Department of Radiology, University of Edinburgh, Edinburgh, UK.
Clin Radiol. 2012 Dec;67(12):1155-61. doi: 10.1016/j.crad.2012.03.017. Epub 2012 Jun 16.
To establish an expert consensus of what, when, and how the teaching of radiology should be incorporated into the core undergraduate medical curriculum.
This Delphi survey consisted of four iterative rounds, with feedback given at the start of each successive round in the form of the results of the previous round. The participants consisted of both radiologists and non-radiologists with significant interest and involvement in radiology and undergraduate/Foundation training. The study addressed the questions of how, where, when, and by whom radiology should be taught.
The number of responses in rounds 1-4 was 20, 23, 41, and 25 (25, 22, 31, and 61% response rate, respectively). There was good consensus amongst the responders on the following: radiology teaching must be delivered in conjunction with anatomy and clinical case-based teaching, if possible in the department of radiology on picture archiving and communication system (PACS) workstations, and the teaching should be delivered by a competent and credentialled individual. Case-based assessment was the most agreed method of assessment. The majority of the responders concurred that the curriculum should include general indications for commonly requested radiological investigations, consent and safety issues around radiological tests, and their basic interpretation.
The consensus points reached by the present study not only serve as directive principles for developing a more comprehensive radiology curriculum, but also places emphasis on a broader range of knowledge required to promote the best use of a department of radiology by junior doctors in an attempt to improve patient experiences and care.
就如何将放射学教学纳入核心本科医学课程的内容、时间和方式达成专家共识。
本德尔菲调查由四轮迭代组成,每轮开始时都会提供前一轮的结果作为反馈。参与者包括对放射学及其本科/基础培训有浓厚兴趣和参与度的放射科医生和非放射科医生。本研究探讨了放射学应该如何、在哪里、何时以及由谁教授的问题。
第 1 至 4 轮的回复数分别为 20、23、41 和 25(分别为 25%、22%、31%和 61%的回复率)。回复者在以下方面达成了很好的共识:放射学教学必须与解剖学和临床基于病例的教学相结合,如果可能的话,应在放射科部门的 PACS 工作站上进行,并且应由有能力和有资质的个人进行教学。基于病例的评估是最被认可的评估方法。大多数回复者认为,课程应包括常见放射学检查的一般适应证、放射学检查的同意书和安全问题,以及它们的基本解读。
本研究达成的共识不仅为制定更全面的放射学课程提供了指导原则,还强调了为促进初级医生更好地利用放射科,需要更广泛的知识,以提高患者的体验和护理。