Department of Radiology, University of Michigan, 1500 E Medical Center, TC 2910, Ann Arbor, MI 48109, USA.
Acad Radiol. 2013 Mar;20(3):345-50. doi: 10.1016/j.acra.2012.09.025.
To better prepare radiology residents for providing care within the context of the larger health care system, this study evaluated the feasibility and impact of a curriculum to enhance radiology residents' understanding and ability to apply concepts from medical management and industrial and operational engineering to systems-based practice problems in radiology practice.
A multiprofessional team including radiology, medical education, and industrial and operational engineering professionals collaborated in developing a seven-module curriculum, including didactic lectures, interactive large-group analysis, and small-group discussions with case-based radiology examples, which illustrated real-life management issues and the roles physicians held. Residents and faculty participated in topic selection. Pre- and post-instruction formative assessments were administered, and results were shared with residents during teaching sessions.
Attendance and participation in case-based scenario resolutions indicate the feasibility and impact of the interactive curriculum on residents' interest and ability to apply curricular concepts to systems-based practice in radiology. Paired t test analyses (P < .05) and effect sizes showed residents significantly increased their knowledge and ability to apply concepts to systems-based practice issues in radiology.
Our iterative curriculum development and implementation process demonstrated need and support for a multiprofessional team approach to teach management and operational engineering concepts. Curriculum topics are congruent with Accreditation Council for Graduate Medical Education requirements for systems-based practice. The case-based curriculum using a mixed educational format of didactic lectures and small-group discussion and problem analysis could be adopted for other radiology programs, for both residents and continuing medical education applications.
为了让放射科住院医师更好地在更广泛的医疗体系中提供医疗服务，本研究评估了增强放射科住院医师对医疗管理和工业与运营工程概念的理解并提升其应用能力，以解决放射科实践中基于系统的问题的课程的可行性和影响。
一个包括放射科、医学教育和工业与运营工程专业人员的多专业团队合作开发了一个包含七个模块的课程，包括理论讲座、互动式大组分析以及以基于案例的放射学示例进行的小组讨论，这些示例说明了现实生活中的管理问题和医生的角色。住院医师和教师参与了主题选择。在教学过程中，对预授课和后授课形成性评估进行了管理，结果与住院医师进行了分享。
参与基于案例的情景解决表明，该互动课程对住院医师的兴趣和应用课程概念的能力产生了影响，使其能够将课程概念应用于放射科基于系统的实践中。配对 t 检验分析（P <.05）和效果量显示，住院医师的知识和将概念应用于放射科基于系统的实践问题的能力显著提高。
我们的迭代课程开发和实施过程证明了多专业团队方法在教授管理和运营工程概念方面的必要性和支持。课程主题与毕业后医学教育认证委员会对基于系统的实践的要求一致。基于案例的课程采用理论讲座和小组讨论以及问题分析的混合教育形式，可以为其他放射科计划采用，包括住院医师和继续医学教育应用。
