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DOI: 10.1055/s-2007-963509
© Georg Thieme Verlag KG Stuttgart · New York
Radiologie in einem prägraduellen problembasiert-integrierten Medizincurriculum
Diagnostic Imaging in Pregraduate Integrated CurriculaPublication History
eingereicht: 6.11.2006
angenommen: 9.8.2007
Publication Date:
19 October 2007 (online)

Zusammenfassung
Prägraduelle medizinische Curricula unterliegen gegenwärtig einem Reformprozess mit einer Abkehr von traditionellen, nach Fächern aufgebauten Studien und einer Hinwendung zu problembasiert integrierten Studien. Von dieser Entwicklung ist auch der Fachbereich Radiologie betroffen, in dem durch kürzer werdende Innovationszyklen bei bildgebenden Verfahren dieser Paradigmenwechsel weiter beschleunigt wird. Für den radiologischen Unterricht erscheint die Festlegung von aus didaktischen Kernkompetenzen abgeleiteten Lernzielen für die drei Schwerpunkte In-vivo-Visualisierung von Anatomie und Organfunktion, Diagnostik sowie interventionelle Therapie sinnvoll. Darauf aufbauend sind adäquate Unterrichtsformen zu entwickeln, in die E-Learning-Angebote einbezogen werden sollten. Das Konzept des fallbasierten Lernens bietet eine sinnvolle Unterstützung. Durch die Erstellung und Nutzung radiologischen Bildmaterials zu Lehrzwecken kann sich das Fach Radiologie, indem Aufgaben aus den Bereichen Anatomie, Pathologie und Entscheidungsfindung übernommen werden, zu einem zentralen Gegenstand moderner Curricula entwickeln. Am Beispiel des Wiener Curriculum-Modells wird die Implementierung eines unter diesen Prämissen gestalteten radiologischen Unterrichts dargelegt.
Abstract
Pregraduate medical curricula are currently undergoing a reform process that is moving away from a traditional discipline-related structure and towards problem-based integrated forms of teaching. Imaging sciences, with their inherently technical advances, are specifically influenced by the effects of paradigm shifts in medical education. The teaching of diagnostic radiology should be based on the definition of three core competencies: in vivo visualization of normal and abnormal morphology and function, diagnostic reasoning, and interventional treatment. On the basis of these goals, adequate teaching methods and e-learning tools should be implemented by focusing on case-based teaching. Teaching materials used in the fields of normal anatomy, pathology, and clinical diagnosis may help diagnostic radiology to play a central role in modern pregraduate curricula.
Key words
curriculum - education - medical - undergraduate methods - radiology education - professional practice standards - clinical competence - computer-assisted instruction - e-learning
Literatur
- 1
Harden R, Sowden S, Funn W.
Educational strategies in curriculum development: The SPICES-model.
Med Educ.
1984;
18
284-297
Reference Ris Wihthout Link
- 2
Christensen L.
The Bologna Process and medical education.
Med Teach.
2004;
26
625-629
Reference Ris Wihthout Link
- 3
WFME .
Global Standards for Quality Improvement - Basic Medical Education.
2003;
, www.wfme.org
Reference Ris Wihthout Link
- 4
Buckenham T.
Teaching imaging to undergraduates: strategies and expectations.
N Z Med J.
2005;
118
U1698
Reference Ris Wihthout Link
- 5
Elnicki D M, Londen van J, Hemmer P A. et al .
U. S. and Canadian internal medicine clerkship directors’ opinions about teaching
procedural and interpretive skills to medical students.
Acad Med.
2004;
79
1108-1113
Reference Ris Wihthout Link
- 6
Gunderman R B.
Ingredients of successful medical student teaching.
AJR Am J Roentgenol.
2004;
182
1115-1117
Reference Ris Wihthout Link
- 7
Collins J.
Medical education research: challenges and opportunities.
Radiology.
2006;
240
639-647
Reference Ris Wihthout Link
- 8
Chew F S.
