The use of livestreaming X-ray examinations to develop clinical skills in student radiographers: A pilot study

Due to a range of service demands on both radiography and education providers, there is growing pressure to find alternative approaches to providing effective practice-based learning experiences. This pilot project explored the use of live video streaming from a diagnostic imaging department to learners in an adjacent room with synchronous, two-way communication.

Staff, student and service user experience was investigated via a qualitative exploratory approach, using empathy mapping, observations and interviews. A clinical skills tutor undertook X-ray examinations on real patients in a radiography clinical skills suite. One or two students were directly involved in the examination, whilst the remaining student participants engaged remotely via live streaming.

Data was analysed using inductive reasoning, resulting in the emergence of seven final engagement insights: 1) learning through technology, 2) clarity consent and ethical engagement, 3) empathy communication and patient-centred care, 4) student reflection, confidence and growth, 5) technical judgement and safety awareness, 6) student engagement during non-patient intervals, 7) reflective tools as pedagogical connectors.

The blend of live observation and instructional commentary gave students the opportunity to observe subtle, relational aspects of care. Identifying changes to tone of voice, body language and facial expressions enabled students to see the immediate effect of communication strategies. This shared, immersive experience combined with facilitated reflection and structured debrief, led to deeper levels of reflection.

This study suggests that it is possible to provide rich human-centred clinical learning which extends beyond traditional placement settings. VCE could be considered as an adjunct to clinical placements and simulation within the radiography curriculum.