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Updated: Dec 31, 2025

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Multisite Implementation of Radiology-TEACHES (Technology-Enhanced Appropriateness Criteria Home for Education

Marc H Willis1, Alana D Newell2, Joseph Fotos3

  • 1Department of Radiology, Stanford School of Medicine, Stanford, California.

Journal of the American College of Radiology : JACR
|January 14, 2020
PubMed
Summary
This summary is machine-generated.

A novel case-based education portal improved medical learners' knowledge of health systems science, resource utilization, and patient safety. The scalable program demonstrated value across multiple institutions, enhancing appropriate imaging study selection.

Keywords:
CDSEducationHSSclinical decision supporthealth systems sciencehigh-value health caresimulation

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Area of Science:

  • Medical Education
  • Health Systems Science
  • Clinical Decision Support

Background:

  • Traditional medical curricula often lack health systems science content.
  • A pilot study showed promise for a case-based education portal.
  • The portal integrates clinical decision support at the point of order entry.

Purpose of the Study:

  • To evaluate the scalability and transferability of a novel case-based education portal.
  • To improve learner awareness and application of health systems science principles.
  • To support the transition to value-based healthcare.

Main Methods:

  • The program was implemented at eight US medical schools in 2016-2017.
  • 199 learners participated; 108 completed the module, 91 served as controls.
  • An institutional review board-approved study design was used.

Main Results:

  • Module participants achieved higher posttest scores than controls (P < .001).
  • Significant knowledge gains were observed in areas like chest radiography and adnexal cysts.
  • Most learners (70.4%) were satisfied and perceived improved ability in selecting imaging studies (65.2%).

Conclusions:

  • The case-based education portal is a promising, standardized resource for health systems science curricula.
  • Learners found the educational resource valuable and applied evidence-based guidelines effectively.
  • The program promotes cost-effective, safe, and prudent practice behaviors.