Aims: To investigate how diagnostic radiology on-call work is conducted by trainees out of hours, and to explore how this on-call experience may be improved from a trainee perspective.
Materials And Methods: A nationwide online questionnaire was distributed to each radiology training scheme. A trainee on the diagnostic on-call rota completed the questionnaire on behalf of the scheme. Twenty-six questions spanning four domains were assessed exploring how radiology service provision is performed by trainees out of hours, and ways to improve it.
Results: Forty schemes responded, representing the entire population size. Twenty-eight (70%) schemes formally assessed trainees prior to joining the on-call rota. Almost half (46%) of trainees start verifying reports independently at ST2. The most common combinations of imaging performed out of hours accounting for 32% each were: (1) computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and radiography; and (2) CT, ultrasound and radiography. A majority of schemes (54%) had a fixed number of trainees across all shift types.
Conclusion: Radiology on-call provision by trainees varies considerably. Common factors between schemes include all trainees providing an on-call service on weekend day shifts. The most sought-after recommendation to improve the on-call experience was to introduce a collaborative reporting on-call hub set-up where trainees cross-cover multiple sites remotely as a team. Further analytical studies are needed to assess if any relationships between on-call set-up and trainee satisfaction exist.
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