Most Missed Cases: Discitis/Osteomyelitis

Follow along as our expert subspecialist reviews this case of discitis/osteomyelitis as demonstrated on an x-ray study. Osteomyelitis is a skeletal infection involving the medullary cavity. The causative agent is most often staphylococcus aureus in the general population and salmonella in sickle cell patients.

Over the last 10 years, the Department of Radiology at the University of Florida College of Medicine has conducted a simulation-based evaluation of radiology resident competence in critical care imaging.

127 residents interpreted this case of discitis/osteomyelitis as one of 65 cases during an 8-hour simulated on-call shift, with a median score of 0 out of 10 and an overall average score of .46 out of 10.

Overall, the average number of points lost out of 10 to observational discipline was 8.92. At the same time, 0.62 points were lost due to interpretive errors on the part of the residents.

We define an effective report to be one which achieves scores between 7 and 10. In terms of letter grades, this would be A & B. In this “most missed” case 2% of residents produced effective reports.

We define a report having a critical error to be one with scores between 0 and 2. In terms of letter grades, this would be F & D. In this “most missed” case 90% of residents produced reports with critical error(s).

View the full DICOM set and final report here: bit.ly/3SELjlQ
Claim 0.5 AMA PRA Category 1 CME Credit™ per case by reviewing this case and others available in our Decision Support critical care case library. Use WIDIonline to fill in your knowledge gaps by reviewing our educational curriculum on this subject.

WIDI Online: https://widionline.xray.ufl.edu/
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WIDI SIM is a critical care radiology SIMulation consisting of 65 cases across all subspecialties and modalities, including normals, given over an eight hour “shift” experience.

For more information on WIDI SIM: https://widi.xray.ufl.edu/widi-research/publications/

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Intro 0:00
Case Statistics 0:13
Missed Case: Discitis/Osteomyelitis 0:55
Teaching Points 3:53

#discitis #osteomyelitis #radiology #xray

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