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| 가정의의 단순 방사선 필름판독에 관한 조사 (The Quality of Radiograph Interpretation in a Family Practice Training Program) |
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김창엽(Kim Chang Yeop),박기흠(Ki Heum Park),이종호(Jong Ho Lee) |
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서울대학교병원 가정의학과 |
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| Abstract |
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Primary care physicians often make patient management decisions based on their own radiologic interpretation. This important area of clinical decision making was not adequately evaluated in any form in this country. In this series of 388 radiographs from in a hospital emergency room, interpretation discrepancy betwwn primary care providers(residents in family practice) and radiologists occurred 17.7 percent of cases, a discordance rate slightly higher than similar investigation by American family physicians. Majority of the films for which interpretative disagreement occurred had little potential implications for influencing patient management, but management outcome was not evaluated. Primary care physicians can provide high quality radiographic interpretation when coupled with clinical information and proper training in simple radiographic interpretation. More comprehensive evaluation, including praticing family physicians and general practitioners was needed. |
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