A problem-based learning experience in a radiology rotation for sixth-year medical students

C. Lozano Terrón , R. Lorenzo Álvarez , F. Sendra Portero
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Abstract

Objective

To analyse a problem-based learning experience (PBL) in the sixth year of medicine, within a course organised in successive rotations of 12 school days for 7 annual groups.

Material and methods

Each group was divided into subgroups of 6–8 students. Each subgroup was assigned two cases with radiographic images that they had to prepare and present in a joint session in which the students discussed each case and the teacher acted as moderator, without providing solutions. Finally, they had 15 days to complete the debate in an online forum and prepare a written report on each case.

Results

During 6 consecutive years, 1001 students participated, whose annual grades ranged between 7.7 ± 1.6 and 9.0 ± 0.7 (mean ± standard deviation). No correlation was found between the degree of difficulty assigned to the cases and the mean score obtained by each group (R2 = 0.0115). Sixty-six point two percent completed a questionnaire rating various aspects of this experience above 4 out of 5 points and providing overall scores above 8.3 out of 10 points in the different years. The students found this experience appropriate to the objectives of the subject and useful for their educational needs.

Conclusions

PBL allows students to acquire skills of understanding, reasoning and deepening in radiological diagnosis. This study demonstrates that an experience based on PBL can be included in a radiology course organised in a traditional way, allowing students to be graded regardless of the difficulty of the cases.

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六年级医学生在放射学轮转中开展基于问题的学习体验
材料和方法每个小组分为 6-8 人的分组。每个小组分配两个带有放射影像的病例,他们必须准备好这些病例,并在联合会议上展示。最后,他们有 15 天的时间在网上论坛完成辩论,并就每个病例准备一份书面报告。结果连续 6 年,共有 1001 名学生参加,他们的年度成绩介于 7.7 ± 1.6 和 9.0 ± 0.7 之间(平均值 ± 标准差)。案例的难易程度与各组平均得分之间没有相关性(R2 = 0.0115)。有 66.2%的学生在调查问卷中对这次体验的各个方面给予了 4 分以上(满分 5 分)的评价,在不同年份的总分均超过了 8.3 分(满分 10 分)。学生们认为这种体验符合学科目标,对他们的教育需求很有帮助。这项研究表明,基于 PBL 的体验可以纳入以传统方式组织的放射学课程中,无论病例的难度如何,都可以对学生进行评分。
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