放射学学习与发展当前议题:AJR专家小组叙述性综述
本文为AJR专家小组叙述性综述,探讨影像量增长、人力约束、亚专科化及混合执业模式对放射学学习与发展的影响,并讨论虚拟异步教育平台、同伴学习项目及生成式人工智能等新兴趋势,提供共识性指导以强化教育质量并维持诊断卓越。
要点
- 影像量增长与人力约束挤压病例教学、导师指导、反馈及刻意练习的保护时间
- 虚拟异步平台扩展教学可及性但带来参与度、策展与反馈挑战
- 同伴学习项目作为传统评分式同行评议的替代,提供非惩罚性结构化学习
核心结论
- 影像量增长、人力约束、亚专科化及混合执业模式正重塑放射学学习与发展,威胁从培训到执业的全周期专业发展。
- 虚拟异步教育平台、同伴学习项目及生成式人工智能带来新机遇,但需应对参与度、策展、反馈及准确性等挑战。
- 专家小组提供共识指导,以强化教育质量并维持当代实践中的诊断卓越与专业成长。
研究设计与样本
- AJR专家小组叙述性综述,基于专家共识提供指导。
临床应用与阅片要点
- 在日常临床工作中嵌入结构化非惩罚性同伴学习,替代传统评分式同行评议以促进共享学习与实践改进。
- 利用虚拟异步平台扩展教学会议、病例库、移动资源及微学习,但需注意参与度、内容策展与反馈质量。
- 应用生成式AI辅助知识合成时,需警惕准确性、偏倚、过时信息及过度依赖风险。
局限性
- 本文为专家小组叙述性综述,非系统评价,未提供原始研究数据或定量证据分级。
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
Radiology learning and development-encompassing both trainee education and lifelong professional learning-are undergoing rapid transformation driven by sustained growth in imaging volumes, persistent workforce constraints, increasing subspecialization, and evolving hybrid practice models that are reshaping radiologists' work. The resulting pressures increasingly and directly compete with protected time for case-based teaching, mentorship, feedback, and deliberate practice, placing at risk the entire professional development cycle from training through practice. Meanwhile, virtual and asynchronous educational platforms are expanding access to teaching conferences, case libraries, mobile resources, microlearning opportunities, and global collaboration and introducing challenges related to engagement, curation, feedback, and procedural skill expertise. Peer-learning programs are also gaining momentum as an alternative to traditional score-based peer review, offering a structured nonpunitive approach to shared learning and practice improvement embedded within routine clinical work. In parallel, generative artificial intelligence and large language models are creating new opportunities for knowledge synthesis and educational support amidst important concerns regarding accuracy, bias, outdated information, and overreliance. In this AJR Expert Panel Narrative Review, we examine how these converging trends are reshaping radiology learning and development and provide consensus guidance for strengthening educational quality while sustaining diagnostic excellence and professional growth in contemporary practice.
引用
- Moriarity AK, Goldberg-Stein S, Cook TS, et al. Current Topics in Learning and Development in Radiology: AJR Expert Panel Narrative Review. AJR Am J Roentgenol. 2026. PMID: 42053390. doi:10.2214/AJR.24.31798
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。