Pre-registration UK diagnostic radiography student ability and confidence in interpretation of chest X-rays

Journal article

Lockwood, P. and Khan, A. 2021. Pre-registration UK diagnostic radiography student ability and confidence in interpretation of chest X-rays. Radiography Open. 7 (1), pp. 1-13. https://doi.org/10.7577/radopen.4529

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Authors	Lockwood, P. and Khan, A.
Abstract	Introduction Chest X-rays are the most frequently requested X-ray imaging in English hospitals. This study aimed to assess final year UK radiography students' confidence and ability in image interpretation of chest X-rays. Methods Thirty-three diagnostic radiography students were invited to assess their confidence and ability in interpreting chest x-rays from a bank of n=10 cases using multiple choice answers. Data analysis included 2x2 contingency tables, Kappa for inter-rater reliability, a Likert scale of confidence for each case, and questions to assess individual interpretation skills and ways to increase the learning of the subject. Results Twenty-three students participated in the study. The pooled accuracy achieved was 61% (95% CI 38.4-77.7; k=0.22). The degree of confidence and ability varied depending upon the student and the conditions observed. High confidence was noted with COVID-19 (n=12/23; 52%), lung metastasis (n=14/23; 61%), and pneumothorax (n=13/23; 57%). Low confidence was noted with conditions of consolidation (n=8/23; 35%), haemothorax (n=8/23; 35%), and surgical emphysema (n=8/23; 35%). From the sample n=11 (48%), participants stated they felt they had the knowledge to interpret chest X-rays required for a newly qualified radiographer. Conclusion The results demonstrated final year radiography students' confidence and ability in image interpretation of chest X-rays. Student feedback indicated a preference for learning support through university lectures, online study resources, and time spent with reporting radiographers on clinical practice to improve ability and confidence in interpreting chest X-rays.
Keywords	Radiography students; Chest X-rays; Abnormality detection; Training
Year	2021
Journal	Radiography Open
Journal citation	7 (1), pp. 1-13
Publisher	Oslo Met
ISSN	2387-3345
Digital Object Identifier (DOI)	https://doi.org/10.7577/radopen.4529
Official URL	https://journals.oslomet.no/index.php/radopen/article/view/4529
Online	31 Dec 2021
Publication process dates
Accepted	31 Dec 2021
Deposited	10 Jan 2022
Publisher's version	Abbaas 2021.pdf License CC BY 4.0 File Access Level Open
Output status	Published
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Pre-registration UK diagnostic radiography student ability and confidence in interpretation of chest X-rays

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