Case-oriented computer-based-training in radiology: concept, implementation and evaluation.
BACKGROUND
Providing high-quality clinical cases is important for teaching radiology. We developed, implemented and evaluated a program for a university hospital to support this task.


METHODS
The system was built with Intranet technology and connected to the Picture Archiving and Communications System (PACS). It contains cases for every user group from students to attendants and is structured according to the ACR-code (American College of Radiology) 2. Each department member was given an individual account, could gather his teaching cases and put the completed cases into the common database.


RESULTS
During 18 months 583 cases containing 4136 images involving all radiological techniques were compiled and 350 cases put into the common case repository. Workflow integration as well as individual interest influenced the personal efforts to participate but an increasing number of cases and minor modifications of the program improved user acceptance continuously. 101 students went through an evaluation which showed a high level of acceptance and a special interest in elaborate documentation.


CONCLUSIONS
Electronic access to reference cases for all department members anytime anywhere is feasible. Critical success factors are workflow integration, reliability, efficient retrieval strategies and incentives for case authoring.
Dugas
M
M
Department of Medical Informatics, Biometrics and Epidemiology (IBE), University of Munich, Marchioninistr 15, D-81377 Munich, Germany. dug@ibe.med.uni-muenchen.de
Trumm
C
C
Stäbler
A
A
Pander
E
E
Hundt
W
W
Scheidler
J
J
Brüning
R
R
Helmberger
T
T
Waggershauser
T
T
Matzko
M
M
Reiser
M
M
D003195:Computer Communication Networks; D003194:Computer-Assisted Instruction / Q000379:methods; D003201:Computers; D005858:Germany; D006785:Hospitals, University; D007396:Internship and Residency; D015397:Program Evaluation; D011871:Radiology / Q000193:education*; D011872:Radiology Department, Hospital; D011873:Radiology Information Systems; D012984:Software; D011795:Surveys and Questionnaires