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COVID 疫情导致的线上放射学选修课提高了临床病例中小结中学生影像学检查选择的适宜性。

COVID-Necessitated Online Radiology Elective Improves Student Imaging Appropriateness in Clinical Case Vignettes.

机构信息

Medical School for International Health, Faculty of Health Sciences, Ben Gurion University of the Negev, P.O. Box 653, Be'er Sheva 8410501, Israel (S.F., A.J., B.H.T.).

Healthcare Strategy, Kaufman Hall, Chicago, Illinois (E.K.).

出版信息

Acad Radiol. 2023 Oct;30(10):2401-2405. doi: 10.1016/j.acra.2023.06.015. Epub 2023 Jul 18.

DOI:10.1016/j.acra.2023.06.015
PMID:37468375
Abstract

RATIONALE AND OBJECTIVES

The use of imaging in medicine has increased considerably over the previous decades, contributing to significant inefficiency of use. Radiology education varies amongst institutions without standardized learning objectives. Consequently, many physicians and student doctors are unprepared to make appropriate choices regarding imaging. In response to COVID-19-engendered restrictions, we created a fully online, image-intensive radiology curriculum to introduce students to clinical radiology and appropriate imaging usage.

MATERIALS AND METHODS

A 2-week radiology elective curriculum was created that adopted accessible, free, online-based learning to foster student education and patient safety while upholding academic standards. Each unit included an emphasis on imaging appropriateness. Students assembled an elective portfolio including self-assessments and prepared a clinical radiology conference to present as a radiologist in training. Two final assessments were required. One consisted of clinical vignettes based on American College of Radiology (ACR) Appropriateness Criteria (AC). The second was an MRI safety quiz.

RESULTS

Third and fourth year students at five institutions (N = 97) completed the elective. Examination scores on an assessment adapted from the ACR AC were significantly improved compared to previously published scores of medical students who took ACR AC-based assessments without taking a radiology course. The course was published and shared with medical schools worldwide.

CONCLUSION

The elective successfully educated students in radiology through a virtual platform and introduced them to the concept of appropriateness in medical imaging. These goals were accomplished using a free, online, easily accessible curriculum. Incorporation of additional topics within the discipline of radiology should be included in the curriculum in the future.

摘要

背景与目的

过去几十年,医学影像学的应用大幅增加,导致使用效率显著降低。各机构的放射学教育存在差异,学习目标也没有标准化。因此,许多医生和实习医生在进行影像学检查时都无法做出适当的选择。为了应对新冠疫情带来的限制,我们创建了一个完全在线、以图像为重点的放射学课程,旨在向学生介绍临床放射学和适当的影像学应用。

材料与方法

我们创建了一个为期 2 周的放射学选修课程,采用易于获取的免费在线学习方式,在保持学术标准的同时促进学生教育和患者安全。每个单元都强调影像学的适当性。学生需要完成选修课程作业,包括自我评估,并准备一次临床放射学会议,以培训中的放射科医生身份进行陈述。课程需要完成两项最终评估。一项是基于美国放射学院(ACR)适宜性标准(AC)的临床病例评估。另一项是 MRI 安全测验。

结果

来自 5 所院校的三、四年级学生(共 97 人)完成了该选修课程。与之前没有修读放射学课程但参加过基于 ACR AC 的评估的医学生的成绩相比,根据 ACR AC 改编的评估考试成绩有显著提高。该课程已发表并与世界各地的医学院分享。

结论

该选修课程通过虚拟平台成功地向学生传授了放射学知识,并向他们介绍了医学影像学适宜性的概念。这些目标是通过一个免费、在线、易于获取的课程实现的。未来应在课程中纳入放射学学科的其他内容。

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