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    A nationwide analysis of emergency medicine residents' CT interpretation in trauma: The Tract-EM study
    (W B Saunders Co-Elsevier Inc, 2024) Aslaner, Mehmet Ali; Kad, Gultekin; Kesen, Sevcihan; Kilic, Atiye Cenay Karaboerk; Coskun, Ozlem; Bildik, Fikret; Kele, Ayfer
    Objective: To evaluate the accuracy and determine the factors influencing trauma CT interpretation proficiency among emergency medicine (EM) residents in Turkey through the TraCT-EM study (Interpretation of Trauma CT by EMergency Physicians). Methods: This nationwide, multicenter, cross-sectional study was conducted in 29 academic emergency departments (EDs) from April 2023 to March 2024. A total of 401 senior EM residents participated in the study, each interpreting a standardized set of 42 trauma CT series (cranial, maxillofacial, and cervical) derived from seven patients. Interpretation accuracy was assessed, and factors predicting interpretation failure were analyzed using univariate and multivariate regression models. Results: The median accuracy rate of residents was 64.9 %, with higher accuracy in normal CT findings. Using the Angoff method, 14 % of residents scored below the passing threshold. Factors associated with interpretation failure included shorter interpretation times (OR, 0.97; 95% CI, 0.95-0.99), lower self-confidence in detecting serious pathologies (OR, 2.50; 95% CI, 1.42-4.42), reliance on in-hospital radiology department reports (OR, 3.45; 95 % CI, 1.47-8.05), and receiving final radiology reports for CT scans (OR, 3.30; 95 % CI, 1.67-6.52), and lack of in-department training programs (OR, 2.51; 95 % CI, 1.34-4.70). Conclusion: The TraCT-EM study highlighted a 65 % accuracy rate for senior EM residents in trauma CT interpretation, with specific predictors of failure identified. These findings suggest a need for tailored radiology education strategies to enhance training and competency in trauma CT interpretation for EM residents. Further optimization of educational programs could address these gaps, ultimately improving patient outcomes in trauma care. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
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    Perspective of emergency specialists and researchassistants in Turkey towards geriatric patients status of their education about geriatrics
    (2021) Kunt, Aslı Türkay; Demircan, Ahmet; Keleş, Ayfer; Bildik, Fikret; Kılıçaslan, İsa; Tel, Mustafa Ramiz
    Aim: With the increase in the geriatric population, admissions to emergency units are increasing each day. This study aims todetermine the perspective and attitudes of emergency specialists towards geriatric patients, and to form a training program for emergency medicine to improve the quality of patient care. Materials and Methods: We conducted a complementary study designed as a survey. At the end of the study period, the data collectedwere recorded in SPSS for Windows 15.0 (SPSS Inc.®, Chicago, ABD) program package and statistically analyzed. The Chi-square, Yates corrected chi-square and the Fisher’s exact tests were used in order to define the relationship between the parameters. The level of significance was accepted as p<0.05.Results: 335 physicians working in the emergency units responded to the survey questionnaire and participated in the study.Overall, 74.7% of the participants worked in the institutes where a geriatric division or department was not present. No specific division of geriatrics was present in the institute where 60.5% of the participants worked. 79.4% of the participants mentioned that hospitalization of geriatric patients was avoided compared with that of younger patients where they worked. Furthermore, 37.3% of research assistants and 13.1% of the specialists mentioned that they had no training in geriatrics. 68.2% of the participants stated that they felt sufficient in approaching geriatric patients and 67% stated that they felt sufficient in communication with them. The participants desired training mostly in drug interactions, elder abuse and communication. 226 (68.9%) the emergency unit doctors stated that they had patients who had been subjected to elder abuse. Finally, 72.8% of the pariticipants felt no unwillingness in case of a need for resuscitation to elderly patients with no oncological disease or those who were not accepted to be in their terminal period.Conclusion: Training of emergency unit specialists for the management of geriatric patients is insufficient and needs to be revised.