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Research ArticlePractice Perspectives

Am I Ready to Be an Independent Neuroradiologist? Objective Trends in Neuroradiology Fellows' Performance during the Fellowship Year

J.H. Masur, J.E. Schmitt, D. Lalevic, T.S. Cook, L.J. Bagley, S. Mohan and A.P. Nayate
American Journal of Neuroradiology May 2021, 42 (5) 815-823; DOI: https://doi.org/10.3174/ajnr.A7030
J.H. Masur
aFrom the Department of Radiology (J.H.M., J.E.S., D.L., T.S.C., L.J.B., S.M.), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
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  • ORCID record for J.H. Masur
J.E. Schmitt
aFrom the Department of Radiology (J.H.M., J.E.S., D.L., T.S.C., L.J.B., S.M.), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
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D. Lalevic
aFrom the Department of Radiology (J.H.M., J.E.S., D.L., T.S.C., L.J.B., S.M.), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
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T.S. Cook
aFrom the Department of Radiology (J.H.M., J.E.S., D.L., T.S.C., L.J.B., S.M.), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
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L.J. Bagley
aFrom the Department of Radiology (J.H.M., J.E.S., D.L., T.S.C., L.J.B., S.M.), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
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S. Mohan
aFrom the Department of Radiology (J.H.M., J.E.S., D.L., T.S.C., L.J.B., S.M.), Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania
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A.P. Nayate
bDepartment of Radiology (A.P.N.), University Hospitals Cleveland Medical Center, Cleveland, Ohio
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Article Figures & Data

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  • FIG 1.
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    FIG 1.

    A, Mean total (CT + MR imaging) call cases per month aggregated over 5 fellowship classes with R2 values. B, Mean total (CT) call cases per month aggregated over 5 fellowship classes with R2 values. C, Mean total (MR imaging) call cases per month aggregated over 5 fellowship classes with R2 values.

  • FIG 2.
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    FIG 2.

    A, Average monthly turnaround times for CT and MR studies during fellows' call. Mean (circle) and median (triangle) values are both shown. Dashed lines represent best-fit regression lines during the academic year, while month-to-month changes are shown by the dotted lines. R2values are provided. B, Box-and-whisker plot demonstrates the RTAT for each month. C, Relationships between monthly call volume and monthly median RTATs for CT (square) and MRI (triangle) separately. R2 values are provided. D, Lines depict individual trajectories in RTAT during the fellowship year for each fellow based on a linear mixed-model. The bold line shows the curve for the aggregated data.

  • FIG 3.
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    FIG 3.

    A, Mean word count added to call reports per month of fellowship of training. Confidence intervals are shown with bars. B, The mean character count added to call reports per month of fellowship training. Confidence intervals are shown with bars.

Tables

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    Table 1:

    Median RTATs by quarters of the academic year

    QuarterRTAT (Min)
    1st (July-September)97 (95% CI, 91–102)
    2nd (October-December)68 (95% CI, 65–73)
    3rd (January-March)79 (95% CI, 75–83)
    4th (April-June)59 (95% CI, 56–62)
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    Table 2:

    Median RTAT and CI for December and January

    MonthRTAT (Min)
    December58 (95% Cl, 53–61)
    January83 (95% Cl, 77–91)
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    Table 3:

    Semiannual change in proportions of call discrepancies between fellows and attendings

    TemplateJuly-December (pA)January-June (pB)DifferenceHypothesis Tests (H0: pA = pB)
    Great call0.7%0.9%+0.2%χ2 = 1.26, P value < .262
    Agree33.4%42.8%+9.4%χ2 = 106.17, P value < .0001
    Addition52.2%46.7%–5.4%χ2 = 33.57, P value < .0001
    Minor change12.3%8.2%–3.7%χ2 = 42.27, P value < .0001
    Major change1.4%0.9%–0.5%χ2 = 6.61, P value = .010
    • Note:—pA indicates proportions of call discrepancy during the first half of the academic year; pB, proportions of call discrepancy during the second half of the academic year; H0, null hypothesis.

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American Journal of Neuroradiology: 42 (5)
American Journal of Neuroradiology
Vol. 42, Issue 5
1 May 2021
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Am I Ready to Be an Independent Neuroradiologist? Objective Trends in Neuroradiology Fellows' Performance during the Fellowship Year
J.H. Masur, J.E. Schmitt, D. Lalevic, T.S. Cook, L.J. Bagley, S. Mohan, A.P. Nayate
American Journal of Neuroradiology May 2021, 42 (5) 815-823; DOI: 10.3174/ajnr.A7030

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Am I Ready to Be an Independent Neuroradiologist? Objective Trends in Neuroradiology Fellows' Performance during the Fellowship Year
J.H. Masur, J.E. Schmitt, D. Lalevic, T.S. Cook, L.J. Bagley, S. Mohan, A.P. Nayate
American Journal of Neuroradiology May 2021, 42 (5) 815-823; DOI: 10.3174/ajnr.A7030
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