A Narrative Review on Quality Improvements for Radiology Clerkships from Medical Student Perspectives

Abstract

Radiology clerkships have the potential to give medical students a better appreciation towards the responsibilities of radiologists towards patient care, while also raising interest and improving student confidence in diagnostic imaging skills. Unfortunately, many radiology clerkships across the US have developed a reputation for being unorganized, and unengaging. This narrative review is focused on summarizing various clerkship practices performed across the US that have been well received by students, as well as specific weaknesses with the traditional clerkship format from the student perspective, with the aim of effective approaches to revamping electives to showcase the realities of the specialty while also attracting bright and motivated students. This narrative review examined 28 studies that gathered survey responses from medical students that completed radiology clerkships to determine their perceptions towards the clerkship. Major findings to be discussed in detail include weaknesses with the traditional format related to passive learning through observing, and unclear expectations for medical students, as well as certain challenges that clerkship directors may face while attempting to implement changes to their clerkship. This narrative review will also discuss specific well-received practices involving more active learning, including interactive workstations, interactive simulators, flipped classrooms, and case banks and online learning modules.

Keywords

• radiology
• clerkship
• elective
• medical student
• perception
• education