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Adams CC, Shih R, Peterson PG, Lee MH, Heltzel DA, Lattin GE. The Impact of a Virtual Radiology Medical Student Rotation: Maintaining Engagement During COVID-19 Mitigation. Mil Med 2020; 186:e234-e240. [PMID: 33007060 PMCID: PMC7665610 DOI: 10.1093/milmed/usaa293] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 07/27/2020] [Accepted: 08/17/2020] [Indexed: 12/28/2022] Open
Abstract
Introduction The purpose of this study is to introduce a virtual radiology rotation curriculum that is being used to safely maintain medical student and intern education and engagement with the Department of Radiology at Walter Reed National Military Medical Center during coronavirus disease 2019 (COVID-19) mitigation. Materials and Methods The curriculum is designed as a 4-week block with each week representing one of the four highest yield radiology subspecialties for medical students; neuroradiology, thoracic radiology, body radiology, and musculoskeletal radiology. A subspecialist radiologist from each section was identified as a primary mentor and tasked with designing a daily schedule for medical students and interns. The first 2 months of virtual rotators were surveyed to assess the effectiveness of the course. Results Thirty-five of 41 rotators responded to the survey, a response rate of 85%. Thirty-one of 35 (89%) of the rotators gave this virtual elective rotation a positive rating, with 16 trainees scoring the course as 4 out of 5 and 15 trainees selecting 5 out of 5. Four respondents selected 3 out of 5. Five out of 5 respondents who had experienced an in-person radiology elective rotation before this virtual rotation rated the virtual elective as more educational than the in-person rotation. We found the 4-week subspecialist mentor-based structure to be highly versatile, allowing us to simultaneously accommodate multiple groups of full or partial block rotators throughout COVID-19 mitigation. Conclusion A virtual rotation curriculum is a viable method of maintaining medical student and intern education and engagement with the department of radiology during COVID-19 mitigation.
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Affiliation(s)
- Chad C Adams
- Walter Reed National Military Medical Center, Bethesda, MD, 20889.,Uniformed Services University of the Health Sciences, Bethesda, Maryland, 20814
| | - Robert Shih
- Walter Reed National Military Medical Center, Bethesda, MD, 20889.,Uniformed Services University of the Health Sciences, Bethesda, Maryland, 20814
| | - Paul G Peterson
- Walter Reed National Military Medical Center, Bethesda, MD, 20889.,Uniformed Services University of the Health Sciences, Bethesda, Maryland, 20814
| | - Mike H Lee
- Walter Reed National Military Medical Center, Bethesda, MD, 20889.,Uniformed Services University of the Health Sciences, Bethesda, Maryland, 20814
| | - David A Heltzel
- Walter Reed National Military Medical Center, Bethesda, MD, 20889.,Uniformed Services University of the Health Sciences, Bethesda, Maryland, 20814
| | - Grant E Lattin
- Walter Reed National Military Medical Center, Bethesda, MD, 20889.,Uniformed Services University of the Health Sciences, Bethesda, Maryland, 20814
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Durfee SM, Goldenson RP, Gill RR, Rincon SP, Flower E, Avery LL. Medical Student Education Roadblock Due to COVID-19: Virtual Radiology Core Clerkship to the Rescue. Acad Radiol 2020; 27:1461-1466. [PMID: 32747181 PMCID: PMC7380233 DOI: 10.1016/j.acra.2020.07.020] [Citation(s) in RCA: 63] [Impact Index Per Article: 15.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 07/14/2020] [Accepted: 07/17/2020] [Indexed: 01/02/2023]
Abstract
Rationale and Objectives Medical schools were upended by the COVID-19 pandemic, resulting in suspension of all in-person educational activities, and leaving clinical clerkships on hold indefinitely. A virtual curriculum and novel teaching methods were needed to fulfill curricular requirements. We developed a comprehensive virtual radiology clerkship and evaluated the efficacy of this novel method of teaching. Materials and Methods A 4-week virtual radiology clerkship was designed to accommodate medical students who had not yet completed the required clerkship. The design included online flipped classroom modules, large group didactic lectures, and small group homeroom activities. Student performance was assessed via a standardized online final exam. Feedback from students was collected using online surveys. Student performance was compared to the in-person radiology clerkship. Results One hundred and eleven medical students were enrolled in the virtual radiology clerkship. Final exam scores were similar to the in-person clerkship. Students indicated that small group homeroom activities had the highest overall satisfaction. Students recognized enthusiastic teachers regardless of class format. Exceptional course content and organization were also noted. Course weaknesses included didactic lecture content which was repetitive or too advanced, the limited opportunity to build personal connections with faculty, and scheduling conflicts with other competing school activities. Conclusion A completely virtual radiology core clerkship can be a successful educational experience for medical students during a time when remote learning is required. A small group learning environment is most successful for student engagement. Personal connections between faculty and students can be challenging in a virtual course.
