Competency-Based Teaching in Radiology – Implementation and Evaluation of Interactive Workstation-Based Learning to Apply NKLM-Based ContentArticle in several languages: English | deutsch
29 January 2017
24 June 2017
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).
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.
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
- 1 MD PJF, MD DLC, PhD PZAB. et al. The Lancet Commissions Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet 2010; 376: 1923-1958
- 2 Kooperation der Gesellschaft für medizinische Ausbildung (GMA) dMFeVMudVdHfZ-, Mund- und Kieferheilkunde (VHZMK). Nationaler Kompetenzbasierter Lernzielkatalog Medizin (NKLM) Medizinischer Fakultätentag 2015; Online publication. Downloaded from internet 6.1.2017 von der URL http://www.nklm.de/download.html
- 3 Weinert FE. (Hg.) Leistungsmessungen in Schulen. Weinheim u. Basel: Beltz; 2001: 27
- 4 http://www.myesr.org/sites/default/files/ESR_2017_ESR-EuropeanTrainingCurriculum_U-LEVEL-web.pdf web site. Downloaded from internet 20.4.2017
- 5 Ertl-Wagner BBJ, Mahnken AH. et al. White Paper: Radiological Curriculum for Undergraduate Medical Education in Germany. RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin 2016; 188: 1017-1023
- 6 Strickland CD, Lowry PA, Petersen BD. et al. Introduction of a virtual workstation into radiology medical student education. Am J Roentgenol 2015; 204: W289-W292
- 7 Alvarez A, Gold GE, Tobin B. et al. Software tools for interactive instruction in radiologic anatomy. Academic radiology 2006; 13: 512-517
- 8 Lufler RS, Zumwalt AC, Romney CA. et al. Incorporating radiology into medical gross anatomy: does the use of cadaver CT scans improve students' academic performance in anatomy?. Anatomical sciences education 2010; 3: 56-63
- 9 Tam MDBS, Hart AR, Williams SM. et al. Evaluation of a computer program (‘disect’) to consolidate anatomy knowledge: A randomised-controlled trial. Medical teacher 2010; 32: e138-e142
- 10 Rojas CA, Jawad H, Chung JH. The new era of radiology teaching files. Am J Roentgenol 2012; 198: 773-776
- 11 Murakami T, Tajika Y, Ueno H. et al. An integrated teaching method of gross anatomy and computed tomography radiology. Anatomical sciences education 2014; 7: 438-449
- 12 Schober A, Pieper CC, Schmidt R. et al. "Anatomy and imaging": 10 years of experience with an interdisciplinary teaching project in preclinical medical education – from an elective to a curricular course. RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin 2014; 186: 458-465
- 13 Dettmer S, Schmiedl A, Meyer S. et al. Radiological anatomy – evaluation of integrative education in radiology. RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin 2013; 185: 838-843
- 14 Ganguli S, Camacho M, Yam C-S. et al. Preparing first-year radiology residents and assessing their readiness for on-call responsibilities: results over 5 years. Am J Roentgenol American journal of roentgenology 2009; 192: 539-544
- 15 Ganguli S, Pedrosa I, Yam C-S. et al. Part I: preparing first-year radiology residents and assessing their readiness for on-call responsibilities. Academic radiology 2006; 13: 764-769
- 16 Towbin AJ, Paterson B, Chang PJ. A computer-based radiology simulator as a learning tool to help prepare first-year residents for being on call. Academic radiology 2007; 14: 1271-1283
- 17 Towbin AJ, Paterson BE, Chang PJ. Computer-based simulator for radiology: an educational tool. Radiographics : a review publication of the Radiological Society of North America, Inc 2008; 28: 309-316
- 18 [Anonym]. http://www.osirix-ukusergroup.org/ Web site. publication. Downloaded from internet 7.1.2017