Medically Engineered Solutions in Healthcare Incubator, Mass General Brigham, Boston, Massachusetts (D.S.L., M.H.M., D.C.W., M.C.H., P.C., F.J.F., R.N.U., M.S.G., J.A.B., M.D.S.); Harvard Medical School, Boston, Massachusetts (D.S.L., M.H.M., D.C.W., M.C.H., F.J.F., R.N.U., K.P.A., M.S.G., J.A.B., M.D.S.); Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114 (D.S.L., M.H.M., M.C.H., M.P.O., F.J.F., R.N.U., K.P.A., M.S.G., J.A.B., M.D.S.).
Medically Engineered Solutions in Healthcare Incubator, Mass General Brigham, Boston, Massachusetts (D.S.L., M.H.M., D.C.W., M.C.H., P.C., F.J.F., R.N.U., M.S.G., J.A.B., M.D.S.); Harvard Medical School, Boston, Massachusetts (D.S.L., M.H.M., D.C.W., M.C.H., F.J.F., R.N.U., K.P.A., M.S.G., J.A.B., M.D.S.).
Acad Radiol. 2024 Feb;31(2):417-425. doi: 10.1016/j.acra.2023.11.018.
Innovation is a crucial skill for physicians and researchers, yet traditional medical education does not provide instruction or experience to cultivate an innovative mindset. This study evaluates the effectiveness of a novel course implemented in an academic radiology department training program over a 5-year period designed to educate future radiologists on the fundamentals of medical innovation.
A pre- and post-course survey and examination were administered to residents who participated in the innovation course (MESH Core) from 2018 to 2022. Respondents were first evaluated on their subjective comfort level, understanding, and beliefs on innovation-related topics using a 5-point Likert-scale survey. Respondents were also administered a 21-question multiple-choice exam to test their objective knowledge of innovation-related topics.
Thirty-eight residents participated in the survey (response rate 95%). Resident understanding, comfort and belief regarding innovation-related topics improved significantly (P < .0001) on all nine Likert-scale questions after the course. After the course, a significant majority of residents either agreed or strongly agreed that technological innovation should be a core competency for the residency curriculum, and that a workshop to prototype their ideas would be beneficial. Performance on the course exam showed significant improvement (48% vs 86%, P < .0001). The overall course experience was rated 5 out of 5 by all participants.
MESH Core demonstrates long-term success in educating future radiologists on the basic concepts of medical technological innovation. Years later, residents used the knowledge and experience gained from MESH Core to successfully pursue their own inventions and innovative projects. This innovation model may serve as an approach for other institutions to implement training in this domain.
创新是医师和研究人员的关键技能，但传统的医学教育并未提供培养创新思维的指导或经验。本研究评估了一项新的课程在学术放射科培训项目中的效果，该课程旨在向未来的放射科医生传授医学创新的基础知识，历时 5 年。
对参加创新课程（MESH Core）的住院医师进行了课程前后的问卷调查和考试。2018 年至 2022 年期间，MESH Core 课程对住院医师进行了问卷调查和考试。调查对象首先通过 5 点 Likert 量表评估其对与创新相关主题的主观舒适度、理解和信念。调查对象还接受了 21 个多项选择题的考试，以测试他们对创新相关主题的客观知识。
38 名住院医师参加了调查（应答率为 95%）。在课程结束后，所有 9 个 Likert 量表问题上，住院医师对与创新相关主题的理解、舒适度和信念均有显著提高（P <.0001）。课程结束后，绝大多数住院医师表示同意或强烈同意技术创新应该成为住院医师课程的核心能力，并且开展一个构思原型的研讨会将是有益的。课程考试的成绩也有显著提高（48%对 86%，P <.0001）。所有参与者都对整个课程体验给予了 5 分（满分 5 分）的评价。
MESH Core 成功地长期为未来的放射科医生提供了医学技术创新基本概念的教育。多年后，住院医师利用从 MESH Core 课程中获得的知识和经验成功地开展了自己的发明和创新项目。这种创新模式可以为其他机构在该领域实施培训提供一种方法。
