Subinternship in Radiology – A Practical Start to the Specialization?

Kasch, Richard; Wirkner, Janine; Hosten, Norbert; Hinz, Peter; Napp, Matthias; Kessler, Remi A.

doi:10.1055/s-0042-113612

Cited by 9 publications

(7 citation statements)

References 5 publications

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“…In a recent study, Kasch and colleagues demonstrated that a clerkship is an important practicum for developing interest in a discipline and plays an important role in selecting a specialty [9]. Likewise, in our survey a large proportion of students said they had already clerked in radiology and almost half of the students named the clerkship as the main reason for deciding upon radiology as an elective subject in the practical year.…”

Section: Discussionmentioning

confidence: 51%

“…Criticism of support at the workstations was especially surprising, since previous studies have shown that practical engagement during the course of study [15] and clerkships [1,9] as well as the practical year [3], integration into the medical team and structured support had a positive influence on interest in the specialty. Exactly those aspects identified as decisive for the success of practical training and which encouraged students' interest in the discipline were most commonly criticized by the students in the radiology rotation.…”

Section: Discussionmentioning

confidence: 99%

“…Likewise, practical training using case studies [6,7] and integrative instruction involving other subjects [5,8] particularly increase students' motivation, thus enhancing the image of radiology among students. Due to close personal contact and hands-on activity, a practicum in radiology such as a medical clerkship particularly offers an opportunity to encourage students in a subject area [9,10].…”

Section: Introductionmentioning

confidence: 99%

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Who will be the Radiologists of Tomorrow? A survey of radiology during the “Practical Year” in Germany

Dettmer

Fischer

Paeßens

et al. 2017

Fortschr Röntgenstr

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ABSTR AC TPurpose Aim of our study was to evaluate the motivation of medical students in their final year of medical school to choose radiology for further specialization by means of a Germany-wide survey. Materials and MethodsThe survey was performed during the 2015/16 semester among German medical students in their four months radiology elective during the final year. Invitations for the study were distributed by the Student Secretariats of each university. The survey was web-based with EvaSys 7.0 software. Questions on radiology contents during medical studies and "practical year" were part of the survey. Plans for residency and possible advantages and disadvantages of radiology as medical specialty were inquired. Descriptive statistics and group comparisons were used as analysis methods.Results 89 students participated in the survey at the beginning and 60 students at the end of the practical year. Of these 39 students could be identified who answered both questionnaires. Most students were satisfied with their final year radiology elective (mean 1.8 on a range from 1 to 5). Nevertheless, they criticized mentoring during routine work (mean 2.1) and a lack of educational courses (mean 2.1). Most students (83 %) were uncertain about their residency choice at the beginning of their "practical year" and about one fifth changed their plans. From the students' point of view main advantages of radiology included contact with many other clinical disciplines (87 %) and the working conditions (68 %). The reduced patient contact (42 %), the large amount of work at a computer (43 %), and the dependency on referring physicians (42 %) were regarded as the main disadvantages. The students regarded the way radiology is taught during the studies as not practical enough. With regard to radiology the majority of students (63 %) felt poorly prepared for their future work. ConclusionThe "practical year" is important regarding the choice of future specialization. There was a high degree of satisfaction with the "practical year" in radiology. The mentoring during routine work and a lack of educational courses was mildly criticized. These factors provide room for improvement to foster students' interest in radiology. Key Points▪ The "practical year" is important regarding the choice of further specialization. ▪ Criticisms of radiology in the "practical year" were mentoring and courses.

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Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Who will be the Radiologists of Tomorrow? A survey of radiology during the “Practical Year” in Germany

Dettmer

Fischer

Paeßens

et al. 2017

Fortschr Röntgenstr

View full text Add to dashboard Cite

show abstract

“…Medical student satisfaction in German medical school subinternships showed increased student satisfaction when students were given increased academic teaching, personal involvement in learning, and more practical skills [ 8 ]. In US medical schools, students enjoy hands-on Point-of-Care ultrasound training, and believe it to be educationally useful [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

An Internet-Based Radiology Course in Medical School: Comparison of Academic Performance of Students on Campus Versus Those With Absenteeism Due to Residency Interviews

2018

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BackgroundImaging and its optimal use are imperative to the practice of medicine, yet many students don’t receive a formal education in radiology. Concurrently, students look for ways to take time away from medical school for residency interviewing. Web-based instruction provides an opportunity to combine these imperatives using online modalities.ObjectiveA largely Web-based course in radiology during the 4th year of medical school was evaluated both for its acceptance to students who needed to be away from campus for interviews, and its effectiveness on a nationally administered standardized test.MethodsAll students were placed into a structured program utilizing online videos, online modules, online textbook assignments, and live interactive online lectures. Over half of the course could be completed away from campus. The Alliance of Medical Student Educators in Radiology test exam bank was used as a final exam to evaluate medical knowledge.ResultsPositive student feedback included the freedom to travel for interviews, hands-on ultrasound training, interactive teaching sessions, and quality Web-based learning modules. Negative feedback included taking quizzes in-person, a perceived outdated online textbook, and physically shadowing hospital technicians. Most students elected to take the course during the interview months of October through January. The Alliance of Medical Student Educators in Radiology final exam results (70.5%) were not significantly different than the national cohort (70%) who took the course in-person. Test scores from students taking the course during interview travel months were not significantly different from students who took the course before (P=.30) or after (P=.34) the interview season.ConclusionsStudents desire to learn radiology and often choose to do so when they need to be away from campus during the fall of their 4th year of study to accomplish their residency interviews. Web-based education in radiology allows students’ interview traveling and radiology course objectives to be successfully met without adversely affecting the outcomes on a nationally normed examination in radiology. A curriculum that includes online content and live Web-based teleconference access to faculty can accomplish both imperatives.

