10-51 Profile of medical student teaching in radiology: Teaching methods, staff participation, and...
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Materials and Methods: On day one. students take a pretest and then access their activity and lecture schedule online, while on the last day, they take a posttest and fill out an evaluation form of the lecturers, the clerkship requirements, and experiences, all online. The results were tabulated and analyzed. Results: Clerkship approval rating went from 53% in the year prior to implementation of RadClerk to 80% after 18 months of utiliza- tion. In the same period, the improvement in test scores pre- to posttest rose an average of 22.3%. Conclusion: This comprehensive web-based teaching tool is ca- pable of evaluating both our clerkship and our students in an ongo- ing fashion. Prospectively, we have assessed and validated the first two years of utilizing this teaching tool. Continuous software im- provements were generated by student feedback. 09-49 Percutaneous Transcatheter Bronchial Artery Embo- lization for Treatment of Hemoptysis A. James Beyer III, MD, University of Kansas Medical Center, Kansas City, KS, Tim G. Raveill, MD, Steven Stites, MD, Glendon G. Cox, MD, Edward L. Siegel, MD Purpose: We sought to better define the role of bronchial artery em- bohzation (BAE) for treatment of hemoptysis. Materials and Methods: Review of Kansas University Medical Center's Interventional Radiology Database identified patients under- going BAE for hemoptysis from 1995 until 1999. For each patient identified, the medical record was reviewed to determine the indica- tions for the procedure, the immediate results, the long-term results, and any complications that resulted from BAE. Results: Twelve patients underwent BAE for hemoptysis between April 1996 and November 1999. Ages ranged from 20 to 79 years (mean = 45 years). Etiologies of hemoptysis included cystic fibrosis (n = 3), bronchogenic carcinoma (n = 2), granulomatous infection (n = 2), and sarcoidosis (n = 1). In three patients, a specific cause for he- moptysls was not determined. In four patients, active bleeding from bronchial arteries was identified at the time of embolization. In seven other patients, arteriograms at the time of embolization showed abnor- mal-appearing vessels, pseudoaneurysm, or AV malformation. BAE was performed without complication and was successful for immedi- ate control of hemoptysis in all patients. None of the patients have re- qOired repeat embolization (follow-up, 1 to 56 months; mean, 25 months). Conclusion: BAE is an effective treatment for hemoptysis due to a wide variety of etiologies. 09-50 Adrenal Neuroblastoma in an Adult with Brain Metastases Louis P. Freeman, MD, Hahnemann University Hospital, Phila- delphia, PA, Janio Szklaruk, PhD, MD Purpose: Neuroblastoma is the most common solid malignant tumor in children under four years of age. More than 50% of cases occur in pa- tients less than two years of age. This is a case report of an adrenal neu- roblastoma with brain metastases in an adult patient. Materials and Methods: Computed tomography of the abdomen was obtained utilizing a helical scanner (Siemens Somatom Plus 4, Siemens Medical Systems). The images were obtained at 8-mm slice thickness, pitch of 1.2, 512 x 512 matrix, 274 mAs, and 140 kVp. MRI of the brain was obtained utilizing a 1.5-T MR imager (Magne- tom-Vision, Siemens Medical Systems). The following sequences were acquired: T1, T2, FLAIR, and diffusion-weighted images. Results: The adrenal tumor measured 12.4 x 10.0 x 18.0 cm. There was retroperitoneal nodal involvement. The MRI of the brain demonstrated cranial osseous metastases and epidural metastases. Conclusion: We described the appearance of an adrenal neuroblastoma with brain metastases in a 43-year-old patient. 10-51 Profile of Medical Student Teaching in Radiology: Teaching Methods, Staff Participation, and Rewards Salim Samuel, MD, Dana Farber Cancer Institute, Boston, MA, Kitt Shaffer, MD, PhD Purpose: Two surveys were conducted of directors of medical school clerkships in radiology to determine demographic information about departments, details of the teaching effort, and teaching methods used, particularly in regards to the impact of new digital imaging methods on teaching. Materials and Methods: The initial survey focused on numbers of staff and students, courses taught, and perception of rewards for teaching. The second survey more specifically addressed teaching methods. Results: Sixty-nine (50%) of the initial surveys and 46 (39%) of the second surveys were returned. Clerkship directors spent an average of 9 hours per week teaching and performing administrative tasks, with most given no additional time off. 84% of departments have no, or insignificant, rewards for teaching. Many departments have integrated the use of computers in teaching, and most have computers that stu- dents use during the course. At the same time, digital imaging and PACS are utilized, or will be utilized within one year, in most depart- ments. Conclusion: Clerkship directors receive little compensation in terms of time and rewards for medical student teaching. As most radiology departments advance into digital imaging and PACS, teaching meth- ods are also evolving with the increasing use of computers. 