Practical training for medical students in radiology clerkships takes place in busy clinical routine. We introduced the Radiology Rotation-Model-22 (RRM) as the department-related RRM-pocket card for student rotation (SR) settings in part one of this study. RRM was developed as a documentation tool and pocket card with department sections for radiology (10) and imaging specialties (1) for medical students in clerkships. With the RRM-tool, and while exploring departments for practical experience, students can log data details on rotations and tasks by the method of participant observation (PO). By PO, students can track SR and training progress. In part two, we present attempts on implementing the RRM-tool as a rotation concept for students to gain efficient training experience. The RRM-pocket card provides students, radiologists, and radiographers with an overview of SR and tasks. RRM can be implemented to optimise clerkships’ structure, and to generate self-action for students, while actively optimising SR.