ARRS 2022 Abstracts


2014. Students in the Driver's Seat: A Self-Contained Resident-Administered PACS Simulator Improves Radiology Medical Student Education
Authors * Denotes Presenting Author
  1. Douglas Pierce *; Froedtert and Medical College of Wisconsin
  2. Erica Lanser; Froedtert and Medical College of Wisconsin
  3. Matthew Vickery; Froedtert and Medical College of Wisconsin
  4. Joseph Budovec; Froedtert and Medical College of Wisconsin
Radiology is a popular junior and senior medical student rotation nationwide. However, it is unique in that experiential opportunities for students to engage in patient care are extremely rare. Whereas students in other rotations are expected to perform examinations, write notes, and develop treatment plans, the traditional model for radiology rotations relegates medical students to observational roles. Opportunities to independently interpret images, commit to a diagnosis, and dictate reports are scarce. These missed opportunities place students' clinical engagement and education at risk. Therefore, our team implemented a self-contained resident-administered PACS simulator (SCRAPS) to determine whether simulation and a formative Objective Structured Clinical Examination (OSCE) experience better educates our students and meets their expectations of hands-on learning.

Materials and Methods:
A consumer-grade laptop was equipped with an open source PACS and dictation-enabled word processing software. Representative images of essential diagnoses for medical students were pre-selected from our clinical database. De-identified radiographs were then presented to groups of two to three medical students who interacted with PACS, interpreted the images, and dictated their findings. A radiology resident facilitator provided feedback and teaching immediately after the students completed each case. Following each 90-minute session, the students completed an anonymous survey to assess the quality of the experience and its impact on their education.

Sixty-two students participated in SCRAPS between January 2020 and July 2021. Most (76%) were fourth-year students and most (69%) indicated interest in a specialty other than radiology. After each session, students responded to the following statements (1=strongly agree): “I enjoyed the activity” (1.06); “This session provided a unique learning experience” (1.01); “This activity gave me new insight into the process of dictating a radiology report” (1.24); “I have a better idea now of what radiologists do” (1.41); and “This activity was valuable to my education” (1.09). Many students suggested SCRAPS sessions become a weekly component of the rotation. One commented that SCRAPS was “a highlight. It was educational, challenging, and enjoyable.” Another wrote, "I learned a lot more from this than from my daily shadowing. It helped me develop my reading ability, which is why I did this rotation."

We have placed students in the simulated seat of the resident or attending physician and allowed them to experience the work of the practicing radiologist. We conclude that SCRAPS is an improvement in the rotation and a valuable educational tool. OSCE experiences are an effective yet under-used component of radiology medical student rotations. Moreover, case-based learning has been shown to significantly increase radiology knowledge. SCRAPS is an example of an implemented, case-based OSCE experience that students and residents find both rewarding and educational.