Daily Bulletin 2015

Radiology Imaging Education Focus of International Panel

Tuesday, Dec. 01, 2015

With each bringing a different experience to the table, a panel of experts from around the globe also found a lot of common ground in their approach to educating the next generation of radiology students during Monday's International Trends Session.

Radiology education should be interesting, interactive, incorporate technology and e-learning, be simple when possible, and above all, patient-centered, according to presenters gathered to discuss "International Medical Student Imaging Education."

Each year the International Trends meeting is held on a topic of global importance to the profession.

In discussing the basics of teaching medical students about radiologic equipment and radiology protection in the U.K., Christiane Nyhsen, M.D., consultant radiologist at City Hospitals Sunderland NHS Foundation Trust and senior lecturer at Newcastle University, stressed the importance of keeping students' attention.

"Share the challenges of what low-dose radiation risks may or may not be," Dr. Nhysen said. "Tell them about studies in geographic areas of high background radiation. Mention radiation spas, emerging evidence of how the human body responds to low levels of radiation. It is quite fascinating in my opinion."

Radiological equipment is best taught alongside real cases, Dr. Nyhsen said. Interactive discussions help keep students interested. Keep it interesting, keep teaching interactively and be clear about the evidence regarding risk of low-level of radiation, she said.

And make sure to put patients first, she added.

"Put the patient it in the center of teaching," Dr. Nyhsen said. "Imaging should help the patient—the patient should be considered, advised, have tests appropriately explained and fears reduced."

Petra Lewis, M.B.B.S., discussed the introduction of medical imaging into anatomy and more specifically, offered her opinion on when it should be introduced, why it should be incorporated, who should teach it, and how it should be taught.

"The 'when' is easy," said Dr. Lewis, of the Geisel School of Medicine at Dartmouth, in Hanover, New Hampshire. "It should start on Day One of the anatomy course and preferably Day One of medical school."

Medical imaging should be incorporated early into preclinical curriculum since all medical students will use it either directly or indirectly their entire careers, Dr. Lewis said.

Radiologists should be teaching anatomy as well as medical imaging, Dr. Lewis said. All modalities can be used to teach anatomy depending on the organ system.

Keep it Simple, Use E-Learning

Simplification is the key to introducing the basics of medical imaging technology, dose and safety, said Francesco Sardanelli, M.D., a professor of radiology at the University of Milan, Italy.

"We should try to reduce complexity to simplicity," Dr. Sardanelli said. "We need to present the meaning of words we use, to explain to students the risk of the MR environment and translate the numbers to something easy to understand. One example is better than 20 lines of text."

In Japan, lecture-theatre style education is still dominant in radiology, said Kunihiko Fukuda, M.D., a professor of radiology at the Jikei University School of Medicine in Tokyo. However, "It is desirable to create more e-learning materials, and use them effectively in the flipped education style," Dr. Fukuda said. "If the lecture style will be continued, radiology should be integrated with clinical medicine and pathology."

Medical education is six years in Japan, said Dr. Fukuda. Radiation physics and biology start at early stages in lecture style, he said, while imaging diagnosis and radiation oncology start usually from year four. "They are usually started with lecture style, and then tutorial and/or elective course," said Dr. Fukuda.

Question of the Day:

I want to change the MR imaging parameters for a new protocol based on a research paper I read, but the console says the SAR is too high. What is SAR?

Tip of the day:

Patients who have many follow-up head CTs should be assessed for dose to the eyes as they swiftly become at risk for cataracts.

The RSNA 2015 Daily Bulletin is owned and published by the Radiological Society of North America, Inc., 820 Jorie Blvd., Oak Brook, IL 60523.