دانلود کتاب الگوی جستجو – یک رویکرد سیستماتیک به تصویربرداری تشخیصی

One of the most important jobs of a radiologist is to make all the significant findings on a study. Even though there are many resources describing what pathologies look like and presenting key information needed to interpret findings once they are made, little is written about the search and localization process itself. This is despite 70-80% of errors in radiology arising from failed detection rather than failed characterization. Much of the teaching about how to approach studies is done free-form at the workstation, and there no systematic means to ensure that radiology trainees learn to check all potential sites of pathology. In my residency, it was expected that each person would create their own “search pattern” after working with different faculty, however these were often not explicitly taught or passed on in a reproducible way. Like many others, I sought a guide on this essential process and found none very helpful. What follows is an effort to fill this educational gap. Errors of detection are not just reported as the largest source of error in the literature; they also constitute the majority of preventable patient harm and litigation involving radiologists. Lack of medical knowledge is less commonly a problem than lapses in the finding of abnormalities. Most resources as well as the board exam and our certification processes are still primarily concerned with developing interpretive medical knowledge (which can be looked up anyways). Of course, familiarity with the appearance oflesions and associations with clinical entities is a part of the puzzle. But clearly, it is not the whole solution. To minimalize the sorts of errors that harm patients, we require a shift of focus toward preventing “misses” and the sort of training that would improve the detection of abnormality. There is not yet a broadly implemented way to teach, measure, or ensure this ability in our field.