Asian Intensive Reader of Pneumoconiosis program: examination for certification during 2008–2020

  • J-P Naw Awn
    Department of Environmental Medicine, Kochi Medical School, Kochi University, Japan
  • SUSANTO Agus Dwi
    Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Indonesia, Persahabatan Hospital, Indonesia
  • SAMOEDRO Erlang
    Department of Pulmonology and Respiratory Medicine, Faculty of Medicine, Universitas Indonesia, Persahabatan Hospital, Indonesia
  • MANSYUR Muchtaruddin
    Department of Community Medicine, Faculty of Medicine, Universitas Indonesia & Southeast Asian Ministers of Education Regional Centre for Food and Nutrition (SEAMEO RECFON), Indonesia
  • TUNGSAGUNWATTANA Sutarat
    Department of Radiology, Central Chest Institute of Thailand, Department of Medical Services, Ministry of Public Health, Thailand
  • LERTROJANAPUNYA Saijai
    Department of Radiology, Central Chest Institute of Thailand, Department of Medical Services, Ministry of Public Health, Thailand
  • SUBHANNACHART Ponglada
    Department of Radiology, Central Chest Institute of Thailand, Department of Medical Services, Ministry of Public Health, Thailand
  • SIRIRUTTANAPRUK Somkiat
    Department of Disease Control, Ministry of Public Health, Thailand
  • DUMAVIBHAT Narongpon
    Department of Preventive and Social Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand
  • ALGRANTI Eduardo
    Division of Applied Research, FUNDACENTRO, Brazil
  • PARKER John E.
    Pulmonary and Critical Care Medicine, Robert C. Byrd Health Sciences Center, School of Medicine, West Virginia University, USA
  • HERING Kurt G.
    Klinikum-Westfalen−Miner’s Hospital (Knappschaftskrankenhaus), Germany
  • KANAYAMA Hitomi
    Division of Environmental Health, Department of International Social and Health Sciences, Faculty of Medical Sciences, University of Fukui, Japan
  • TAMURA Taro
    Department of Environmental Medicine and Public Health, Faculty of Medicine, Shimane University, Japan
  • KUSAKA Yukinori
    Health Care Center, Shimane Prefectural Federation of Agricultural Cooperatives for Health and Welfare (JA Shimane Koseiren), Japan
  • SUGANUMA Narufumi
    Department of Environmental Medicine, Kochi Medical School, Kochi University, Japan

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<p> This study examined physicians’ participation and performance in the examinations administered by the Asian Intensive Reader of Pneumoconiosis (AIR Pneumo) program from 2008 to 2020 and compared radiograph readings of physicians who passed with those who failed the examinations. Demography of the participants, participation trends, pass/fail rates, and proficiency scores were summarized; differences in reading the radiographs for pneumoconiosis of physicians who passed the examinations and those who failed were evaluated. By December 2020, 555 physicians from 20 countries had taken certification examinations; the number of participants increased in recent years. Reported background specialty training and work experience varied widely. Passing rate and mean proficiency score for participants who passed were 83.4% and 77.6 ± 9.4 in certification, and 76.8% and 88.1 ± 4.5 in recertification examinations. Compared with physicians who passed the examinations, physicians who failed tended to classify test radiographs as positive for pneumoconiosis and read a higher profusion; they likely missed large opacities and pleural plaques and had a lower accuracy in recognizing the shape of small opacities. Findings suggest that physicians who failed the examination tend to over-diagnose radiographs as positive for pneumoconiosis with higher profusion and have difficulty in correctly identifying small opacity shape.</p>

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