Purpose:
We aim to evaluate the efficacy of changing teaching methods in the 4th year medical school radiology course from lecture-based teaching to interactive clinical case-based teaching.
Material & Methods:
We compared the assessments in the radiology course taken from 4th year medical students during 2018-2019. In the first year, teaching was primarily done via conventional lectures. In the following year, a case-based teaching with interactive web application named “NEARPOD” were employed to motivate student participation. The student knowledge assessments were comprised of identical post-test questions, encompassing 5 images of common diagnoses such as pneumothorax, pneumonia, normal chest X-ray (CXR), subdural hematoma, and ischemic stroke. We also compared pre- and post-tests taken in the later year, similarly, composed of 5 different images of common radiographic diagnoses.
Results:
72 students answered the post-test in the first year and 50 students answered in the following year. 55 students answered the pre-test in that year. Post-test student achievements following the methodological changes were significantly higher as compared with the control group (p <0.001, table 1). Students provided positive feedback to the methodological teaching changes.
Conclusion:
Our study shows that teaching radiology in a clinical case-based manner combined with web-based interactive applications results in significant improvements specifically in identifying key imaging pathologies, as compared to conventional lecture-based teaching.
Table 1
Variable
|
Posttest 2019
(n=55)
|
Posttest 2018
(n=72)
|
P-value
|
Pneumothorax, n (%)
|
34 (61.8%)
|
3 (4.2%)
|
<0.001
|
Normal, n (%)
|
30 (54.5%)
|
24 (33.3%)
|
0.02
|
pneumonia, n (%)
|
52 (94.5%)
|
67 (63.1%)
|
1
|
Subdural hemorrhage, n (%)
|
32 (58.2%)
|
31 (43.1%)
|
0.09
|
Stroke, n (%)
|
31 (56.4%)
|
22 (30.6%)
|
0.003
|
Total grade, mean (SD)
|
65.1 (21.5)
|
40.8 (19.1)
|
<0.001
|