Chen Jim Y, Lewis Petra J
Department of Medicine, University of Pittsburgh Medical Center Presbyterian Shadyside, Pittsburgh, PA.
Geisel School of Medicine at Dartmouth, Hanover, NH; Department of Radiology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756.
Acad Radiol. 2014 Jul;21(7):829-33. doi: 10.1016/j.acra.2013.12.013. Epub 2014 Apr 18.
The Medical Student Radiology Triage Program (MSRTP) at Dartmouth-Hitchcock Medical Center recruits third- and fourth-year medical students to streamline imaging workflow for on-call radiology residents. We sought to evaluate the benefit of this program for improving medical student education.
Members of the program were surveyed anonymously from 2010 to 2012 using a web-based survey. The survey asked the students to rate the program in several categories from 1 (very poor) to 5 (very good). Students also indicated if they are learning any of the identified skills.
Thirty of 54 (56%) former and current members responded to the survey. Support from on-call residents (mean rating 4.7) and interactions with residents (mean rating 4.7) were rated the highest of the categories. Students ranked training provided (4.2), interactions with technologists (4.2), and interactions with clinicians (4.1) the lowest. The medical training experience and overall experience were graded with means of 4.4 and 4.5, respectively. Ninety-six percent of students felt they acquired triaging skills, whereas 92% of students developed communication skills. Sixty-nine and sixty-two percent of students stated that they gained radiologic knowledge and general medical knowledge, respectively. Sixty-five and fifty percent of students developed imaging appropriateness criteria and image interpretation skills, respectively. The most popular reason for joining the program was for financial compensation (number of students = 12), followed by exposure to radiology (n = 8), radiology education (n = 8), and clinical exposure (n = 7). Major strengths of the program included interactions with residents, learning experience, and triaging of workflow. Students listed the top two problems with the program as computed tomography technologists and clinicians not wanting to speak to them.
The MSRTP serves as a valuable clinical learning experience as well as being highly beneficial to resident workflows on call. Participants of MSRTP gain clinical skills that they will use during residency.
达特茅斯-希区柯克医疗中心的医学生放射学分诊项目（MSRTP）招募三年级和四年级医学生，以简化住院放射科医生的影像工作流程。我们试图评估该项目对改善医学生教育的益处。
2010年至2012年，使用基于网络的调查问卷对该项目成员进行匿名调查。调查问卷要求学生对该项目在几个类别中从1（非常差）到5（非常好）进行评分。学生们还表明他们是否正在学习任何已确定的技能。
54名（56%）前成员和现任成员中有30人回复了调查。随叫随到的住院医生的支持（平均评分4.7）和与住院医生的互动（平均评分4.7）在所有类别中评分最高。学生对所提供的培训（4.2）、与技术人员的互动（4.2）以及与临床医生的互动（4.1）评分最低。医学培训经历和总体经历的平均评分分别为4.4和4.5。96%的学生认为他们获得了分诊技能，而92%的学生培养了沟通技能。69%和62%的学生分别表示他们获得了放射学知识和一般医学知识。65%和50%的学生分别培养了影像适宜性标准和影像解读技能。加入该项目最常见的原因是经济补偿（学生人数 = 12），其次是接触放射学（n = 8）、放射学教育（n = 8）和临床接触（n = 7）。该项目的主要优势包括与住院医生的互动、学习经历以及工作流程的分诊。学生们列出该项目的前两大问题是计算机断层扫描技术人员和临床医生不想与他们交谈。
MSRTP是一次宝贵的临床学习经历，对住院医生的随叫随到工作流程也非常有益。MSRTP的参与者获得了他们在住院实习期间将使用的临床技能。
