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Assessing & fulfilling the need for teaching on Radiology requesting for fifth year medical students
EP30614
Poster Title: Assessing & fulfilling the need for teaching on Radiology requesting for fifth year medical students
Submitted on 20 Sep 2019
Author(s): Dr Hina Khan, Dr Rathinasabapathy Rajmohan, Mr Ahmed Hawash
Affiliations: University Hospitals Birmingham
This poster was presented at BIR Annual Congress 2019
Poster Views: 98
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Poster Information
Abstract: Objectives
Identify whether fifth year medical students from the University of Birmingham Medical School were competent and confident in completing radiology request forms, in accordance with guidelines set out by the Royal College of Radiologists (RCR).
Identify whether a teaching session would be beneficial to this learning.

METHODS
A virtual ward round was conducted where eighteen fifth year medical students were given radiology request forms to complete. Forms were then marked against standards set by the RCR. Following this assessment, a teaching session was delivered, involving simulated form completion and discussion of issues which may be faced in practice. A re-assessment with a new case was then carried out in the same format.

RESULTS
80% of students completed demographics, however, 0% included required information in the ‘examination and relevant previous investigations’ section. 60% included a complete presenting complaint and relevant past medical history and less than half included a question to be addressed through the scan. Following the teaching session and reassessment, results showed significant improvement across all domains. 100% of students met the requirements in 8 out of 10 RCR standards and 100% of students felt that the teaching session was helpful to their future practice and that their confidence had improved.

CONCLUSION
Completing radiology request forms commonly falls down to the most junior doctors. Yet currently the undergraduate curriculum does not prepare students for this responsibility. This study highlights the importance of including formal teaching on this, including opportunities to practice radiological requesting regularly throughout their course.
Summary: Radiology requests contain vital information required to interpret the resulting scan. Incomplete or inaccurate clinical history play a role in up to 2% of errors in reporting. Completing these requests almost always fall down to the responsibility of the most junior doctors; FY1s. Yet currently the undergraduate curriculum does not prepare students for this responsibility. In this project, we looked to confirm whether there is a need for this teaching and then implement the change if required.References: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5265198
https://www.irefer.org.uk/guidelines/about-guidelines/communication-radiology-service
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