title: Chart-stimulated Recall as a Learning Tool for Improving Radiology Residents' Reports.
abstract: Workplace-based assessments gauge the highest tier of clinical competence. Chart-stimulated recall (CSR) is a workplace-based assessment method that complements chart audit with an interview based on the residents' notes. It allows evaluation of the residents' knowledge and heuristics while providing opportunities for feedback and self-reflection. We evaluated the utility of CSR for improving the radiology residents' reporting skills.
  
  
  
  Residents in each year of training were randomly assigned to an intervention group (n = 12) or a control group (n = 13). Five pre-intervention and five post-intervention reports of each resident were independently evaluated by three blinded reviewers using a modified Bristol Radiology Report Assessment Tool. The study intervention comprised a CSR interview tailored to each individual resident's learning needs based on the pre-intervention assessment. The CSR process focused on the clinical relevance of the radiology reports. Student's t test (P < .05) was used to compare pre- and post-intervention scores of each group.
  
  
  
  A total of 125 pre-intervention and 125 post-intervention reports were evaluated (total 750 assessments). The Cronbach's alpha for the study tool was 0.865. A significant improvement was seen in the cumulative 19-item score (66% versus 73%, P < .001) and the global rating score (59% versus 72%, P < .001) of the intervention group after the CSR. The reports of the control group did not demonstrate any significant improvement.
  
  
  
  CSR is a feasible workplace-based assessment method for improving reporting skills of the radiology residents.
authors.affiliation: Department of Radiology, Aga Khan University, Karachi, Pakistan.
authors.forename: Naila
authors.initials: N
authors.lastname: Nadeem
authors.affiliation: Department of Radiology, University of Texas Health Sciences Center San Antonio, 7703 Floyd Curl Drive, San Antonio, TX. Electronic address: amueed@gmail.com.
authors.forename: Abdul Mueed
authors.initials: AM
authors.lastname: Zafar
authors.affiliation: Department of Medical Education, Aga Khan University, Karachi, Pakistan.
authors.forename: Sonia
authors.initials: S
authors.lastname: Haider
authors.affiliation: Department of Medical Education, Aga Khan University, Karachi, Pakistan.
authors.forename: Rukhsana W
authors.initials: RW
authors.lastname: Zuberi
authors.affiliation: Department of Radiology, Aga Khan University, Karachi, Pakistan.
authors.forename: Muhammad Nadeem
authors.initials: MN
authors.lastname: Ahmad
authors.affiliation: Department of Radiology, University of Texas Health Sciences Center San Antonio, 7703 Floyd Curl Drive, San Antonio, TX.
authors.forename: Vijayanadh
authors.initials: V
authors.lastname: Ojili
mesh_terms: D002983:Clinical Competence; D003142:Communication; D003952:Diagnostic Imaging; D006801:Humans; D007396:Internship and Residency / Q000379:methods*; D007407:Interviews as Topic; D011446:Prospective Studies; D011871:Radiology / Q000193:education* / Q000379:methods / Q000592:standards; D011897:Random Allocation; D016037:Single-Blind Method; D013663:Teaching
keywords: Bristol Radiology Report Assessment Tool; Workplace-based assessment; chart-stimulated recall; educational assessment; radiology reports