Distributed radiology clerkship for the core clinical year of medical school.
Acad Med.
2002;
77
1162-1163
Reference Ris Wihthout Link
- 9
Collins J, Dotti S L, Albanese M A.
Teaching radiology to medical students: an integrated approach.
Acad Radiol.
2002;
9
1046-1053
Reference Ris Wihthout Link
- 10
Ekelund L, Elzubeir M.
Diagnostic radiology in an integrated curriculum: evaluation of student appraisal.
Acad Radiol.
2000;
7
965-970
Reference Ris Wihthout Link
- 11
Gunderman R B, Siddiqui A R, Heitkamp D E. et al .
The vital role of radiology in the medical school curriculum.
AJR Am J Roentgenol.
2003;
180
1239-1242
Reference Ris Wihthout Link
- 12
Gunderman R B, Alexander S, Jackson V P. et al .
The value of good medical student teaching: increasing the number of radiology residency
applicants.
Acad Radiol.
2000;
7
960-964
Reference Ris Wihthout Link
- 13 Bloom B. Taxonomy of educational objectives: the classification of educational goals: Handbook
I, cognitive domain. New York, Toronto; Langmans, Green 1956: 4-88
Reference Ris Wihthout Link
- 14
Miller G.
The assessment of clinical skills/competence/performance.
Acad Med.
1990;
65
563-567
Reference Ris Wihthout Link
- 15 Bürgi H, Bader C, Bloch R. et al .Swiss Catalogue of Learning Objectives for Undergraduate Medical Training. Joint Converence of Swiss Medical Faculties (SMIFK) Geneva; 2002
Reference Ris Wihthout Link
- 16
Shannon S.
Self-directed learning and continuing professional development.
Can Assoc Radiol J.
2000;
51
326-327
Reference Ris Wihthout Link
- 17
Peterson C.
Factors associated with success or failure in radiological interpretation: diagnostic
thinking approaches.
Med Educ.
1999;
33
251-259
Reference Ris Wihthout Link
- 18
Rogers L F.
Imaging literacy: a laudable goal in the education of medical students.
AJR Am J Roentgenol.
2003;
180
1201
Reference Ris Wihthout Link
- 19 Erikson U. Pregraduate Training in Radiology in Europe. European Association of Radiology EAR Access 2000 http://www.ear-online.org/
Reference Ris Wihthout Link
- 20 Shaffer K, Lewis P. AMSER National Medical Student Curriculum in Radiology. Alliance of Medical Student
Educators in Radiology (AMSER) Access. 2004 http://www.aur.org/amser/
Reference Ris Wihthout Link
- 21
Subramaniam R, Beckley V, Chan M. et al .
Radiology curriculum topics for medical students: students’ perspectives.
Acad Radiol.
2006;
13
880-884
Reference Ris Wihthout Link
- 22
Gunderman R, Williamson K, Fraley R. et al .
Expertise: implications for radiological education.
Acad Radiol.
2001;
8
1252-1256
Reference Ris Wihthout Link
- 23
Ernst R D, Sarai P, Nishino T. et al .
Transition from film to electronic media in the first-year medical school gross anatomy
lab.
J Digit Imaging.
2003;
16
337-340
Reference Ris Wihthout Link
- 24
McLachlan J C, Patten D.
Anatomy teaching: ghosts of the past, present and future.
Med Educ.
2006;
40
243-253
Reference Ris Wihthout Link
- 25
Arger P H, Schultz S M, Sehgal C M. et al .
Teaching medical students diagnostic sonography.
J Ultrasound Med.
2005;
24
1365-1369
Reference Ris Wihthout Link
- 26
Erkonen W E, Albanese M A, Smith W L. et al .
Effectiveness of teaching radiologic image interpretation in gross anatomy. A long-term
follow-up.
Invest Radiol.
1992;
27
264-266
Reference Ris Wihthout Link
- 27
Heilo A, Hansen A, Holck P. et al .
