ABSTRACT
It is important, especially as we emerge from tthe COVID-19 pandemic to revisit some of the most important advantages of highly interactive forms of medical education, especially face-to-face encounters between educators and learners. It may cost more and require a greater commitment on the part of teaching faculty, but a case can be made that the advantages of such educational approaches outweigh any increased costs.
ABSTRACT
PURPOSE: The purpose was to create and analyze a competency-based model of educating medical students in a radiology clerkship that can be used to guide curricular reform. METHODS: During the 2019 to 2020 academic year, 326 fourth-year medical students were enrolled in a 2-week required clerkship. An online testing platform, ExamSoft (Dallas, Texas), was used to test pre- and postinstruction knowledge on "must see" diagnoses, as outlined in the National Medical Student Curriculum in Radiology. Assessment analysis was used to compare the frequency with which the correct diagnosis was identified on the pretest to that on the posttest. At the end of the academic year, in addition to statistical analysis, categorical analysis was used to classify the degree of this change to uncover topics that students found most challenging. RESULTS: For 23 of the 27 topics (85%), there was a significant improvement in diagnostic accuracy after instruction in the test curriculum. Categorical analysis further demonstrated that the clerkship had a high impact in teaching 13 of the 27 topics (48%), had a lower impact for 6 topics (22%), and identified the remaining 8 topics (30%) as gaps in teaching and learning. CONCLUSIONS: For medical students, our instructional program significantly increased competency for most critical radiologic diagnoses. Categorical analysis adds value beyond statistical analysis and allows dynamic tailoring of teaching to address gaps in student learning.
Subject(s)
Clinical Clerkship , Radiology , Students, Medical , Curriculum , Humans , Radiology/education , TexasSubject(s)
Books/history , Pediatrics , Plague/history , Radiology , Animals , Europe/epidemiology , History, 17th Century , History, 18th Century , History, Medieval , Humans , Plague/epidemiologyABSTRACT
Physician burnout is increasingly recognized as a public health crisis given the impact of burnout on physicians, their families, patients, communities, and population health. The COVID-19 pandemic has superimposed a new set of challenges for physicians to navigate, including unique challenges presented to radiologists. Radiologists from a diversity of backgrounds, practice settings, and career stages were asked for their perspectives on burnout.