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Incorporation of a Formalized Emergency Radiology Curriculum to Facilitate Population of a MIRC-based Digital Teaching File

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Abstract

Teaching files are integral to radiological training. Digital Imaging and Communication in Medicine compatible digital radiological data and technological advances have made digital teaching files a desirable way to preserve and share representative and/or unusual cases for training purposes. The Medical Imaging Resource Community (MIRC) system developed by the Radiological Society of North America (RSNA) is a robust multi-platform digital teaching file implementation that is freely available. An emergency radiology training curriculum developed by the American Society of Emergency Radiology (ASER) was incorporated to determine if such an approach might facilitate the entry, maintenance, and cataloguing of interesting cases. The RSNA MIRC software was obtained from the main MIRC website and installed. A coding system was developed based on the outline form of the ASER curriculum. Weekly reports were generated tallying the number of cases in each category of the curriculum. Resident participation in the entry and maintenance of cases markedly increased after incorporation of the ASER curriculum. The coding schema facilitated progress assessment. Ultimately, 454 total cases were entered into the MIRC database, representing at least 42% of the subcategories within the ASER curriculum (161 out of 376). The incorporation of the ASER emergency radiology curriculum greatly facilitated the location, cataloguing, tracking, and maintenance of representative cases and served as an effective means by which to unify the efforts of the department to develop a comprehensive teaching resource within this subspecialty. This approach and format will be extended to other educational curricula in other radiological subspecialties.

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Acknowledgements

The authors wish to acknowledge Dr. J. Robert Kirkwood, MD, FACR for his support of this project. We also thank the many residents and faculty members who contributed cases to the database and Ms. Lindsay Coughlin for data input and case management. We thank the MIRC community on the RSNA MIRC users’ forums and John Perry and Drs. William Weadock and Trongtum Tongdee in particular for useful conversations and suggestions. We also thank Ms. Sharon Wayne for proofreading the manuscript.

Competing interests

The authors state that they have no competing interests.

Authors' contributions

FJW developed the project, installed the necessary software, analyzed the data, entered cases into the database, and wrote and reviewed the manuscript.

SK entered cases into the database, participated in coordination of the project, and reviewed and edited the final manuscript.

DD entered cases into the database, participated in coordination of the project, and reviewed and edited the final manuscript.

SOC contributed to the conceptual development of the project, case entry, coordination of the project, faculty and resident recruitment, and reviewed and edited the final manuscript.

BC contributed to the conceptual development of the project, case identification, faculty and resident recruitment, and reviewed and edited the final manuscript.

Author information

Correspondence to Frank J. Welte.

Electronic supplementary material

Below is the link to the electronic supplementary material.

(AVI 38.4 MB)

ESM 1

Additional File 1—Sample Data Report. This PDF file contains a sample report that was distributed to section Chiefs and residents to inform them of which case types were still missing from the archive. The report also contains a list of all of the modified ASER codes used to tag cases as they were entered for later tracking. (PDF 177 KB)

ESM 2

Additional File 2—MIRC Case Entry Guide. This PDF file contains a detailed step-by-step guide specific to our site for authoring cases. This guide was distributed to all participating physicians via e-mail for reference. (PDF 4.44 MB)

ESM 3

(AVI 38.4 MB)

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Welte, F.J., Kim, S.C., Doshi, D.J. et al. Incorporation of a Formalized Emergency Radiology Curriculum to Facilitate Population of a MIRC-based Digital Teaching File. J Digit Imaging 23, 226–237 (2010) doi:10.1007/s10278-009-9178-8

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Key words

  • Medical Imaging Resource Center (MIRC)
  • electronic teaching file
  • emergency radiology
  • experiential
  • Extensible Markup Language (XML)
  • web technology
  • computers in medicine
  • computer communication networks
  • data mining
  • database management systems
  • digital libraries
  • education
  • medical
  • image libraries
  • radiology teaching files
  • teaching