10-52 Radiologists as Clinical Tutors in a Problem-based Undergraduate Medical School Curriculum Felix S. Chew, MD, Wake Forest University School of Medicine, Winston-Salem, NC, Liem T. Bui-Mansfield, MD Purpose: The experience of radiologists teaching in a problem-based preclinical medical school curriculum was evaluated. Materials and Methods: The undergraduate medical school cur- riculum at Wake Forest University includes two problem-based pre- clinical years that integrate basxc and clinical sciences. Six radiology fellows served as general chnical tutors for five weeks, each guiding the work of six second-year students in tandem with a basic science tutor. On completion, the radiologists and students were surveyed by quesuonnaire. A group interview was conducted with the radiolo- gists. The students evaluated the tutors using the standardized medi- cal school method. Results: The response rate to the survey was 100% for the radiolo- gists and 39% for the students. On average, radiologists spent 7.6 hours weekly on preparation and tutoring and 3.8 hours total on ad- ministration and grading. All radiologists thought tutoring was re- warding, but 67% disliked assigning grades. Radiologists spent less time teaching radiology residents and performing research, but none thought their clinical work was adversely affected. Students im- proved their perceptions of radiologists and thought that they per- formed as well as or better than other tutors. Conclusion: Radiologists can be successful as general tutors in a problem-based medical school curriculum, benefiting both radiolo- gists and students. 1049
Transcript of 10-51 Profile of medical student teaching in radiology: Teaching methods, staff participation, and...
Materials and Methods: On day one. students take a pretest and then access their activity and lecture schedule online, while on the last day, they take a posttest and fill out an evaluation form of the lecturers, the clerkship requirements, and experiences, all online. The results were tabulated and analyzed. Results: Clerkship approval rating went from 53% in the year prior to implementation of RadClerk to 80% after 18 months of utiliza- tion. In the same period, the improvement in test scores pre- to posttest rose an average of 22.3%.
Conclusion: This comprehensive web-based teaching tool is ca- pable of evaluating both our clerkship and our students in an ongo- ing fashion. Prospectively, we have assessed and validated the first two years of utilizing this teaching tool. Continuous software im- provements were generated by student feedback.
09-49 Percutaneous Transcatheter Bronchial Artery Embo- l ization for T rea tment of Hemoptysis A. James Beyer III, MD, University of Kansas Medical Center, Kansas City, KS, Tim G. Raveill, MD, Steven Stites, MD, Glendon G. Cox, MD, Edward L. Siegel, MD
Purpose: We sought to better define the role of bronchial artery em- bohzation (BAE) for treatment of hemoptysis.
Materials and Methods: Review of Kansas University Medical Center's Interventional Radiology Database identified patients under- going BAE for hemoptysis from 1995 until 1999. For each patient identified, the medical record was reviewed to determine the indica- tions for the procedure, the immediate results, the long-term results, and any complications that resulted from BAE.
Results: Twelve patients underwent BAE for hemoptysis between April 1996 and November 1999. Ages ranged from 20 to 79 years (mean = 45 years). Etiologies of hemoptysis included cystic fibrosis (n = 3), bronchogenic carcinoma (n = 2), granulomatous infection (n = 2), and sarcoidosis (n = 1). In three patients, a specific cause for he- moptysls was not determined. In four patients, active bleeding from bronchial arteries was identified at the time of embolization. In seven other patients, arteriograms at the time of embolization showed abnor- mal-appearing vessels, pseudoaneurysm, or AV malformation. BAE was performed without complication and was successful for immedi- ate control of hemoptysis in all patients. None of the patients have re- qOired repeat embolization (follow-up, 1 to 56 months; mean, 25 months).
