Introduction Ionising radiation is an unseen, yet potentially harmful, modality widely used in diagnostic and therapeutic medical procedures. There have been ongoing improvements in imaging technology with an associated reduction in radiation exposures required for imaging. There has however also been an increase in patient load and procedures have become more complex and of longer duration. This consequently increases radiation exposure to operators. It is thus imperative to improve training of interventionalists on the safe utilisation of radiation. The aim of this study was to understand the current perceptions of radiation safety training of interventionalists and to make recommendations for future training. Materials and methods This study is part of a larger mixed methods study. Data were collected qualitatively. Adult cardiologists, paediatric cardiologists and radiologists were interviewed individually or as part of a focus group. Focus groups consisted of 2–6 participants. The data were transcribed verbatim and coded and analysed thematically. Ethics clearance was obtained from the Health Sciences Research Ethics Committee of the Faculty of Health Sciences, UFS (ECUFS 44/2014). Results There were 54 participants in total. Six focus groups were constituted. Thirty individuals were interviewed. Cardiologists generally had less knowledge of the effects of radiation on their health compared to radiologists. The cardiologists had little or no dedicated teaching during their fellowship training in contrast to radiologists who have formal training requirements. Conclusion There is a dearth of knowledge on radiation safety practices among cardiologists in South Africa. Radiation physics and radiobiology is formalized in the training curriculum for radiologists resulting in appropriate awareness about radiation dangers and informed vigilance in radiation safety practice. The training of cardiologists with respect to radiation safety needs to be improved to ensure better safety practices; although there is no consensus on training standards within the professional groups.
Read full abstract