Ultrasound ‘electronic vivisection’ in the teaching of human anatomy for medical students.
Eur J Ultrasound.
1997;
5
203-207
Reference Ris Wihthout Link
- 28
Miles K A.
Diagnostic imaging in undergraduate medical education: an expanding role.
Clin Radiol.
2005;
60
742-745
Reference Ris Wihthout Link
- 29
Shaffer K, Small J E.
Blended learning in medical education: use of an integrated approach with web-based
small group modules and didactic instruction for teaching radiologic anatomy.
Acad Radiol.
2004;
11
1059-1070
Reference Ris Wihthout Link
- 30
Teichgraber U K, Meyer J M, Poulsen Nautrup C. et al .
Ultrasound anatomy: a practical teaching system in human gross anatomy.
Med Educ.
1996;
30
296-298
Reference Ris Wihthout Link
- 31
Novelline R A, Scheiner J D, Mehta A. et al .
Preparing medical students for a filmless environment: instruction on the preparation
of electronic case presentations from PACS.
Acad Radiol.
2001;
8
266-268
Reference Ris Wihthout Link
- 32
Bowen J L.
Educational strategies to promote clinical diagnostic reasoning.
N Engl J Med.
2006;
355
2217-2225
Reference Ris Wihthout Link
- 33
Scheiner J D, Novelline R A.
Radiology clerkships are necessary for teaching medical students appropriate imaging
work-ups.
Acad Radiol.
2000;
7
40-45
Reference Ris Wihthout Link
- 34 Armstrong P, Ringertz H, Bischof Delaloye A. Referral guidelines for imaging. Luxembourg; European Commission Directorate-General for the Environment 2001: 44-58
Reference Ris Wihthout Link
- 35 Frühwald F, Imhof H, Kletter K. Orientierungshilfe Radiologie. Anleitung zum optimalen Einsatz der klinischen Radiologie.
3 rd ed. Wien; Verlag der Österreichischen Ärztekammer 2006: 2-47
Reference Ris Wihthout Link
- 36 Strauss S, Richardson W, Glasziou P. et al .Evidence-based Medicine. How to practice and teach EBM. 3 rd ed. Edinburgh; Elsevier Churchill Livingstone 2005: 67-99
Reference Ris Wihthout Link
- 37
Williamson K B, Kang Y P, Steele J L. et al .
The art of asking: teaching through questioning.
Acad Radiol.
2002;
9
1419-1422
Reference Ris Wihthout Link
- 38
Chew F S, Ochoa E R Jr, Relyea-Chew A.
Application of the case method in medical student radiology education.
Acad Radiol.
2005;
12
746-751
Reference Ris Wihthout Link
- 39
Collins J.
Keys to educator effectiveness in radiology.
Acad Radiol.
2006;
13
641-643
Reference Ris Wihthout Link
- 40
Committee TMPPTRP .
Medical Professionalism in the New Millennium: A Physicians’ Charter.
Radiology.
2006;
238
383-386
Reference Ris Wihthout Link
- 41
Gunderman R B, Kang Y P, Fraley R E. et al .
Teaching the teachers.
Radiology.
2002;
222
599-603
Reference Ris Wihthout Link
- 42
Hofer M, Abanador N, Modder U.
Effektive Didaktiktrainings fur Dozenten von CME-Fortbildungen (Continuing Medical
Education).
Fortschr Röntgenstr.
2005;
177
1290-1296
Reference Ris Wihthout Link
- 43
Levine M S.
Primer for clinician scholars in academic radiology.
Radiology.
2004;
231
622-627
Reference Ris Wihthout Link
- 44
Amorosa J K.
How do I mentor medical students interested in radiology?.
Acad Radiol.
2004;
11
91-95
Reference Ris Wihthout Link
- 45
Levine M S.
The art of clinical research with medical students.
Acad Radiol.
