Novelline R A, Scheiner J D, Mehta A, Mullins M
Department of Radiology, Harvard Medical School and Massachusetts General Hospital, Boston 02116, USA.
Acad Radiol. 2001 Mar;8(3):266-8. doi: 10.1016/S1076-6332(03)80537-8.
As the use of picture archiving and communication systems (PACS) expands and radiology departments become increasingly filmless, it will become increasingly necessary to teach physicians how to use PACS and download diagnostic images. The authors developed an instruction method in which medical students enrolled in a radiology clerkship were taught how to use the PACS, download digital images, and incorporate them into an electronic case presentation. The feasibility and potential benefits of this instructional method were studied prospectively.
Between June and October 1999, all 36 medical students enrolled in Harvard Medical School's core radiology clerkship at Massachusetts General Hospital, Boston, were required to give an electronic radiology case presentation with images downloaded from the departmental PACS. They were taught how to download images, edit them, and then import them into PowerPoint software. They were also given access to the hospital information system to obtain pertinent clinical information. At the formal presentations, the images were displayed with a liquid crystal display (LCD) projector. The students were surveyed on the Ist and last days of the clerkship regarding their learning experiences.
Before the radiology clerkship, 81% of the students had never given an electronic presentation with computer and LCD projector, 83% had no PACS experience, and 56% had no PowerPoint experience. All students learned to prepare and deliver electronic presentations of radiologic cases downloaded from PACS. Their presentations were informative, innovative, and entertaining, and the images were well displayed. The students praised the instruction highly and thought their new skills would serve them well.
Teaching medical students how to prepare and deliver electronic presentations of radiologic cases downloaded from PACS proved to be very feasible and well appreciated by the students.
随着图像存档与通信系统（PACS）的使用不断扩展，放射科越来越趋于无胶片化，因此，教导医生如何使用PACS以及下载诊断图像变得愈发必要。作者开发了一种教学方法，向参加放射科实习的医学生教授如何使用PACS、下载数字图像并将其纳入电子病例报告中。对这种教学方法的可行性和潜在益处进行了前瞻性研究。
1999年6月至10月期间，要求所有36名在波士顿马萨诸塞州总医院参加哈佛医学院核心放射科实习的医学生，利用从科室PACS下载的图像进行电子放射病例报告。教导他们如何下载图像、编辑图像，然后将其导入PowerPoint软件。还让他们访问医院信息系统以获取相关临床信息。在正式报告中，使用液晶显示器（LCD）投影仪展示图像。在实习的第一天和最后一天对学生进行了关于他们学习体验的调查。
在放射科实习之前，81%的学生从未使用计算机和LCD投影仪进行过电子报告，83%的学生没有PACS使用经验，56%的学生没有PowerPoint使用经验。所有学生都学会了准备并进行从PACS下载的放射病例的电子报告。他们的报告内容丰富、富有创新性且引人入胜，图像展示效果良好。学生们对教学给予了高度评价，并认为他们的新技能将对他们大有帮助。
事实证明，教导医学生如何准备并进行从PACS下载的放射病例的电子报告是非常可行的，并且受到了学生们的高度赞赏。
