ArticleBMC medical education2025
Bridging the skill gap in breast ultrasound: a PDCA management for standardized reporting and accurate BI-RADS categorization in postgraduate medical education.
Article in BMC medical education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
backgroundBreast cancer is the most common malignant tumor in women; breast ultrasound is crucial for its diagnosis, but its accuracy and standardization (especially in BI-RADS application) are operator-dependent. Peking University Third Hospital faced challenges related to suboptimal ultrasound reporting compliance and excessively high positive predictive value (PPV) of BI-RADS 4 A lesions. This study aimed to evaluate the effectiveness of the Plan-Do-Check-Act (PDCA) cycle as a management tool in postgraduate medical education to bridge this skill gap.
methodsA retrospective study was conducted in a multi-campus academic institution. Throughout 2024, an educational intervention based on the PDCA cycle was implemented. Key educational outcome metrics, including BI-RADS categorization rate, reporting compliance rate, ultrasonographic-pathologic concordance rate, and PPV, were compared between the pre-PDCA and post-PDCA groups.
resultsThe reporting compliance rate significantly increased from 87.18% to 94.96% (P < 0.001), exceeding the predefined target of ≥ 90%. Meanwhile, the PPV of BI-RADS 4 A lesions decreased significantly from 19.78% to 11.93% (P < 0.05), which not only met the goal of ≤ 15% but also more closely aligned with the recommended range of 2%–10%. The BI-RADS categorization rate and ultrasonographic-pathologic concordance rate remained high and unchanged.
conclusionsPDCA cycle effectively improves breast ultrasound reporting standardization and accuracy of BI-RADS 4 A categorization in radiologists’ postgraduate education, providing evidence for enhancing medical education quality and homogeneous healthcare.
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