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

Glenn-Cox, Sophie; Hird, Kathryn; Sweetman, Greg; Furness, Erin

doi:10.1111/1754-9485.12896

Cited by 15 publications

(8 citation statements)

References 9 publications

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“…It may be in the best interests of radiologists to seek to educate referrers on the effect of clinical information on diagnostic performance, including the rationale behind providing high‐quality clinical information 38 . This need for further education is reflected in a recent study by Glenn‐Cox et al, 39 who identified that Australian junior doctors do not feel confident to request medical imaging tests accurately. With 66% of Australian junior doctors surveyed claiming to request imaging once a day or more frequently, 39 it is expected that development of criteria standards for clinical information when requesting medical imaging would be advantageous in improving the quality of the radiology report.…”

Section: Discussionmentioning

confidence: 99%

The effect of clinical information on radiology reporting: A systematic review

Castillo

Steffens

Sim

et al. 2020

J of Medical Radiation Sci

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Introduction The aim of this study was to investigate the effects of clinical information on the accuracy, timeliness, reporting confidence and clinical relevance of the radiology report. Methods A systematic review of studies that investigated a link between primary communication of clinical information to the radiologist and the resultant report was conducted. Relevant studies were identified by a comprehensive search of electronic databases (PubMed, Scopus and EMBASE). Studies were screened using pre‐defined criteria. Methodological quality was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Quasi‐Experimental Studies. Synthesis of findings was narrative. Results were reported according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Results There were 21 studies which met the inclusion criteria, of which 20 were included in our review following quality assessment. Sixteen studies investigated the effect of clinical information on reporting accuracy, three studies investigated the effect of clinical information on reporting confidence, three studies explored the impact of clinical information on clinical relevance, and two studies investigated the impact of clinical information on reporting timeliness. Some studies explored multiple outcomes. Studies concluded that clinical information improved interpretation accuracy, clinical relevance and reporting confidence; however, reporting time was not substantially affected by the addition of clinical information. Conclusion The findings of this review suggest clinical information has a positive impact on the radiology report. It is in the best interests of radiologists to communicate the importance of clinical information to reporting via the creation of criteria standards to guide the requesting practices of medical imaging referrers. Further work is recommended to establish these criteria standards.

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Section: Discussionmentioning

confidence: 99%

The effect of clinical information on radiology reporting: A systematic review

Castillo

Steffens

Sim

et al. 2020

J of Medical Radiation Sci

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“…The survey found that the majority of undergraduate exposure to medical imaging was in an informal setting, with 52% reporting that the education provided did not adequately prepare them for post-graduate practice. 6 In an accompanying editorial, Mendelson and Taylor highlighted the frustrations they had encountered trying to implement a radiology curriculum into the local medical programme. Issues flagged included perceived insufficient teaching time available to accommodate a formalised radiology curriculum and resistance from non-radiology clinicians who considered themselves the preferred teachers of medical imaging within their own area of expertise.…”

Section: Building On Medical School Learningmentioning

confidence: 99%

“…It is also strongly encouraged that formalised medical imaging education should begin during medical school, with ongoing radiology education recognised as important for junior doctors, trainees, and specialists alike. 6,16 Even so, over the past 25 years, multiple studies have assessed the competency of junior doctors in interpreting plain radiographs and have consistently determined that general X-ray interpretation skills are suboptimal and argued that there is a need for improvement to the provision of medical imaging education beyond medical school. [17][18][19][20][21][22] Pre-speciality training junior doctors Independent surveys of recently graduated junior doctors in Australia, 6 Ireland 23 and the United Kingdom 24 found similar attitudes among participants towards the provision of diagnostic radiology education, as well as their preparedness for clinical practice.…”

Section: Medical Imaging Knowledge and Education For Different Non-radiologist Clinician Groupsmentioning

confidence: 99%

“…6,16 Even so, over the past 25 years, multiple studies have assessed the competency of junior doctors in interpreting plain radiographs and have consistently determined that general X-ray interpretation skills are suboptimal and argued that there is a need for improvement to the provision of medical imaging education beyond medical school. [17][18][19][20][21][22] Pre-speciality training junior doctors Independent surveys of recently graduated junior doctors in Australia, 6 Ireland 23 and the United Kingdom 24 found similar attitudes among participants towards the provision of diagnostic radiology education, as well as their preparedness for clinical practice. In both the Australian and Irish study, at least 98% of respondents indicated that they felt they needed more radiology educational opportunities, with implementation of small group tutorial learning in junior doctors generating positive feedback and perceived clinical benefit among participants.…”

Section: Medical Imaging Knowledge and Education For Different Non-radiologist Clinician Groupsmentioning

confidence: 99%

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Medical imaging education opportunities for junior doctors and non‐radiologist clinicians: A review

Ayesa

Katelaris²,

Brennan

et al. 2021

J Med Imag Rad Onc

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Medical imaging plays a critical role in clinical decision-making across disciplines, and as such, there is frequent need for non-radiologist clinicians to interact with medical imaging. This review examines the literature about the delivery of medical imaging education to non-radiologist clinicians, spanning junior doctors, advanced trainees and specialists. Knowledge of medical imaging among non-radiologist clinicians is paramount to the quality of patient care, with calls for formal implementation of radiology education into nonimaging specialty training programmes. Overall, there is a demand across non-imaging disciplines for greater formalised medical imaging education. Concerns are raised that too great a reliance on informal methods of teaching radiology, for example in ward settings, results in greater variation in the quality and volume of educational opportunities and risks the perpetuation of erroneous attitudes and practices. The evolution of the medical imaging workplace and increasing utilisation of remote reporting has distanced the collaborative relationship between radiologists and their non-imaging colleagues, diminishing opportunities for ad hoc learning and engagement in larger formalised educational collaborations. Ideally, radiologists should be directly involved in the development and delivery of medical imaging education to post-graduate doctors to not only benefit patient care but also foster interspecialty relationships and respect. Evidence supports the value of structured radiological teaching opportunities, including tutorials, lectures and electronic resources, in improving medical imaging skills among non-radiologist clinicians. There is wide scope for growth in the e-learning arena to address this demand for quality and accessible imaging education for our non-radiology colleagues.

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“…The article by Glenn‐Cox et al concerns the perception of Western Australian interns of their preparedness (or lack of it) for clinical practice by the radiology teaching they received at medical school and beyond, and raises issues upon which we wish to comment.…”

mentioning

confidence: 99%