Department of Radiology, Mercy Children's Hospital, 615 S. New Ballas Rd. St. Louis, Missouri 63141; West County Radiological Group, Inc., St. Louis, Missouri.
Department of Radiology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
Acad Radiol. 2023 Jul;30(7):1500-1510. doi: 10.1016/j.acra.2022.10.023. Epub 2022 Nov 19.
Radiology education of medical students is increasingly important given the intersection of radiology with virtually all medical specialties and integral role of imaging in modern patient care. Yet radiology education requirements in US medical schools are variable with only a minority of schools requiring a clerkship in radiology. When required, the radiology curriculum is often limited to anatomy courses in the preclinical years or partially incorporated into required core clerkships and often taught by nonradiologists. Given the growing mandate for value-based care and emphasis on patient outcomes, medical students require better imaging education, both interpretive and non-interpretative skills. They should be taught how to apply appropriateness criteria for exam ordering and the relative costs of different imaging modalities given the economic implications of imaging overutilization. Medical students should also be educated regarding imaging safety considerations. In addition, they must learn the radiologist's role as consultant to assure appropriate ordering of imaging studies, oversight for performance of diagnostic exams and image-guided procedures, interpretation of studies, and communication of results. Increasing radiologist teaching and engagement with medical students also has the potential to improve diversity and inclusivity in radiology by increasing interest in the specialty as physicians who identify as underrepresented minorities (URMs) are more likely to practice in underserved areas and with underserved populations thus addressing healthcare disparities and improving access to healthcare for those patient populations. Medical schools should support preclinical and clinical curricula that is designed and taught by radiologists.
鉴于放射学与几乎所有医学专业的交叉,以及影像学在现代患者护理中的重要作用,对医学生进行放射学教育变得越来越重要。然而,美国医学院的放射学教育要求各不相同,只有少数学校要求进行放射科实习。当需要进行放射学教育时,放射学课程通常仅限于临床前几年的解剖课程,或者部分纳入必修核心实习课程,并由非放射科医生教授。鉴于基于价值的护理日益受到重视,以及对患者结果的重视,医学生需要更好的影像学教育,包括解读技能和非解读技能。他们应该学习如何根据检查的适宜性标准和不同影像学方式的相对成本来进行检查申请,因为影像学过度使用会带来经济影响。医学生还应该接受影像学安全方面的教育。此外,他们必须了解放射科医生作为顾问的作用,以确保适当的影像学检查申请,对诊断性检查和影像引导程序的执行进行监督,解读研究结果,并进行结果沟通。增加放射科医生与医学生的教学互动,也有可能通过增加对该专业的兴趣,从而提高放射科的多样性和包容性,因为认同少数族裔的医生更有可能在服务不足的地区和人群中行医,从而解决医疗保健差距问题,并改善这些患者群体的医疗保健服务。医学院应支持由放射科医生设计和教授的基础和临床课程。