Chew F S
Department of Radiology, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1088, USA.
Acad Radiol. 2001 Oct;8(10):993-7. doi: 10.1016/S1076-6332(03)80644-X.
Radiology residents often experience the case-based teaching conference as an inquisition, during which the moderator painfully extracts observations, conclusions, and facts from a discussant while other attendees passively observe. This experience is frequently disliked by all participants. The author hypothesized that such conferences could be improved by previewing cases and using answer sheets.
A bimonthly, 1-hour, case-based skeletal radiology teaching conference was modified so that residents previewed 20 single-image cases for 45 seconds each while completing answer sheets. Directed by a moderator, residents then took turns discussing their responses. Attendees completed evaluation forms.
Five conferences were evaluated, and a total of 81 evaluation forms were received. The average response rate per conference was 90%. The evaluations indicated that the content was appropriate (96% [78 of 81 evaluations]), the format helped learning (98% [79 of 81]), the new format was preferred to the traditional format (98% [78 of 80]), and more such conferences were desired (99% [80 of 81]). Evaluations also suggested that the requirement to commit to a diagnosis was beneficial, greater participation and engagement were obtained from all attendees, and more cases were discussed.
Modifying case-based radiology teaching conferences by having participants preview cases and use answer sheets has positive educational benefits and is well received.
放射科住院医师常常觉得基于病例的教学会议像是一场盘问,在会议中,主持人费力地从讨论者那里获取观察结果、结论和事实,而其他参会者则被动旁观。所有参与者通常都不喜欢这种体验。作者推测,通过提前预习病例并使用答题纸,这类会议可以得到改进。
对一个每两个月举行一次、时长1小时的基于病例的骨骼放射学教学会议进行了改进,让住院医师在45秒内预习20个单图像病例,同时填写答题纸。在主持人的引导下,住院医师轮流讨论他们的答案。参会者填写评估表。
对五次会议进行了评估,共收到81份评估表。每次会议的平均回复率为90%。评估表明,内容合适(96%[81份评估中的78份]),形式有助于学习(98%[81份中的79份]),新形式比传统形式更受青睐(98%[80份中的78份]),并且希望举办更多此类会议(99%[81份中的80份])。评估还表明,做出诊断的要求是有益的,所有参会者的参与度和积极性更高,讨论的病例更多。
通过让参与者预习病例并使用答题纸来改进基于病例的放射学教学会议具有积极的教育效益,且受到广泛欢迎。