Qualitative Thematic Analysis of Non-radiologist Clinicians' Approach to CT Body Interpretation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 25
- 试验地点
- 1
- 主要终点
- Observe the difference in CT interpretation technique between traditionally trained radiology consultants and other clinicians of varying seniorities
研究概览
简要总结
CT scans are becoming increasingly prevalent in medicine. These are reviewed by radiologists and formal report provided. A recent survey suggests that non-radiologists are increasingly being expected to be able to interpret pathology on CT scans, however there is limited training provided in medical school and specialty training schemes.
This study aims to qualitatively analyse how non-radiologists of different seniority and specialties approach CT body scan interpretation. This will be done by recording participants as they look at a pre-selected CT scan.
The data will be reviewed with a thematic analysis. The eventual aim is to develop a CT interpretation system, which can be used by the non-radiologist to look for important pathology on a CT scan of the body
详细描述
A recent survey published in a local conference (Master 2023) asked 100 junior doctors across 16 Trusts in the UK (including ELHT and MFT) about their experience of CT. This showed that confidence in CT requesting and interpretation is very limited. From the same survey it seems that CT is very superficially taught in medical schools with no system given for interpretation. 90% of those surveyed said they would benefit from more educational resources in CT. The investigators hope to develop a CT interpretation resource to help the non-radiologist when looking at CT scans. This study aims to see how non-radiologists currently approach a CT scan to gain understanding of the needs of the new resources.
There is no similar study in the literature investigating how the non-radiologist approaches CT scans. There has been investigation of foundation doctors experience in radiology, however the focus was on plain xrays, not CT interpretation.
The investigators plan to use a thematic analysis in data interpretation. Rationale for using Thematic analysis.
- Recognised method of identifying patterns/ themes in qualitative data for learning and teaching research.
- Provides a flexible methodology approach which is not reliant on a particular educational theory. Hence it is able to deal with relatively uncharted area of how non-radiologists interpret radiological images.
Process of thematic analysis . Using the 6-step approach. Step Aims Comments
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
盲法说明
The identify of the participant will not be known to the analysis team
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Doctors will be recruited from East Lancashire Hospitals NHS Trust (ELHT) and Participant Identification Centre (PIC) sites via a convenience sampling method.
- •Participants must be currently working in UK NHS acute specialties (ED, Medicine, Surgery, etc).
- •Includes doctor grades from Foundation to Consultant. Senior radiology trainees and consultants will also be recruited as an expert comparison.
排除标准
- •Non-clinical doctors
- •Radiologist
研究组 & 干预措施
One arm
干预措施: This is observational with no intervention (Other)
结局指标
主要结局
Observe the difference in CT interpretation technique between traditionally trained radiology consultants and other clinicians of varying seniorities
时间窗: 1 year
Process of thematic analysis. The proposed study is using an inductive and latent level approach for the data analysis. This was selected as it allows the flexibility to look beyond what is being said. By combining the oral presentation with the manipulation of the image and the answering of key questions we feel there will be a better chance of appreciating the underlying cognitive approach being employed. Open coding will be used for the transcript analysis. This allows them to be modified under the influence of more data. Once preliminary themes have been proposed a review will be made to see which codes they address. Unlinked codes will prompt further analysis of the themes, considered of new themes or development of sub-themes. This iterative process continues with new data until a steady state is achieved and no new themes are being generated.
次要结局
未报告次要终点