Tigges Stefan, Lewis Petra J, McNulty Nancy J, Mullins Mark E
Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia.
Department of Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
J Am Coll Radiol. 2016 Jan;13(1):67-71. doi: 10.1016/j.jacr.2015.07.019. Epub 2015 Oct 21.
Proper selection of imaging examinations and basic image interpretation skills are essential for all physicians, yet only approximately 25% of US medical schools require clerkships in radiology. Although there is limited time in most medical school curricula to allow the addition of a required radiology clerkship, the authors developed one that is vertically integrated over a two-year period. This clerkship includes one week of contact with radiologists distributed over the M2 and M3 years, podcasts, online modules, required readings, and presentations. A standard national examination is administered at the end of the clerkship period. This clerkship was designed to address the educational needs of students while occupying minimal time in the curriculum. The purpose of this study was to determine if students completing this clerkship perform as well on a national radiology examination as students from other medical schools, regardless of their curricula.
At the end of the M3 year, these students take a computer-based radiology examination developed by the Alliance of Medical Student Educators in Radiology and used by students at multiple medical schools nationally. The mean and median scores of these students were compared with those of students at these other institutions.
The mean and median scores of the students were 74% and 74% (standard deviation, 7.5%) compared with 74% and 50% (standard deviation, 8.4%) at other institutions.
Students completing this vertically integrated radiology clerkship had test scores comparable with those of students at other medical schools.
正确选择影像学检查方法以及掌握基本的图像解读技能对所有医生来说都至关重要，但在美国，只有约25%的医学院校要求学生参加放射科实习。尽管大多数医学院校课程的时间有限，无法增设必修的放射科实习课程，但作者开发了一门在两年内纵向整合的实习课程。该实习课程包括在M2和M3学年期间与放射科医生进行为期一周的接触、播客、在线模块、必读材料和讲座。在实习期末进行一项标准的全国性考试。该实习课程旨在满足学生的教育需求，同时在课程中占用最少的时间。本研究的目的是确定完成该实习课程的学生在全国放射科考试中的表现是否与其他医学院校的学生一样好，而不考虑他们的课程设置。
在M3学年末，这些学生参加由放射科医学生教育联盟开发的计算机化放射科考试，全国多所医学院校的学生都使用该考试。将这些学生的平均分和中位数分数与其他院校学生的分数进行比较。
这些学生的平均分和中位数分数分别为74%和74%（标准差为7.5%），而其他院校学生的分数分别为74%和50%（标准差为8.4%）。
完成这门纵向整合放射科实习课程的学生的考试成绩与其他医学院校的学生相当。
