Evidence map›Paper›PMID 39808274›Full record

ArticlePediatric radiology2025

Impact of trauma center status on radiology resident performance in detecting non-accidental trauma on the WIDI SIM exam.

Kevin Pierre, Abheek Raviprasad, Jay Talati, Isabella Amador, Alexandria Iakovidis, Christopher Sistrom, Roberta Slater, Linda Lanier, Evelyn Anthony, Anthony Mancuso and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Pediatric radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Kevin PierreDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA. kpierre150@ufl.edu.
Abheek RaviprasadDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA.
Jay TalatiDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA. talatij@ufl.edu.
Isabella AmadorDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA.
Alexandria IakovidisDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA.
Christopher SistromDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA.
Roberta SlaterDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA.
Linda LanierDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA.
Evelyn AnthonyDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA.
Anthony MancusoDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA.
Dhanashree RajderkarDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA.
Priya SharmaDepartment of Radiology, College of Medicine, University of Florida, PO Box 100374, Gainesville, FL, 32610-0374, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate whether adult and pediatric trauma center status, as well as the presence of dedicated child protection teams, influences radiology resident performance in detecting non-accidental trauma on the Emergent/Critical Care Imaging Simulation (WIDI SIM) exam. MATERIALS AND

methodsWe retrospectively analyzed 639 WIDI SIM exam scores for four pediatric non-accidental trauma cases completed by radiology residents across 33 programs. Residents were stratified by level (R1-R4) and institutional factors, including adult trauma center status, pediatric trauma center status, and child protection team presence. Additionally, 2022 pediatric physical abuse counts per state were obtained from the National Child Abuse and Neglect Data System and normalized between 0 and 1. We employed a negative binomial generalized linear model (GLM). The outcome was regressed on resident level, trauma center status variables, child protection team presence, and normalized abuse counts.

resultsHigher resident training level was significantly associated with better performance (R1=3.6, R2=5, R3=6.1, R4=7.9; P<0.001). Adult trauma center accreditation was also associated with higher scores (4.6 vs. 3.3; P<0.001). In contrast, pediatric trauma center status, child protection team presence, and normalized state-level abuse counts were not significantly associated with resident performance (all P>0.05).

conclusionResident experience and adult trauma center accreditation were significantly associated with better radiology resident performance in detecting non-accidental trauma in a simulated call environment. Pediatric trauma center status, child protection team presence, and statewide abuse prevalence were not associated with detection performance. These findings suggest the need for targeted educational interventions at non-adult trauma centers and emphasize the importance of experience in developing diagnostic proficiency for non-accidental trauma.

Indexed as

Child AbuseClinical CompetenceInternship and ResidencyRadiologyTrauma CentersWounds and InjuriesAdultChildChild Protective ServicesFemaleHumansMaleRetrospective StudiesUnited StatesChild abuse detectionChild protection teams (CPT)Diagnostic performanceMedical educationNon-accidental trauma (NAT)Pediatric imagingRadiology residentsSimulation-based assessmentTrauma center statusWIDI SIM exam

Identifiers

PMID39808274

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.