“…Potential methods of instruction include (but are not limited to) large classroom lectures [24][25][26], case based teaching [27,28], small group teaching [29][30][31], ward based teaching using chest radiographs of current hospital in-patients [32], self-instruction using a textbook of chest radiographs [33], e-learning modules [34][35][36], a flipped classroom [37], or a library of interesting chest radiographs [38][39][40][41][42]. But what happens during the instruction, that is, how the instruction is actually delivered, as well as the skill and enthusiasm of the teacher, is arguably more significant than how the instructional method is labelled [43].…”