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Between Autonomy and Structure: The Influence of Clerkship Format on Undergraduate Training in Radiology
Agreen Horr1, Mehmet Mert Sarikaya1, Hannes Öing1
1University Hospital Schleswig-Holstein - Campus Kiel, Clinic for Radiology and Neuroradiology, Schleswig-Holstein, Germany, Kiel.
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|July 10, 2026
Summary
Structured radiology clerkships enhance imaging exposure and reduce monotony for medical students. Self-directed formats boost autonomy and interest in radiology, suggesting hybrid models may offer optimal training.
Area of Science:
- Medical Education
- Radiology Training
- Diagnostic Imaging
Background:
- Radiology clerkships are a key introduction to diagnostic imaging for medical students.
- Clerkship organizational designs vary, impacting student experiences.
Purpose of the Study:
- To compare the impact of structured versus self-directed radiology clerkship formats on medical student experiences.
- To evaluate differences in learning outcomes and student satisfaction between two distinct educational approaches.
Main Methods:
- A single-center prospective cohort study compared self-directed and structured radiology clerkships over two years.
- Anonymous questionnaires evaluated student experiences, with data analyzed using the Mann-Whitney U-test.
Main Results:
- Students in structured clerkships reported greater exposure to imaging modalities and lower perceived monotony.
- Self-directed clerkships led to higher ratings for pursuing personal interests and increased interest in radiology as a specialty.
Conclusions:
- Structured clerkships facilitate orientation and reduce stress, while self-directed formats foster autonomy and motivation.
- Hybrid educational models may effectively combine the benefits of both structured and self-directed learning approaches in radiology.
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