Optimizing radiography education: Adapting curricula to evolving clinical practices in UAE healthcare

Background: Despite population growth, the UAE is experiencing a decline in the utilization of plain radiography (X-ray) due to changes in clinical priorities and advancements in imaging technologies like CT and MRI. This decrease impacts medical education, creating a gap between training and practical application. Ensuring evidence-based justification for radiological procedures is crucial to prevent overutilization and strain of healthcare resources, highlighting the need for updated curricula. This study investigates the current role of plain radiography in UAE hospitals, identifies key clinical indications for its use, and highlights opportunities to optimize its application and integrate evidence-based practices. Materials and Methods: In a cross-sectional study conducted on 26 UAE radiographers specializing in X-rays, participants were recruited using convenience and snowball sampling. Data were collected via a 156-question online survey adhering to CHERRIES guidelines. The questionnaire included closed and open-ended questions on anatomical regions. Reliability testing achieved a Pearson correlation coefficient of 0.82. Data analysis utilized descriptive statistics and graphical tools. Results: Survey responses revealed significant variability in projection selection across hospitals for the same anatomical regions and clinical indications. Plain radiography was primarily utilized for assessing the appendicular and axial skeleton in trauma cases, degenerative conditions, and congenital disorders. However, specific projections were consistently omitted, suggesting their declining relevance in modern clinical practice. Conclusion: Plain radiography is crucial for trauma and musculoskeletal evaluations, but inconsistencies in projection selection necessitate standardized protocols. Evidence-based protocols in the UAE healthcare system are essential for justification and consistency in radiographic practices. Prioritizing trauma cases reduces the use of less clinically significant radiographic projections.