ARRS 2022 Abstracts


E1753. Combining Radiology and Surgery: Incorporating a Dedicated Radiology Module During the Third Year Surgery Clerkship
  1. Matthew Liu; George Washington University School of Medicine and Health Sciences
  2. Tiffany Gonçalves; George Washington University School of Medicine and Health Sciences
  3. Nikhil Gowda; George Washington University School of Medicine and Health Sciences
  4. Ramin Javan; George Washington University School of Medicine and Health Sciences
The objectives of this study were to increase radiology education and exposure throughout medical school education, especially in the clinical years; detect the impact of an optional (or mandatory) lecture/module, with a focus on increased radiologic exposure, on clinical exam scores (both in-clerkship quizzes as well as shelf exams); and detect the familiarity and usefulness of radiologic exposure in students on clinical rotations.

Materials and Methods:
An optional interactive online radiology module was developed specifically for third-year medical students on their core surgery clerkship. The module consisted of 10 specific cases with a combination of patient histories, annotated images, and questions with radiological finding-focused explanations. The cases were chosen by a survey of 1) medical students who had already completed the surgery clerkship and shelf exam and 2) input on the most pertinent pathologies from the surgery clerkship leadership. Prior to completing the module, students were consented to participate in a pre- and post-test consisting of multiple-choice questions pertaining to the cases. Overall shelf exam scores, and sub-scores related to anatomy and radiology, were collected for two student groups - those who did and did not use the modules.

At this time, 156 students (classes of 2021–2024) were surveyed as part of the initial needs assessment; 107/156 students had either started or completed clinical rotations and 97.2% reported using imaging (interpretation or order) at least weekly. Of those students, only 27.1% agreed that the current level of radiology instruction is adequate; 90.6% would like increased radiology instruction, with the most common modalities requested being x-ray (31), CT (63), and ultrasound (49) . Open-ended responses for specific requests included hands-on sessions with radiologists, case-based scenarios, and interactive modules. The interactive module is in its final testing stages and will be deployed with the next clerkship cohort.

Online interactive modules provide a unique and effective way to not only introduce radiology earlier in a medical student curriculum, but also integrate radiology education throughout a core clerkship. This is especially important in light of the COVID-19 pandemic, where maximizing technology to maintain the same standards of education has been a challenge to both learners and educators. Previous studies have demonstrated the benefits of microlearning modules such as ours. Here, we demonstrate the need and effectiveness of integrating radiology into a core surgery clerkship through a qualitative needs assessment and a quantitative analysis of in-house test scores, interest, and shelf exams.