Fortschr Röntgenstr 2017; 189(11): 1076-1085
DOI: 10.1055/s-0043-117888
Academic Radiology
© Georg Thieme Verlag KG Stuttgart · New York

Competency-Based Teaching in Radiology – Implementation and Evaluation of Interactive Workstation-Based Learning to Apply NKLM-Based Content

Article in several languages: English | deutschWolfgang Koestner1, Wiebke Otten2, Till Kaireit1, Frank K Wacker1, Sabine Dettmer1
  • 1Department of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany
  • 2Department of Diagnostic and Interventional Neuroradiology, Hannover Medical School, Hannover, Germany
Further Information

Publication History

29 January 2017

24 June 2017

Publication Date:
21 September 2017 (eFirst)


Purpose New teaching formats are required to implement competency-based teaching in radiology teaching. Therefore, we have established and evaluated two practical competency-based radiological courses.

Materials and Methods The courses were held in a multimedia room with 25 computers and a professional DICOM viewer. Students were taught basic image analysis and presented clinical cases with a DICOM viewer under supervision of an instructor using desktop monitoring software. Two courses (elective course and obligatory course) were evaluated by the students (n = 160 and n = 100) and instructors (n = 9) using an anonymized online survey.

Results Courses were evaluated positively by the students and instructors. From the perspective of the students, the courses increased understanding of cross-sectional anatomy (elective/obligatory course: 97 %/95 %) and radiologic findings (97 %/99 %). Furthermore, the course increased the students’ interest in radiology (61 %/65 %). The students considered this way of teaching to be relevant to their future occupation (92 % of students in the obligatory course). The higher incidence of teacher-student interaction and the possibility of independent image analysis were rated positively. The majority of instructors did not observe increased distractibility due to the computers (67 %) or notice worse preparation for MC tests (56 %). However, 56 % of instructors reported greater preparation effort.

Conclusion Practical competency-based radiological teaching using a DICOM viewer is a feasible innovative approach with high acceptance among students and instructors. It fosters competency-based learning as proposed by the model curriculum of the German Radiological Society (DRG) and the National Competency-based Catalogue of Learning Objectives for Undergraduate Medical Education (NKLM).

Key Points

  • Practical competency-based radiological teaching is highly accepted by students and instructors.

  • Students report improved understanding of imaging anatomy and radiological findings.

  • Interactive case presentation with a DICOM viewer fosters competency-based learning.

Citation Format

  • Koestner W, Otten W, Kaireit T et al. Competency-Based Teaching in Radiology – Implementation and Evaluation of Interactive Workstation-Based Learning to Apply NKLM-Based Content. Fortschr Röntgenstr 2017; 189: 1076 – 1085