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Clinical-year Students' Competency in Chest X-ray Interpretation: A Theoretical-based Intervention
Tarek Hegazi1, Khalid Kurdi1, Abdulaziz Alfayez1
1Department of Radiology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia.
Saudi Journal of Medicine & Medical Sciences
|May 12, 2025
Summary
Medical students
Area of Science:
- Medical Education
- Radiology
- Diagnostic Imaging
Background:
- Chest radiography interpretation is a critical skill for medical students.
- Students often exhibit weaknesses in interpreting chest X-rays.
- Limited research evaluates student competency in this area.
Purpose of the Study:
- Assess medical students' competency and confidence in chest X-ray interpretation.
- Evaluate the effectiveness of an educational intervention.
- Determine the impact of clinical history on diagnostic decision-making.
Main Methods:
- Experimental pre- and post-design study with 77 clinical-year medical students.
- Intervention involved a lecture based on Thomas and Kern's six-step approach.
- Assessments conducted before and after the intervention, with and without clinical history.
Main Results:
- Post-intervention scores significantly improved compared to pre-intervention scores (P < 0.001).
- Clinical history significantly enhanced pre-test scores (P < 0.001) and post-intervention confidence.
- High accuracy (88-97%) in diagnosing pneumoperitoneum was observed.
Conclusions:
- A lecture-based intervention significantly improved students' chest X-ray interpretation skills.
- Incorporating clinical history is crucial for enhancing diagnostic accuracy and confidence.
- Comprehensive teaching methodologies are essential in medical education.
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