Does the Use of a Checklist Help Medical Students in the Detection of Abnormalities on a Chest Radiograph?

Ellen M. Kok*, Abdelrazek Abed, Simon G. F. Robben

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

10 Citations (Web of Science)

Abstract

The interpretation of chest radiographs is a complex task that is prone to diagnostic error, especially for medical students. The aim of this study is to investigate the extent to which medical students benefit from the use of a checklist regarding the detection of abnormalities on a chest radiograph. We developed a checklist based on literature and interviews with experienced thorax radiologists. Forty medical students in the clinical phase assessed 18 chest radiographs during a computer test, either with (n = 20) or without (n = 20) the checklist. We measured performance and asked participants for feedback using a survey. Participants that used a checklist detected more abnormalities on images with multiple abnormalities (M = 50.1%) than participants that could not use a checklist (M = 41.9%), p = 0.04. The post-experimental survey shows that on average, participants considered the checklist helpful (M = 3.25 on a five-point scale), but also time consuming (M = 3.30 on a five-point scale). In conclusion, a checklist can help medical students to detect abnormalities in chest radiographs. Moreover, students tend to appreciate the use of a checklist as a helpful tool during the interpretation of a chest radiograph. Therefore, a checklist is a potentially important tool to improve radiology education in the medical curriculum.

Original languageEnglish
Pages (from-to)726-731
Number of pages6
JournalJournal of Digital Imaging
Volume30
Issue number6
DOIs
Publication statusPublished - Dec 2017

Keywords

  • Medical students
  • Checklist
  • Chest radiographs
  • Education, medical, teaching
  • CLINICAL HISTORY
  • SAFETY CHECKLIST
  • RADIOLOGY
  • ERROR
  • EDUCATION
  • IMAGE

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