Mammographic interpretation training: what exactly do film-readers want?

The introduction of digital mammography opens up new opportunities to provide a wide range of training to individuals without the restriction of the mammographic multiviewer. Whilst high-resolution monitors in an appropriate viewing environment are de rigour for actual reporting of screening cases, the advantage of the digital image over film is in the flexibility of training opportunity afforded (for example, web-based training, or tailored training on personal digital assistants). A previous study indicated the possible potential for reporting mammographic cases utilising handheld devices (providing suitable human–computer interaction techniques are employed). The UK self-assessment scheme Personal Performance in Mammographic Screening (PERFORMS) has also identified where tailored training may be beneficial. Initially, groups of mammographers were questioned in semistructured interviews in order to help establish film-readers' training preferences.

Content analysis revealed several main categories of training issues, including requirements of individualised tailored training, the location and timing of training opportunities, the ease of user interaction and film-readers' perspectives on the possible clinical applicability of mobile devices. Subsequently, several breast screening units completed a questionnaire concerning current and anticipated training requirements. It is concluded that digital breast imaging facilities tailored training for an individual that can be achieved using mobile devices, and this is currently under development.