Knowledge of radiation protection among radiology professionals and students: A medical college-based study

Assessments of Medical Student's Knowledge About Radiation Protection and Different Imaging Modalities in Jeddah, Saudi Arabia

Introduction: Doctors can play a significant role in attributing to patient safety concerning exposure to ionizing radiation. Therefore, healthcare professionals should have adequate knowledge about radiation risk and protection of different medical imaging examinations. This study aims to evaluate the knowledge about radiation protection (RP) and applications of different imaging modalities (IMs) among medical students in their clinical years and intern, in Jeddah, Saudi Arabia. Materials and Methods: A cross-sectional study based on an online questionnaire was performed in Jeddah, Saudi Arabia, on 170 medical students during January 2024; the study participants included clinical years medical students (from Years 4 to 6) and interns of both gender and basic year medical students, and specialists and consultants were excluded. For each participant, the percentage of correct answers was calculated for the knowledge RP and knowledge in IMs separately, and each participant will have two scores, RP knowledge score (RPKS) and IM knowledge score (IMKS). Results: A total of 170 medical students responded and completed the questionnaire. The overall levels of awareness and knowledge of the students was determined through calculations of their scores in answering the questionnaire; students in this study group have low average knowledge score in RP, which is 43, while they have moderate-high knowledge score in IMs, which is 68. Regarding the knowledge score, for the RPKS, the best participant scored 82, while the worst scored 0, whereas for IMKS, the best participant score 100, while the worst scored 0. However, according to the SD, participants generally differ between each other by 19 in RPKS and 31 in IMKS. Conclusions: The assessments of medical students' knowledge regarding radiation exposure in diagnostic modalities reveal a low level of confidence in their knowledge of ionizing radiation dose parameters. Furthermore, the mean scores on overall knowledge assessments indicate a need for improvement in RP knowledge for medical students. To address this gap, a comprehensive modification of the undergraduate medical curriculum's radiology component is required by enhancing active learning approaches and integrating radiation safety courses early in the medical curriculum. Medical education institutions could implement ongoing workshops, online modules, and certification programs to reinforce radiation safety principles.

Awareness and Knowledge of Ionizing Radiation in Common Radiological Investigation and Associated Risks Among Medical and Applied Medical Sciences Students at Majmaah University

AIM

This study aims to evaluate the awareness and knowledge of ionizing radiation in common radiological investigations, as well as the associated risks, among medical and applied medical sciences students at Majmaah University in Majmaah, Saudi Arabia.

MATERIALS AND METHODS

This cross-sectional study involved 209 participants who completed an anonymous electronic questionnaire consisting of 21 questions. Participants were categorized based on demographic characteristics and assessed for their awareness and knowledge of radiation and its associated risks. Data analysis was conducted using the Statistical Package for the Social Sciences (SPSS) software, version 24.0 (IBM Corp., Armonk, NY, USA). Qualitative data comparisons were performed using the Chi-square test, with a p-value of <0.05 considered statistically significant.

RESULTS

A total of 209 participants completed the questionnaire, with a nearly equal distribution of males (49.8%) and females (50.2%). Most of the participants were medical students (59.3%). The overall knowledge score had a mean of 2 (SD=2) and a range of 0-7. The overall awareness score had a mean of 3 (SD=2) and a range of 0-6. Male gender and knowledge had a significant association (p=0.022). Applied medical sciences students had a significantly higher awareness level than medical students (p=0.004). There was a significant association between academic level and knowledge level (p=0.025), which was highest among third-year students.

CONCLUSION

 Overall medical and applied medical sciences students' knowledge and awareness of ionizing radiation dose and the health risks associated with it was reported to be low. The results highlight the need to train medical and applied medical sciences students with sufficient radiological education that enable them to adhere to safe practices in the future.

Assessment of medical students' knowledge regarding radiation associated risk and its protection: finding from a cross-sectional study

OBJECTIVE

The current study assessed the knowledge of the medical students regarding the nature of radiation, associated risks, and protective measures.

METHOD

A cross-sectional study was conducted among international students enrolled in different medical colleges/universities in Xian, PR China. A self-developed and self-reported questionnaire was used for the current study. The descriptive statistics was carried out to summarize the finding of the study. Chi-square and Fisher exact tests were conducted to assess the association of the demographics with knowledge level.

