Department of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Acad Radiol. 2019 Jun;26(6):846-850. doi: 10.1016/j.acra.2018.12.009. Epub 2019 Feb 5.
Our institution has developed a mini-course program within the diagnostic radiology elective curriculum that promotes active learning, using patient cases specifically tailored to students' future specialties. The purpose of this study is to evaluate the effectiveness of this mini-course on medical student knowledge of imaging appropriateness and attitude toward radiologist consultation.
During each month-long radiology elective course, students were divided into teams of up to four students based on their specialty interest and assigned recent patient cases with imaging findings relevant to their specialties. The students researched their customized patient cases, integrated pertinent clinical and imaging findings, and presented their findings in a final preceptor-led session. A five-point Likert-type item preprogram and postprogram survey assessing knowledge of imaging appropriateness and attitude toward radiologist consultation was sent to the enrolled medical students.
Out of 36 medical students, 33 (92%) completed the preprogram survey and 31 (86%) completed the postprogram survey. Students reported improved confidence in knowledge of imaging appropriateness, such as indications for intravenous contrast (p < 0.0005) and oral contrast (p < 0.0005). Furthermore, students reported an improved understanding of how to utilize radiologists (p < 0.005) and how to provide pertinent clinical historical information when requesting a radiology exam (p < 0.0005). Students reported that researching the patient's historical and clinical information in conjunction with the radiology images made them more invested in the case.
Assigning customized patient cases to medical students on diagnostic radiology elective, tailored to their future specialties, is an effective and active way to teach imaging appropriateness and to improve attitudes toward radiologist consultation.
本机构在诊断放射学选修课程中开设了迷你课程项目，该项目通过专门针对学生未来专业的患者病例来促进主动学习。本研究的目的是评估该迷你课程对医学生影像学适宜性知识和对放射科医生咨询态度的影响。
在每次为期一个月的放射学选修课程中，学生根据专业兴趣分为最多四人一组，并为其分配与专业相关的影像学发现的近期患者病例。学生研究他们定制的患者病例，整合相关的临床和影像学发现，并在最后一次由导师主导的会议上展示他们的发现。我们向参与的医学生发送了一份五点李克特量表的预编程和后编程调查，评估他们对影像学适宜性的知识和对放射科医生咨询的态度。
在 36 名医学生中，有 33 名（92%）完成了预编程调查，有 31 名（86%）完成了后编程调查。学生报告称，他们对影像学适宜性的知识，如静脉内造影剂（p<0.0005）和口服造影剂（p<0.0005）的适应证的信心有所提高。此外，学生们报告说，他们对如何利用放射科医生（p<0.005）以及在请求放射科检查时如何提供相关的临床病史信息（p<0.0005）有了更好的理解。学生们报告说，研究患者的病史和临床信息与放射学图像相结合，使他们更投入于病例。
为诊断放射学选修学生分配专门针对其未来专业的定制患者病例是一种有效和积极的教学方法，可教授影像学适宜性并改善对放射科医生咨询的态度。
