Læknablaðið - 01.04.1975, Page 48

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LÆKNABLAÐIÐ
FRÁ FÉLAGI RÖNTGENLÆKNA
MENNTUN I LÆKNISFRÆÐILEGUM RÖNTGEN-
GREINUM
Stjórn félags röntgenlækna hefur beðið
Læknablaðið um að birta greinargerð al-
þjóða röntgenlæknasambandsins um
menntun og menntunarkröfur í læknis-
fræðilegum röntgengreinum. Telur stjórn-
in að gefnu tilefni æskilegt að kynna al-
þjóðleg sjónarmið um sérgreiningu rönt-
genfræða og álit um nýliðunarþarfir í stétt
lækna og tækna, fyrir öðrum starfsbræðr-
um.
International Society af Radiology (I.S.R.)
TRAINING IN MEDICAL RADIOLOGY
Medical students, radiologists, technicians.
Dr. Prof. Adolf Zuppinger
Questionnaires concerning the training
of medical students in radiology, the radio-
logists and the radiological medical techni-
cians were sent to the 52 member societies
of the ISR. 49 answered.
The average number of radiologists is
25,7 per 1 million inhabitants. 60 to 80 are
considered necessary in industrialized
countries. The ratio radiologists to physi-
cians varies from 0,3 to 5,07%, a value of
3% seems to be appropriate.
The postulate that all radioiogical work
should be done by radiologists cannot be
realized because of the shortage of radio-
logists. Only 10% of the member societies
have enough radiologists. Thus radiological
work must be done by other medical doc-
tors, but no radiological work should be
allowed without adequate special post-
graduate training.
Radiological training of medical students
should be obligatory. Training in the basics
of radiophysics and radiobiology which is
given in the great majority of the member
countries is highly recommended. It is
absolutely necessary that the clinical
training is carried out by radiologists.
Radiology should be considered as a basic
discipline. The time devoted on the training
is largely dependent upon if the practi-
tioner is allowed to perform radiological
work or not. 100 to 150 hours of training
which corresponds to two to three percent
of the clinical tirqie, should be reasonable.
If the radiological work is done by radio-
logists the training time for students may
be reduced to about one half. There is a
trend to give more practical training. We
are in favour of an obligatory period of
internship in a radiological department for
all physicians who are going to perform
any kind of radiological work. The under-
graduate studies mentioned above are in
no case adequate for practizing any part of
radiology and need additional postgráduate
practical training.
The training should provide the basic
knowledge, mainly in the possibilities, in-
dications and limits of radiodiagnosis,
radiotherapy and nuclear medicine. An
examination, which already takes place in
the majority of all member countries, is
considered to be absolutely necessary. It
has to be taken in the basics including
radiation risk and protection and in all
three branches of radiation medicine. The
examination, with the obligation of
studying the whole field during his basic
training will most probably stimulate the
decision of medical students to go to radio-
logy and thus help to reduce the shortage
in radiologists.
The academic position of the radiologists
in the countries with examination is gene-
rally good. The head radiologist of a uni-
versity or of a medical school should be a
full professor. We think that at a university
there should be a full professor for each
discipline, diagnosis, therapy and nuclear
medicine. The training of radiologists is