美国放射学住院医师项目肌肉骨骼放射学课程全国调查
该研究通过问卷调查美国48个放射学住院医师项目的肌肉骨骼（MSK）放射学课程设置，发现MSK培训时间中位数为12周，大多数项目提供MSK选修、迷你专科培训及内部专科培训，但儿科MSK培训和超声专属轮转较少，且项目规模和排名影响专科培训机会及人员调配。
要点
- MSK培训中位时间为12周，R1-R3每年中位4周。
- 96%项目提供MSK选修，73%提供迷你专科培训，71%有内部专科培训。
- 仅52%提供儿科MSK培训，17%有超声专属MSK轮转。
核心结论
- MSK培训时长在不同规模和排名的项目中相似，但专科培训机会和轮转人员调配存在差异。
- 本研究可为优化和标准化MSK培训课程提供框架。
研究设计与样本
- 研究为横断面问卷调查，共发放20题问卷给骨骼放射学会和学术骨放射学会成员。
- 从66份回复中排除国外、无法识别、不完整和重复回复后，分析48个独特的美国住院医师项目。
- 项目按规模分类：小型≤7人/年（n=21），大型>7人/年（n=27）；按Doximity排名分类：1-50（n=22）和51+（n=26）。
诊断标准与关键数值
- MSK培训时间中位数12.0周，均值11.7周，R1-R3每年中位4周。
- 96%项目提供MSK选修，73%提供迷你专科培训，71%提供内部MSK专科培训。
- 52%项目提供儿科MSK培训，17%提供超声专属MSK轮转。
- 67%项目报告从MSK抽调住院医师覆盖其他轮转，31%（15/48）报告从其他轮转抽调人员覆盖MSK（P < .001）。
- 大型项目更常提供内部专科培训（P = .002）和迷你专科培训（P = .02）；从MSK抽调人员更常见于大型项目（78% vs. 52%，P = .06）；Doximity排名1-50的项目更常提供内部MSK专科培训（P < .001）。
临床应用与阅片要点
- 了解不同项目MSK培训时长和形式有助于住院医师选择适合的培训环境。
- 项目应关注儿科MSK和超声MSK轮转的覆盖不足，优化课程设置。
- 人员抽调实践可能影响MSK培训的连续性和质量，需平衡轮转需求。
局限性
- 研究为问卷调查，存在回复偏倚和样本代表性限制。
- 排除部分回复后样本量较小（48个项目），可能影响结果的普遍性。
- 未报告课程内容的具体细节和客观评估指标。
以上解读依据论文摘要（全文未开放获取或许可不允许翻译转载）。
英文原文（摘要）· 点击展开
RATIONALE AND OBJECTIVES: To characterize musculoskeletal (MSK) radiology curricula in U.S diagnostic radiology residency programs.
MATERIALS AND METHODS: A 20-question survey was distributed to members of the Society of Skeletal Radiology and the Society for Academic Bone Radiology. Of 66 responses, 48 unique U.S. residency programs were analyzed after exclusion of foreign, unidentifiable, incomplete, and duplicate responses. Programs were categorized by size: small ≤7 (n = 21) and large >7 (n = 27) residents/year); and Doximity ranking: 1-50 (n = 22) and 51+ (n = 26).
RESULTS: Median and mean weeks of MSK training were 12.0 and 11.7 weeks, respectively, with a median of 4 weeks annually during R1-R3 years. Most programs offered MSK electives (96%), mini-fellowships (73%), and internal MSK fellowships (71%). Pediatric MSK training was available in 52%, and ultrasound-specific MSK rotations in 17%. Overall, 67% of programs reported residents being pulled from MSK to cover other rotations while 31% (15/48) of programs reported pulling residents from other rotations to cover MSK (P < .001). Large programs (>7 residents) more frequently offered internal fellowships (P = .002) and mini-fellowships (P =.02). Pulling residents from MSK was more common in larger programs (78% vs. 52%, P = .06). Programs ranked 1-50 on Doximity more often offered internal MSK fellowships (P < .001).
CONCLUSION: MSK training duration is similar across programs regardless of size or ranking. However, differences exist in fellowship availability and rotation coverage practices. Overall, this study can serve as a framework for future discussions on optimizing and standardizing MSK training curricula.
引用
- Haug LP, Shetty A, Tulk AH, et al. A Nationwide Survey of the Musculoskeletal Radiology Curricula Across U.S. Diagnostic Radiology Programs. Acad Radiol. 2026. PMID: 42002459. doi:10.1016/j.acra.2026.03.041
供执业医师工作参考，不替代临床判断；数值与分级以指南原文为准。