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“…Hälfte der Studierenden war bereits vorab zu ihrem späteren Facharztwunsch entschieden (JV n = 28; NV n = 65). Wir fanden mit 61,1 % einen hohen weiblichen Anteil vor (im Vergleich zu [17][18][19] anderseits lag der Frauenanteil in anderen Fachbereichen darüber [20][21][22]. Das Durchschnittsalter lag zum Zeitpunkt der Onlinebefragung bei knapp 30 Jahren (25-47 Jahre).…”

Section: Ergebnisseunclassified

Chirurgisches Pflichttertial im Praktischen Jahr – das Sprungbrett in die chirurgische Weiterbildung?

et al. 2019

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Zusammenfassung Einleitung Das Praktische Jahr stellt als letzter Abschnitt des Medizinstudiums eine prägende Zeit für den Studierenden dar, da medizinisches Wissen in ärztliche Kompetenzen überführt werden soll. Das Fachgebiet Chirurgie ist mit seinem Pflichttertial fest in der Ausbildungsstruktur verankert. In der vorliegenden Evaluation desselben sollen hier insbesondere die Zusammenhänge zwischen der Bewertung des PJ-Tertials Chirurgie und einem entsprechenden Spezialisierungswunsch in diesem Fach untersucht werden. Methoden Eine durch die AG Lehre der DGOU 2012 durchgeführte Onlineumfrage erbrachte vollständige Datensätze von insgesamt 9079 Teilnehmern. In die vorliegende Analyse gingen die Daten der Teilnehmer ein, die zum Zeitpunkt der Befragung bereits ihr PJ-Pflichttertial Chirurgie absolviert hatten (n = 184). Diese wurden zur Analyse 4 Gruppen eingeteilt: Entscheidung für eine Spezialisierung in der Chirurgie bereits vor dem PJ-Pflichttertial („Ja, vorher“; JV), während des PJ-Pflichttertials („Ja, während“; JW), und Entscheidung dagegen vor dem PJ-Pflichttertial („Nein, vorher“; NV) bzw. während des PJ-Pflichttertials („Nein, während“, NW). Die insgesamt 38 Umfrage-Items wurden unter Berücksichtigung der Entscheidung bez. der Fachspezialisierung zusammengefasst. Ergebnisse 57,9% der Befragten äußerten sich positiv bez. des Gesamteindrucks das chirurgische Pflichttertial betreffend. Besonders positiv unterschied sich die Gruppe JW im Vergleich zur Gruppe NW (Entscheid gegen die Chirurgie). Wir finden in allen analysierten Items signifikante Unterschiede: Integration in Team JW/NW (p ≤ 0,003), Erwerb von Kompetenzen (p ≤ 0,014), Lehrende (p ≤ 0,025), Qualität und Struktur der Lehre (p ≤ 0,043) und Gesamtzufriedenheit mit dem Pflichttertial (p ≤ 0,037). Diskussion Im Gegensatz zu anderen Fächern besteht im Bereich Chirurgie die Möglichkeit, Nachwuchs direkt im Rahmen des Pflichttertials zu rekrutieren. Die Ergebnisse aus studentischer Sicht offenbaren defizitäre Strukturen. Die mangelnde ärztliche Betreuung/Unterstützung, die unzureichende Einbeziehung in therapeutische Überlegungen, der mangelhafte Erwerb von fachlichem Wissen, der fehlende Kontakt zu den Lehrenden sind nur einige wesentliche Unterpunkte, die das Gesamtergebnis der Zufriedenheit der Studierenden mit dem Pflichttertial negativ beeinflussen. Die Ergebnisse der vorliegenden Arbeit sollen als Anstoß dienen und in die Neustrukturierung der Pflichttertiale des Praktischen Jahres, die der Masterplan 2020 mit sich bringen wird, einfließen.

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Subinternship in Radiology – A Practical Start to the Specialization?

Cited by 9 publications

References 5 publications

Who will be the Radiologists of Tomorrow? A survey of radiology during the “Practical Year” in Germany

Who will be the Radiologists of Tomorrow? A survey of radiology during the “Practical Year” in Germany

An Internet-Based Radiology Course in Medical School: Comparison of Academic Performance of Students on Campus Versus Those With Absenteeism Due to Residency Interviews

Chirurgisches Pflichttertial im Praktischen Jahr – das Sprungbrett in die chirurgische Weiterbildung?

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