The Effect of Changıng the Method of Teachıng Radıology to Problem-Based Learnıng on the Achıevements of Medıcal Students in Imagıng

Uriel Wachsman 1 Gal Ben-Arie 1 Amos Katz 2 Reli Hershkovitz 2 Yotam Lior 2 Ilan Shelef 1
1Radiology Department, Soroka Medical Center, Israel
2Faculty of Health Sciences, Ben-Gurion University, Israel

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

Uriel Wachsman
Uriel Wachsman








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