidency program

Identifiers

PMID33596838
PMCPMC7889059

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.