RESULTS

A total of 796 students responded among 980. Most of the participants fell in the age range of 20-25 years (42.6%), being male (67.1%) and having bachelor's education (56.7%). Participants with previous experience was 58.7%. The age group of 20-25 years (p < 0.001), being male (p < 0.001), having bachelor education (p < 0.001), and previous experience (p = 0.009) was significantly associated with moderate to good knowledge. The overall knowledge about the nature of radiation (96%) and associated risk (82%) was good, but regarding protection, 59% of the participants showed good knowledge.

CONCLUSION

Most of the participants showed satisfactory result. However, the knowledge regarding protection measures was poor in almost half of the population.

Final-year medical students' perspective: a survey on the use of computed tomography in sepsis

OBJECTIVES

To determine the perspective of final-year medical students on the use of computed tomography (CT) in patients with sepsis.

METHODS

A total of 207 questionnaires were distributed to final-year medical students at a large university medical center, and 113 returned questionnaires met the criteria for inclusion in the analysis. Questions referred to sepsis guidelines, CT indications, and the use of contrast agents. Control variables included a level of practical experience as a final-year student (trimester of student's practical year) and previous radiological experience. Statistical hypothesis tests such as the Mann-Whitney U test and chi-square test were performed.

RESULTS

The majority of participating students, 85% (n = 91/107), considered a Systemic Organ Failure Assessment (SOFA) score ≥ 2 as a diagnostic criterion for sepsis. The presence of ≥ 2 positive systemic inflammatory response syndrome (SIRS) criteria was considered relevant for diagnosing sepsis by 34% (n = 34/100). Ninety-nine percent (n = 64/65) of the participants who fully agreed with a SOFA score ≥ 2 being relevant for diagnosing sepsis would also use it as an indication for a CT scan. Seventy-six percent (n = 78/103) of the students rated a known severe allergic reaction to contrast agents as an absolute contraindication for its administration. Ninety-five percent (n = 78/82) considered radiation exposure as problematic in CT examinations, especially in repeat CTs.

CONCLUSION

Most final-year medical students were familiar with the sepsis criteria. Still, some referred to outdated diagnostic criteria. Participants saw the ability to plan further patient management based on CT as a major benefit. Most participants were aware of radiation as a risk of CT.

CRITICAL RELEVANCE STATEMENT

More detailed knowledge of CT in septic patients should be implemented in the medical curriculum. Retraining of medical students could help increase student confidence potentially improving patient care.

KEY POINTS

1. Whereas the majority of final-year medical students were familiar with sepsis criteria, some referred to outdated diagnostic criteria. 2. Participants saw the ability to plan further patient management based on CT as a major benefit. 3. Most participants were aware of radiation as a risk of CT.

Assessment of radiographers' knowledge about radiation doses and DRLs in computed tomography departments in Jeddah, Saudi Arabia: A cross-sectional study

Objective

To assess radiographers' understanding of radiation safety considering the newly approved national diagnostic reference levels (DRLs) as an optimization tool for radiation dose.

Methods

A cross-sectional study was conducted in Saudi Arabia among radiographers working at local hospitals in Jeddah city from February to March 2022. The survey comprised of 22 questions involving demographic information; and general information related to radiation dose; CTDIvol and DRLs. Data were analyzed using IBM SPSS Statistics version 26. Chi-square test was used to compare demographic groups regarding their distribution of responses with 0.05 as the level of significance.

Results

A total of 169 radiographers participated in the study (39 % females, 60 % males). Most of the participants (91 %) were aware of the description of the ALARA principle. It was noted that (47 %) of the participants indicated that the routine scanning protocols are designed by the radiologists. The majority of them (78 %) were confident to manipulate the CT scanning parameters properly. In addition, half of the participants (53 %) were aware of the CTDIvol and DLP. Unexpectedly, none of the demographic variables were significantly associated with the radiographers' knowledge about radiation dose, p-values are > 0.05.

Conclusion

Although radiographers demonstrated good knowledge of radiation protection, limited awareness of DRLs was noted among radiographers and lack of implementing and optimizing the local dose of the DRLs in this study. Therefore, education and training for healthcare professionals including radiographers are necessary to enhance clinical practical performance in radiology departments.