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Developing a Radiology-Based Teaching Approach for Gross Anatomy in the Digital Era

Rationale and Objectives

The purpose of this study was to assess the implementation of a digital anatomy lecture series based largely on annotated, radiographic images and the utility of the Radiological Society of North America–developed Medical Imaging Resource Center (MIRC) for providing an online educational resource.

Materials and Methods

A series of digital teaching images were collected and organized to correspond to lecture and dissection topics. MIRC was used to provide the images in a Web-based educational format for incorporation into anatomy lectures and as a review resource. A survey assessed the impressions of the medical students regarding this educational format.

Results

MIRC teaching files were successfully used in our teaching approach. The lectures were interactive with questions to and from the medical student audience regarding the labeled images used in the presentation. Eighty-five of 120 students completed the survey. The majority of students (87%) indicated that the MIRC teaching files were “somewhat useful” to “very useful” when incorporated into the lecture. The students who used the MIRC files were most likely to access the material from home (82%) on an occasional basis (76%). With regard to areas for improvement, 63% of the students reported that they would have benefited from more teaching files, and only 9% of the students indicated that the online files were not user friendly.

Conclusions

The combination of electronic radiology resources available in lecture format and on the Internet can provide multiple opportunities for medical students to learn and revisit first-year anatomy. MIRC provides a user-friendly format for presenting radiology education files for medical students.

Over the past century, there has been seemingly exponential growth in the breadth of material that has been incorporated into modern medical school curricula. The addition of new material and courses has led to limited instruction time available for existing basic science courses . Although the importance of basic science in the medical curriculum remains undisputed, there is a recognized need for training that is efficient yet thorough. A number of medical schools across the country have begun to examine their instructional methods and to revise and reform curricula. Modern electronic resources provide unique capabilities for presenting and disseminating educational information for course work and for study and have served as a platform for much of this reform.

Among the basic science courses, gross anatomy represents a unique opportunity for the incorporation of technology and electronic dissemination of information because of the visual nature of the course material. Since the time that radiography of cadavers was first proposed as a teaching tool for anatomy more than 15 years ago , the role of radiology in supplementing anatomy teaching has continued to expand as digitization has allowed greater access to images. Electronic presentations of radiographs, computed tomographic images, ultrasonographic images, and magnetic resonance images have fast become a standard platform for teaching medical students first-year gross anatomy . In addition to the technologies that have enabled the electronic display of radiographic imaging, other new technologies have been developed that allow manipulation of the images with annotations and labeling and provide the capability to distribute the images on Web-based platforms that can be viewed by medical students at various locations, such as on-campus medical student computer labs, stations that are incorporated into anatomy dissection stations, and home personal computers. Although electronic formats for anatomy education are being incorporated into gross anatomy at medical schools across the country, few studies have reported the utility of these resources and medical students’ impressions of these resources.

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Materials and methods

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Table 1

Categories Used to Characterize the Electronic Radiographic Teaching Files

Indexed Content Indexed Field Name Anatomy Appendicular Axial Organ system Abdomen Cardiovascular Chest Gastrointestinal Genitourinary Musculoskeletal Neurology Pulmonary Vascular Modalities Angiography Radiography Computed tomography Magnetic resonance Ultrasound

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Figure 1, Similar to this plain radiograph, various computed tomographic, magnetic resonance imaging, radiographic, and ultrasound studies were selected and labeled to demonstrate normal anatomy.

Figure 2, Screen-capture example of one of the images with pathologic findings. The left side of the screen has a multiple-choice question regarding the finding in the image. For this example, the correct answer has already been clicked and the correct answer displayed.

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Results

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Figure 3, Pie chart demonstrating the age stratification of the students who participated in the Medical Imaging Resource Center questionnaire for the present study.

Figure 4, Bar graph depicting the undergraduate degrees of the students who participated in the survey.

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Figure 5, Bar graph illustrating the responses of the students regarding the various available education resources for preparing for the anatomy exams. MIRC, Medical Imaging Resource Center.

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Figure 6, Pie chart demonstrating the percentages of students who found the overall integration of radiology into the anatomy course work helpful.

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Discussion

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Figure 7, Line diagram of the number of published studies related to “electronic medical student education” published since 1980. ∗ The number for 2009 is a projected value.

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Appendix

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