Most Missed Cases: Femoral Neck Fracture

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.
316 residents interpreted this case of femoral neck fracture 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 2.48 out of 10.
Overall, the average number of points lost out of 10 to observational discipline was 6.71. At the same time, 0.81 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 an A or a B. In this “most missed” case 25% 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 an F or a D. In this “most missed” case 66% of residents produced reports with critical errors.

View the full DICOM set and final report here: https://go.ufl.edu/pty4t6x

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.

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The UF Department of Radiology main site can be found here: https://xray.ufl.edu/

Our Wisdom In Diagnostic Imaging site can be found here: https://widi.xray.ufl.edu/

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