Radiation safety awareness among medical interns: are EU guidelines being implemented?
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European recommendations suggest that medical students should be taught radiation safety before entering clinical practice.
The aim of this study was to produce a summative assessment of radiation protection training in medical school in Ireland.
Materials and methods
A web-based questionnaire was distributed to the 2014 intern population (n = 683) via network intern-coordinators. The survey encompassed knowledge of radiation dose in X-ray investigations, laws governing the prescribing of radiation and complications of radiation exposure to staff and patients.
Response rate was 14.2% (97/683) with all Irish medical schools represented. 64% of interns reported no formal training in radiation safety. 80% correctly identified MRI and 94% US as not posing a radiation risk. 54% identified CT PET as emitting the highest radiation dose to patients. Only 32% correctly identified one CT abdomen/pelvis as equivalent to the dose from 300 to 500 chest X-rays and 22% correctly identified the theoretical lifetime risk of cancer induction from CT abdomen/pelvis as 1 in 2000. While 71% thought it was very important that prescribers should be aware of patient radiation dose and 28% thought it was moderately important, 74% were not aware of any laws governing the prescribing of radiology investigations.
Currently, there is little formal radiation safety training in Irish medical schools. Knowledge of radiation dose and the laws governing prescribing is limited among qualifying interns. Implementation of a formal radiation safety curriculum in Irish Medical Schools would adhere to EU guidelines and improve prescriber knowledge, patient, and personal radiation safety.
KeywordsRadiation safety Medical school Medical student Radiation protection
We would like to thank the intern tutors from various medical schools for their help in distributing the survey.
Compliance with ethical standards
Statement of human rights
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent is not applicable as this study does not contain any studies with human participants.
Conflict of interest
The authors declare that they have no conflict of interest to disclose.
- 1.ICRP (1977) Recommendations of the ICRP. ICRP Publication, vol 26. Ann ICRP 1(3)Google Scholar
- 2.ICRP (1997) General principles for the radiation protection of workers. ICRP Publication, vol 75. Ann ICRP 27(1)Google Scholar
- 3.ICRP (2007) Recommendations of international commission on radiological protection. ICRP Publication, vol 103. Ann ICRP 37(2–4)Google Scholar
- 4.Treaty establishing the European Atomic Energy Community 1957—consolidated version (2012). http://www.cvce.eu/obj/treaty_establishing_the_european_atomic_energy_community_rome_25_march_1957_consolidated_version_2012-en-92bd6d8b-9193-4757-9725-e8b564951786.html
- 5.Council Directive 97/43/Euratom of 30 June 1997 on health protection of individuals against the dangers of ionizing radiation in relation to medical exposure, and repealing (1997) Directive 84/466/Euratom. Off J 180:0022–0027Google Scholar
- 6.Radiation Protection and Safety Sources: International Basic Safety Standards General Safety Requirements (2014) Series No. GSR Part 3, Published 19 July 2014. http://www-pub.iaea.org/MTCD/publications/PDF/Pub1578_web-57265295.pdf
- 7.S.I. NO. 125/2000—Radiological Protection Act, 1991 (ionizing radiation) order (2000) http://www.Irishstatutebook.ie/eli/2000/si/125/made/en/print
- 8.S.I. No. 303/2007—European Communities (medical ionising radiation protection) (amendment) regulations (2007). http://www.irishstatutebook.ie/eli/2007/si/303/made/en/print
- 9.S.I. No. 478/2002—European Communities (medical ionizing radiation protection) Regulations (2002). http://www.irishstatutebook.ie/eli/2002/si/478/made/en/print
- 10.S.I. No. 459/2010—European Communities (medical ionizing radiation protection) (amendment) Regulations (2010). http://www.irishstatutebook.ie/eli/2010/si/459/made/en/print
- 11.S.I. No. 875/2005—Radiological Protection Act 1991 (control of high-activity sealed radioactive sources) Order (2005). http://www.irishstatutebook.ie/eli/2005/si/875/made/en/print
- 13.Brenner D, Elliston C, Hall E, Berdon W (2001) Estimated risks of radiation induced fatal cancer from pediatric CT. Am J Radiol 176:289–296Google Scholar
- 17.Tavakoli M, Seilanian Toosi F, Saadatjou SA (2003) Knowledge of medical students on hazards of ionizing radiation. J Med Educ 3(10):3–6Google Scholar
- 20.Arslanoglu A, Bilgin S, Kubal Z et al (2008) Knowledge about patients’ ionizing radiation exposure doses during common radiological examinations. Diagn Interv Radiol 13(2):53–55Google Scholar
- 22.Shiralkar S, Rennie A, Snow M et al (2003) Doctors’ knowledge of radiation exposure: questionnaire study. BMJ 371–372Google Scholar
- 26.Medical Radiation Protection Education and Training (MEDRAPET) (2013). http://www.medrapet.eu/. Accessed 1 Nov 2015
- 29.Rehani MM, Berris T (2012) International atomic energy agency study with referring physicians on patient radiation exposure and its tracking: a prospective survey using a web-based questionnaire. BMJ Open 20 2(5). doi: 10.1136/bmjopen-2012-001425