2003;
10
527-535
Reference Ris Wihthout Link
- 46
Gunderman R B.
Learning to share.
AJR Am J Roentgenol.
2005;
185
844-847
Reference Ris Wihthout Link
- 47
Gessel van E, Nendaz M R, Vermeulen B. et al .
Development of clinical reasoning from the basic sciences to the clerkships: a longitudinal
assessment of medical students’ needs and self-perception after a transitional learning
unit.
Med Educ.
2003;
37
966-974
Reference Ris Wihthout Link
- 48
Myint P K, Sabanathan K.
Role of grand rounds in the education of hospital doctors.
Hosp Med.
2005;
66
297-299
Reference Ris Wihthout Link
- 49
Collins J.
Education techniques for lifelong learning: writing multiple-choice questions for
continuing medical education activities and self-assessment modules.
Radiographics.
2006;
26
543-551
Reference Ris Wihthout Link
- 50
Aitken V, Tabakov S.
Evaluation of the e-Learning material developed by EMERALD and EMIT for diagnostic
imaging and radiotherapy.
Med Eng Phys.
2005;
27
633-639
Reference Ris Wihthout Link
- 51
Gotthardt M, Siegert M J, Schlieck A. et al .
How to successfully implement E-learning for both students and teachers.
Acad Radiol.
2006;
13
379-390
Reference Ris Wihthout Link
- 52
Wagner M, Heckemann R A, Nomayr A. et al .
COMPARE/Radiology, an interactive Web-based radiology teaching program evaluation
of user response.
Acad Radiol.
2005;
12
752-760
Reference Ris Wihthout Link
- 53
Maleck M, Fischer M R, Kammer B. et al .
Do computers teach better? A media comparison study for case-based teaching in radiology.
Radiographics.
2001;
21
1025-1032
Reference Ris Wihthout Link
- 54
Seitz J, Schubert S, Volk M. et al .
Evaluation radiologischer Lernprogramme im Internet.
Radiologe.
2003;
43
66-76
Reference Ris Wihthout Link
- 55
Tello R, Davison B D, Blickman J G.
The virtual course: delivery of live and recorded continuing medical education material
over the Internet.
AJR Am J Roentgenol.
2000;
174
1519-1521
Reference Ris Wihthout Link
- 56
Trumm C, Dugas M, Wirth S. et al .
Digitales Lehrarchiv Konzept, Implementation und Erfahrungen im universitaren Umfeld.
Radiologe.
2005;
45
724-734
Reference Ris Wihthout Link
- 57 Niegemann H, Hessel S, Hochscheid-Mauel D. et al .Kompendium E-Learning. Heidelberg, Berlin; Springer 2004: 19-94
Reference Ris Wihthout Link
- 58
Jedrusik P, Preisack M, Dammann F.
Vereinfachte Herstellung multimedialer radiologischer Lernobjekte mit dem Flash-Format.
Fortschr Röntgenstr.
2005;
177
1009-1015
Reference Ris Wihthout Link
- 59
Hoa D, Micheau A, Gahide G.
Creating an interactive Web-based e-learning course: a practical introduction for
radiologists.
Radiographics.
2006;
26
e25; quiz e25
Reference Ris Wihthout Link
- 60
Teplick S K, Berlin L, Cascade P. et al .
Medical professionalism in the new millennium: a physicians’ charter.
Radiology.
2006;
238
383-386
Reference Ris Wihthout Link
- 61 Praschinger A, Stieger S, Kletter K. et al .Diagnostic rounds in undergraduate medical education - are they an effective teaching
method?. Genua; International Association for Medical Education AMEE 2006: 215
Reference Ris Wihthout Link
Prof. Franz Kainberger
Universitätsklinik für Radiodiagnostik
Waehringer Güertel 18 - 20
1090 Wien, Österreich
Phone: ++ 43/1/4 04 00 48 18
Fax: ++ 43/1/4 04 00 48 98
Email: franz.kainberger@meduniwien.ac.at