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McRoy C, Patel L, Gaddam DS, Rothenberg S, Herring A, Hamm J, Chelala L, Weinstein J, Smith E, Awan O. Radiology Education in the Time of COVID-19: A Novel Distance Learning Workstation Experience for Residents. Acad Radiol 2020; 27:1467-1474. [PMID: 32800692 PMCID: PMC7414323 DOI: 10.1016/j.acra.2020.08.001] [Citation(s) in RCA: 39] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 08/01/2020] [Accepted: 08/02/2020] [Indexed: 12/16/2022]
Abstract
RATIONALE AND OBJECTIVES The coronavirus disease of 2019 (COVID-19) pandemic has challenged the educational missions of academic radiology departments nationwide. We describe a novel cloud-based HIPAA compliant and accessible education platform which simulates a live radiology workstation for continued education of first year radiology (R1) residents, with an emphasis on call preparation and peer to peer resident learning. MATERIALS AND METHODS Three tools were used in our education model: Pacsbin (Orion Medical Technologies, Baltimore, MD, pacsbin.com), Zoom (Zoom Video Communications, San Jose, CA, zoom.us), and Google Classroom (Google, Mountain View, CA, classroom.google.com). A senior radiology resident (R2-R4) (n = 7) driven workflow was established to provide scrollable Digital Imaging and Communications in Medicine (DICOM) based case collections to the R1 residents (n = 9) via Pacsbin. A centralized classroom was created using Google Classroom for assignments, reports, and discussion where attending radiologists could review content for accuracy. Daily case collections over an 8-week period from March to May were reviewed via Zoom video conference readout in small groups consisting of a R2-R4 teacher and R1 residents. Surveys were administered to R1 residents, R2-4 residents, and attending radiologist participants. RESULTS Hundred percent of R1 residents felt this model improved their confidence and knowledge to take independent call. Seventy-eight percent of the R1 residents (n = 7/9) demonstrated strong interest in continuing the project after pandemic related restrictions are lifted. Based on a Likert "helpfulness" scale of 1-5 with 5 being most helpful, the project earned an overall average rating of 4.9. Two R2-R4 teachers demonstrated increased interest in pursuing academic radiology. CONCLUSION In response to unique pandemic circumstances, our institution implemented a novel cloud-based distance learning solution to simulate the radiology workstation. This platform helped continue the program's educational mission, offered first year residents increased call preparation, and promoted peer to peer learning. This approach to case-based learning could be used at other institutions to educate residents.
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Affiliation(s)
- Casey McRoy
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201
| | - Lakir Patel
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201
| | - Durga Sivacharan Gaddam
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201.
| | - Steven Rothenberg
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201
| | - Allison Herring
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201
| | - Jacob Hamm
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201
| | - Lydia Chelala
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201
| | - Joseph Weinstein
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201
| | - Elana Smith
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201
| | - Omer Awan
- Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201
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Zember WF, Fishman EK, Chu LC. Scabs Versus Scars: Understanding the Impact of Coronavirus Disease 2019 (COVID-19) on Short- and Long-Term Behaviors. J Am Coll Radiol 2020; 17:1352-1354. [PMID: 32857983 PMCID: PMC7836872 DOI: 10.1016/j.jacr.2020.07.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 07/28/2020] [Accepted: 07/29/2020] [Indexed: 11/15/2022]
Affiliation(s)
| | - Elliot K Fishman
- Professor, Johns Hopkins Medicine, Department of Radiology and Radiological Science, Department of Oncology and Department of Surgery. He serves as Director of Diagnostic Imaging and Body CT at JohnsHopkins University School of Medicine, Baltimore, Maryland
| | - Linda C Chu
- Associate Professor The Russell H. Morgan, Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland.