Conclusion: BAE is an effective treatment for hemoptysis due to a wide variety of etiologies.
09-50 Adrenal Neuroblastoma in an Adult w i th Brain Me tas tases Louis P. Freeman, MD, Hahnemann University Hospital, Phila- delphia, PA, Janio Szklaruk, PhD, MD
Purpose: Neuroblastoma is the most common solid malignant tumor in children under four years of age. More than 50% of cases occur in pa- tients less than two years of age. This is a case report of an adrenal neu- roblastoma with brain metastases in an adult patient. Materials and Methods: Computed tomography of the abdomen was obtained utilizing a helical scanner (Siemens Somatom Plus 4, Siemens Medical Systems). The images were obtained at 8-mm slice thickness, pitch of 1.2, 512 x 512 matrix, 274 mAs, and 140 kVp. MRI of the brain was obtained utilizing a 1.5-T MR imager (Magne- tom-Vision, Siemens Medical Systems). The following sequences were acquired: T1, T2, FLAIR, and diffusion-weighted images.
Results: The adrenal tumor measured 12.4 x 10.0 x 18.0 cm. There was retroperitoneal nodal involvement. The MRI of the brain demonstrated cranial osseous metastases and epidural metastases.
Conclusion: We described the appearance of an adrenal neuroblastoma with brain metastases in a 43-year-old patient.
10-51
Profile of Medical Student Teaching in Radiology: Teaching Methods, Staff Part ic ipat ion, and Rewards Salim Samuel, MD, Dana Farber Cancer Institute, Boston, MA, Kitt Shaffer, MD, PhD
Purpose: Two surveys were conducted of directors of medical school clerkships in radiology to determine demographic information about departments, details of the teaching effort, and teaching methods used, particularly in regards to the impact of new digital imaging methods on teaching.
Materials and Methods: The initial survey focused on numbers of staff and students, courses taught, and perception of rewards for teaching. The second survey more specifically addressed teaching methods.
Results: Sixty-nine (50%) of the initial surveys and 46 (39%) of the second surveys were returned. Clerkship directors spent an average of 9 hours per week teaching and performing administrative tasks, with most given no additional time off. 84% of departments have no, or insignificant, rewards for teaching. Many departments have integrated the use of computers in teaching, and most have computers that stu- dents use during the course. At the same time, digital imaging and PACS are utilized, or will be utilized within one year, in most depart- ments. Conclusion: Clerkship directors receive little compensation in terms of time and rewards for medical student teaching. As most radiology departments advance into digital imaging and PACS, teaching meth- ods are also evolving with the increasing use of computers.
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Radiologists as Cl inical Tutors in a Problem-based Undergraduate Medical School Curriculum Felix S. Chew, MD, Wake Forest University School of Medicine, Winston-Salem, NC, Liem T. Bui-Mansfield, MD
Purpose: The experience of radiologists teaching in a problem-based preclinical medical school curriculum was evaluated.
Materials and Methods: The undergraduate medical school cur- riculum at Wake Forest University includes two problem-based pre- clinical years that integrate basxc and clinical sciences. Six radiology fellows served as general chnical tutors for five weeks, each guiding the work of six second-year students in tandem with a basic science tutor. On completion, the radiologists and students were surveyed by quesuonnaire. A group interview was conducted with the radiolo- gists. The students evaluated the tutors using the standardized medi- cal school method. Results: The response rate to the survey was 100% for the radiolo- gists and 39% for the students. On average, radiologists spent 7.6 hours weekly on preparation and tutoring and 3.8 hours total on ad- ministration and grading. All radiologists thought tutoring was re- warding, but 67% disliked assigning grades. Radiologists spent less time teaching radiology residents and performing research, but none thought their clinical work was adversely affected. Students im- proved their perceptions of radiologists and thought that they per- formed as well as or better than other tutors.
Conclusion: Radiologists can be successful as general tutors in a problem-based medical school curriculum, benefiting both radiolo- gists and students.
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