Effectiveness of the clinical decision support tool ESR eGUIDE for teaching medical students the appropriate selection o
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RADIOLOGICAL EDUCATION
Effectiveness of the clinical decision support tool ESR eGUIDE for teaching medical students the appropriate selection of imaging tests: randomized cross-over evaluation Torsten Diekhoff 1 & Franz Kainberger 1 & Laura Oleaga 1 & Marc Dewey 1
&
Elke Zimmermann 1
Received: 17 December 2019 / Revised: 17 March 2020 / Accepted: 7 May 2020 # The Author(s) 2020
Abstract Objectives To evaluate ESR eGUIDE—the European Society of Radiology (ESR) e-Learning tool for appropriate use of diagnostic imaging modalities—for learning purposes in different clinical scenarios. Methods This anonymized evaluation was performed after approval of ESR Education on Demand leadership. Forty clinical scenarios were developed in which at least one imaging modality was clinically most appropriate, and the scenarios were divided into sets 1 and 2. These sets were provided to medical students randomly assigned to group A or B to select the most appropriate imaging test for each scenario. Statistical comparisons were made within and across groups. Results Overall, 40 medical students participated, and 31 medical students (78%) answered both sets. The number of correctly chosen imaging methods per set in these 31 paired samples was significantly higher when answered with versus without use of ESR eGUIDE (13.7 ± 2.6 questions vs. 12.1 ± 3.2, p = 0.012). Among the students in group A, who first answered set 1 without ESR eGUIDE (11.1 ± 3.2), there was significant improvement when set 2 was answered with ESR eGUIDE (14.3 ± 2.5, p = 0.013). The number of correct answers in group B did not drop when set 2 was answered without ESR eGUIDE (12.4 ± 2.6) after having answered set 1 first with ESR eGUIDE (13.0 ± 2.7, p = 0.66). Conclusion The clinical decision support tool ESR eGUIDE is suitable for training medical students in choosing the best radiological imaging modality in typical scenarios, and its use in teaching radiology can thus be recommended. Key Points • ESR eGUIDE improved the number of appropriately selected imaging modalities among medical students. • This improvement was also seen in the group of students which first selected imaging tests without ESR eGUIDE. • In the student group which used ESR eGUIDE first, appropriate selection remained stable even without the teaching tool. Keywords Random allocation . Clinical decision support systems . Diagnostic imaging . Learning . Medical students
Abbreviations ACR American College of Radiology ESR European Society of Radiology
Marc Dewey and Elke Zimmermann are equally contributing last authors. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00330-020-06942-2) contains supplementary material, which is available to authorized users. * Marc Dewey [email protected] 1
Department of Radiology, Charité – Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Freie Universitat Berlin, Charitéplatz 1, 10117 Berlin, Germany
Introduction The Choosing Wisely initiative has identified certain procedures that are not recom
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