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Medical Imaging. What should we teach? When should we teach? How should we teach it?. Imaging Working Group. Jim Smirniotopoulos – USU Radiology Fletcher Munter – WRAMC Radiology Diagnostic Radiology program director Steve Sears – NNMC Radiology USU Graduate, former Navy Specialty Leader.
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Medical Imaging What should we teach? When should we teach? How should we teach it?
Imaging Working Group Jim Smirniotopoulos – USU Radiology Fletcher Munter – WRAMC Radiology Diagnostic Radiology program director Steve Sears – NNMC Radiology USU Graduate, former Navy Specialty Leader
What is Medical Imaging? • Endoscopy, Operative, Gross Photographs • Plain “Film” • Chest, Abdomen, Cx Spine, Extremities • CT • Chest, Abdomen, Pelvis, Brain, Spine • US • Abdomen, Pelvis, OB-Gyn, FAST exam • MR • Cardiac, Abdomen/Pelvis, Brain, Spine, MSK
What Should We Teach? • Anatomy! • Integrated into MS-1 General and Neuroanatomy • What to Order, When and Why • Consult with Radiologist • Clinical Practice Guidelines • Modest Interpretive Skills • Plain Chest • Plain Abdomen • Cx spine and Extremities for Trauma • Acute Neurologic Emergencies (CT vs. MR)
When Do We Teach it? • Anatomy! • Integrated into MS-1 Modules • Including Optional small groups w/Radiologist • What to Order, When and Why • Integrated with ICM and Pathology • Radiology Selectives • MS-4 Elective Clerkship • Modest Interpretive Skills • MS-1 CPR Module Chest Radiology • Clerkship Selectives and Electives
How Should We Teach it? • Classroom Didactic • Incorporated into existing lecture topics • Small Groups • MS-1 Modules • Clerkship Selectives and Electives • Online • MedPix Case of the Week • USMLE Case Based Scenarios
Needs Assessment • Input from Pre-Clinical Course Directors • Online survey • Interviews • Input from Clerkships • Online survey • Interviews • Feedback from Students • MS-3 Surveys • MS-4 Surveys • PGY-1 Surveys
What are we doing now? • USU MedPix Medical Image Database • 54,000 images w/captions and metadata • Search by modality (drawing, histology, CT, MR) • Search by plane (axial, coronal, sagittal) • Online Case Based Material • Case of the Week • USMLE “type” cases with imaging