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Purpose <p>The American Board of Surgery requires graduating general surgery residents (GSR) to achieve proficiency in imaging interpretation; yet, the American College of Graduate Medical Education does not mandate a radiology curriculum. We sought to evaluate the ability of GSRs to interpret abdominopelvic CT scans and compare them to diagnostic radiology residents (DRR).</p> Methods <p>Four abdominopelvic CTs depicting common acute care surgery conditions were chosen. Videos of the axial images were incorporated into a multiple-choice survey, which was distributed through the APDS listserv, emailed to program directors and coordinators of all ACGME-accredited general surgery and radiology programs, and promoted on social media.</p> Results <p>120 responses were collected (96 GSR, 24 DRR). None of the GSR reported radiology curricula; however, nearly all (90.6%) reported making clinical decisions based on independent imaging interpretation. 86.3% believe a radiology curriculum would be valuable. GSR overall diagnostic accuracy was lower than DRR (71.6% vs. 86.1%), although this did not reach statistical significance (<i>p</i> = 0.051). GSR were also less accurate at identifying subtle features, including small bowel transition point (44.3% vs. 78.9%, <i>p</i> = 0.043), pneumatosis intestinalis (43.1% vs. 83.3%, <i>p</i> = 0.013), portal-venous gas (52.9% vs. 91.7%, <i>p</i> = 0.020), and pneumoperitoneum (54.8% vs. 100%, <i>p</i> = 0.024).</p> Conclusions <p>GSR demonstrated adequate performance at interpreting abdominopelvic CTs, but frequently missed features that impact patient management. As GSR make clinical decisions based on independent interpretation, structured radiology education should be incorporated into surgical training.</p>

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Surgical resident interpretation of abdominopelvic CT scans in acute care surgery and implications for training

  • 期刊论文

  • 发表日期：

    2025年12月18日

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  • Ryan D. Rosen,
  • Daphne Pate,
  • J. Wilson Mesquita-Neto,
  • David Edelman

摘要

Purpose

The American Board of Surgery requires graduating general surgery residents (GSR) to achieve proficiency in imaging interpretation; yet, the American College of Graduate Medical Education does not mandate a radiology curriculum. We sought to evaluate the ability of GSRs to interpret abdominopelvic CT scans and compare them to diagnostic radiology residents (DRR).

Methods

Four abdominopelvic CTs depicting common acute care surgery conditions were chosen. Videos of the axial images were incorporated into a multiple-choice survey, which was distributed through the APDS listserv, emailed to program directors and coordinators of all ACGME-accredited general surgery and radiology programs, and promoted on social media.

Results

120 responses were collected (96 GSR, 24 DRR). None of the GSR reported radiology curricula; however, nearly all (90.6%) reported making clinical decisions based on independent imaging interpretation. 86.3% believe a radiology curriculum would be valuable. GSR overall diagnostic accuracy was lower than DRR (71.6% vs. 86.1%), although this did not reach statistical significance (p = 0.051). GSR were also less accurate at identifying subtle features, including small bowel transition point (44.3% vs. 78.9%, p = 0.043), pneumatosis intestinalis (43.1% vs. 83.3%, p = 0.013), portal-venous gas (52.9% vs. 91.7%, p = 0.020), and pneumoperitoneum (54.8% vs. 100%, p = 0.024).

Conclusions

GSR demonstrated adequate performance at interpreting abdominopelvic CTs, but frequently missed features that impact patient management. As GSR make clinical decisions based on independent interpretation, structured radiology education should be incorporated into surgical training.