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Chertoff JD, Zarzour JG, Morgan DE, Lewis PJ, Canon CL, Harvey JA. The Early Influence and Effects of the Coronavirus Disease 2019 (COVID-19) Pandemic on Resident Education and Adaptations. J Am Coll Radiol 2020; 17:1322-1328. [PMID: 32818485 PMCID: PMC7375309 DOI: 10.1016/j.jacr.2020.07.022] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 07/20/2020] [Indexed: 10/26/2022]
Abstract
The novel coronavirus disease 2019 (COVID-19) has had a major impact on the education of trainees in the radiology environment. The precipitous drop in patient volumes and sequestering of faculty and trainees to maintain social distancing affects experiential learning. The shift of nearly all teaching settings to a virtual environment has been challenging but may also allow more interaction during teaching sessions than traditional readout sessions or didactic lectures. Faculty development is key in ensuring competence and confidence in this new environment. Recruitment of trainees using a virtual platform will require communication of opportunities as well as the culture of the department and institution as well as the community. Delay of the board examinations has caused angst as well as disruption of the timing of clinical rotations but may ultimately result in a shift of how the examinations are administered. The exceptional disruption of the COVID-19 pandemic allows us to reconsider how the educational aspects of imaging can emerge as improved in the years to come.
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Affiliation(s)
- Jocelyn D Chertoff
- Chair, Department of Radiology; Vice President, Regional Radiology Service Line, Dartmouth-Hitchcock; Professor of Radiology and of Obstetrics and Gynecology, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
| | - Jessica G Zarzour
- Program Director, Diagnostic Radiology Residency, Associate Professor, University of Alabama at Birmingham, Abdominal Imaging Section, Birmingham, Alabama
| | - Desiree E Morgan
- Professor and Vice Chair of Education, UAB Department of Radiology, Abdominal Imaging Section, University of Alabama at Birmingham, Birmingham, Alabama
| | - Petra J Lewis
- Department of Radiology, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
| | - Cheri L Canon
- Professor and Chair, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama
| | - Jennifer A Harvey
- Professor and Chair, Department of Imaging Sciences, University of Rochester, Rochester, New York.
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Senapati A, Khan N, Chebrolu LB. Impact of Social Media and Virtual Learning on Cardiology During the COVID-19 Pandemic Era and Beyond. Methodist Debakey Cardiovasc J 2020; 16:e1-e7. [PMID: 33133368 PMCID: PMC7587312 DOI: 10.14797/mdcj-16-3-e1] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Over the past decade, advances in digital trends and technology have greatly impacted the medical field with rapid delivery of and access to information. The field of cardiovascular medicine in particular has seen major technological advances and is well versed in the use of digital platforms and social media. In these unprecedented times of the COVID-19 pandemic, social media and other digital platforms are essential tools for communication, education, and delivery of information. In this review, we discuss the ways virtual learning and social media are changing medical education and research.
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Affiliation(s)
- Alpana Senapati
- HOUSTON METHODIST DEBAKEY HEART & VASCULAR CENTER, HOUSTON, TEXAS
| | - Najah Khan
- HOUSTON METHODIST HOSPITAL, HOUSTON, TEXAS
| | - L Bindu Chebrolu
- HOUSTON METHODIST DEBAKEY HEART & VASCULAR CENTER, HOUSTON, TEXAS
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Nicholas JL, Bass EL, Otero HJ. Can lessons from the COVID-19 pandemic help define a strategy for global pediatric radiology education? Pediatr Radiol 2020; 50:1641-1644. [PMID: 32889584 PMCID: PMC7474308 DOI: 10.1007/s00247-020-04822-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 08/03/2020] [Accepted: 08/18/2020] [Indexed: 01/02/2023]
Affiliation(s)
- Jennifer Lynn Nicholas
- University Hospitals Rainbow Babies and Children's Hospital, Case Western Reserve University School of Medicine, 11100 Euclid Ave., Cleveland, OH, 44106, USA.
| | - Erika Lynn Bass
- Department of Languages and Literature, University of Northern Iowa, Cedar Falls, IA, USA
| | - Hansel J Otero
- Department of Radiology, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA
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