E1450. Case Report in Medical Education: Using a Rare Disease to Learn Common Concepts in Radiology
Nova Southeastern University
Aventura Hospital and Medical Center; Nova Southeastern University
Case reports are detailed descriptions of the presentation, diagnosis, treatment, and prognosis of an unusual, novel, or otherwise interesting individual patient. A case report often serves as the first line of evidence in a specific disease, to raise awareness and provide a basis for further investigation. Although case-based learning is becoming increasingly popular in medical education, the value of a “case report” format as a unique educational opportunity and integrated learning tool in radiology and more generally is not widespread.
Materials and Methods:
We documented the avenues of inquiry and educational opportunities derived from the completion of a case report on a large renal leiomyoma from the medical student perspective. Through this process, we inquire into the potential for a case report format to integrate basic science and clinical skills learning in radiology and across disciplines.
Case reports have the potential to be effective learning tools for medical students. We demonstrate that the team-based approach to exploring medical records affords students the opportunity to develop their knowledge and skills in clinical reasoning, interdisciplinary collaboration, creative production, communication and research methodology. With specific regard to radiology, the case report requires the student to familiarize themselves with salient terminology, understand the basics of different imaging techniques and settings, use appropriate descriptive language when interpreting findings across different imaging modalities and in collaboration with radiology residents and attendings, and to explore current imaging guidelines and the rationale behind them. The case report process requires the student to evaluate multiple elements of the medical record including clinical notes, as well as results from diagnostic testing including radiology, and pathology laboratory investigations.
The Liaison Committee on Medical Education (LCME) and Accreditation Council of Graduate Medical Education (ACGME) have increasingly emphasized systems-based practice, with integration of basic science knowledge in the context of clinical and professional practice. Case reports share the documented educational benefits of traditional case-based learning, with several additional benefits including requiring the investigator to dissect the records, reconstruct a timeline and explore differential diagnoses with step-wise methodology while learning relevant treatment strategies along the way. This fosters a sense of ownership of the case, with several educational opportunities contained within a single patient record. Case reports facilitate integrated medical learning, promote interdisciplinary collaboration and creative production, while simultaneously adding value to the medical field. The case report process, either for the purposes of publication or as a simulated educational activity, have the potential to improve medical education to better prepare medical students for clinical practice.