Radiology Medical Student Education

Saha, Arnold; Roland, Raboanary; Hartman, Matthew; Daffner, Richard H.

doi:10.1016/j.acra.2012.10.006

Cited by 59 publications

(11 citation statements)

References 10 publications

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“…In line with previous studies, the importance of interpreting chest radiographs was rated highly by the interns in this study . They also attributed high importance to interpretation of head CT and abdominal and limb radiographs, likely reflecting the imaging they are commonly requesting and interpreting.…”

Section: Discussionsupporting

confidence: 87%

“…The interns in this study mostly rated their confidence in interpreting common and important findings on plain films highly. However, interns may also display social desirability bias with a reluctance to report their skills at interpreting diagnostic imaging as lacking, particularly as these are considered important skills for an intern to have . This is supported by the drop in confidence when the participants were asked specifically about their confidence in interpreting imaging in emergency settings, where the stakes are much higher.…”

Section: Discussionmentioning

confidence: 99%

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Radiology teaching for interns: Experiences, current practice and suggestions for improvement

et al. 2019

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Introduction: Junior doctors are typically responsible for requesting and interpreting diagnostic imaging studies. European studies have highlighted the paucity of radiology teaching leading to junior doctors feeling underprepared for clinical practice involving radiology. There is a lack of published data on the experiences of Australian medical students and junior doctors. This study aimed to describe the experiences of interns in Western Australia to establish whether they felt prepared for clinical practice by the radiology teaching they received at medical school and beyond. Methods: This cross-sectional observational study involved a needs analysis questionnaire. The study population included all interns currently employed by Fiona Stanley Hospital (n = 121). Results: Radiology teaching at medical school was reportedly mostly informal and infrequent. More than half felt this was inadequate (52%). Current teaching was also reportedly infrequent and 31% reported receiving no radiology teaching in their current rotation. The interns reported requesting high volumes of diagnostic imaging with 66% reporting requesting imaging once a day or more frequently. The overwhelming majority stated their clinical practice would benefit from additional teaching in radiology (98%).Conclusion: This study has demonstrated a paucity of radiology teaching provided to interns in a large Australian teaching hospital. As they request and interpret high volumes of diagnostic imaging, skills in this domain are paramount in the provision of safe, effective and timely patient care. The results are being used in the design and implementation of a high-quality radiology teaching programme to improve junior doctors' skill and develop the radiologist-clinical referrer interface.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Radiology teaching for interns: Experiences, current practice and suggestions for improvement

et al. 2019

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“…Interns were more confident in the identification of N/G tube on X-ray ( Figure 2 ). This concern with radiology agrees with Nyhsen et al 18 who reported that “radiology teaching in medical school is inadequate” and Saha et al 26 who found interns to be less confident with line and tube identification on X-ray.…”

Section: Discussionsupporting

confidence: 80%

The impact on internship of a tailored intern preparation package

McKenzie¹,

Mellis

2018

AMEP

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IntroductionOn commencing internship, new medical graduates (new interns) are often required to perform core procedural skills under differing levels of supervision. This variability of knowledge and experience with procedural skills can place patient safety at risk. Consequently, in 2012, we developed a targeted, intensive, 3-day training course for our pre-intern (PrInt) students. The aim of this study was to evaluate the intern preparation package by exploring interns’ self-reported knowledge, confidence, and experience in key procedural skills during the early months of internship.MethodsBetween 2012 and 2016, 5 cohorts of PrInt students (n=223) participated in our course. In the following years 2013–2017, the same 5 cohorts, at 4–5 months into their internship, were surveyed anonymously and invited to attend focus groups. Descriptive statistics and thematic analysis were used to analyze data.ResultsOf the 223 interns, 91 (41%) responded. Of the 91, 82 (93%) agreed that the intern preparation package provided during PrInt had been beneficial to their practice as an intern. Awareness of potential risks to patient safety was high, ranging from infection control at 89/89 (100%) to 87/90 (97%) for patient identification. Confidence in performing procedural skills varied from moderate in identifying nasogastric tube placement on X-ray (66/89; 85%), to equal least confidence in managing cardiac-related emergencies (53/90; 59%) and identifying the correct placement of peripherally inserted central catheter lines on X-ray (52/89; 58%).Major qualitative findingsThe preparation package had refreshed interns’ procedural skills ability and awareness of risks to patient safety. Integration into the clinical team was positive, but requests to perform procedural skills on day 1 was unexpected.ConclusionInterns reported that they had gained substantial benefit from their preparation package, and they performed practical procedures from day 1, further highlighting the need for an intensive preparation course immediately prior to entering internship.

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“…However, as of 2009 - 2010, only a quarter of United States medical students were required to complete clinical rotations in radiology 1. In contrast to those statistics, the majority of undergraduate medical students surveyed by Saha et al2 believed that becoming proficient in radiology was necessary to become a “competent doctor”. Additionally, a majority of General Surgery program directors believe it is essential for a surgeon to recognize common abnormal findings on abdominal x-ray, and to have a systematic approach of viewing a CT of the abdomen and pelvis 3,4…”

Section: Introductionmentioning

confidence: 99%

Assessing Medical Student’s Ability to Interpret Traumatic Injuries on Computed Tomography Before and After the Third Year Clerkships

Werth

Nguyen

Ward

et al. 2018

kjm

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Introduction. Exposure to radiologic images during clinical rotationsmay improve students’ skill levels. This study aimed to quantifythe improvement in radiographic interpretation of life-threateningtraumatic injuries gained during third year clinical clerkships (MS-3). Methods. We used a paired-sample prospective study design tocompare students’ accuracy in reading computed tomography (CT)images at the beginning of their third year clerkships (Phase I) andagain after completion of all of their third year clerkships (Phase II).Students were shown life-threatening injuries that included head,chest, abdomen, and pelvic injuries. Overall scores for Phase II werecompared with Phase I, as well as sub-scores for each anatomicalregion: head, chest, abdomen, and pelvis. Results. Only scores from students participating in both Phase Iand Phase II (N = 57) were used in the analysis. After completingtheir MS3 clerkship, students scored significantly better overall andin every anatomical region. Phase I and Phase II overall mean scoreswere 1.2 ± 1.1 vs. 4.6 ± 1.8 (p < 0.001). Students improved the mostwith respect to injuries of the head and chest and the area of leastimprovement was in interpreting CT scans of the abdomen. Althoughimprovements in reading radiographic images were noted after theclerkship year, students accurately diagnosed only 46% of life-threateningimages on CT scan in the trauma setting. Conclusions. These results indicated that enhanced education isneeded for medical students to interpret CT scans.Kans J Med 2018;11(4):91-94.

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Radiology Medical Student Education

Cited by 59 publications

References 10 publications

Radiology teaching for interns: Experiences, current practice and suggestions for improvement

Radiology teaching for interns: Experiences, current practice and suggestions for improvement

The impact on internship of a tailored intern preparation package

Assessing Medical Student’s Ability to Interpret Traumatic Injuries on Computed Tomography Before and After the Third Year Clerkships

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