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Jennifer L Steele

Publications and source records attributed to Jennifer L Steele.

4 recordsLinked to original sources
PubMed2002

Learning to report.

RATIONALE AND OBJECTIVES: In radiology residency programs it is the task of residents to learn how to effectively report the findings and impressions from patient images they review, generally from an apprenticeship design. The authors sought to learn residents' perceptions of the value this apprenticeship model holds for them. MATERIALS AND METHODS: Thirty-eight residents were interviewed in a 1-month field study and asked four questions about their experiences: How did you learn to report? What formal or organized dictation instruction have you received? What feedback do you receive? What is your opinion about your experience? RESULTS: It was found that residents perceive that the apprenticeship model is inadequate when learning to report. The authors found reporting issues could be classified into three categories: perceived lack of transferable learning from observation, lack of explicit direction from faculty, and need for a more structured approach to learning. CONCLUSION: Although residents agreed that learning the skills to report would be gained eventually through the apprenticeship model, they also believed that it did not give them the confidence or competence a more structured program could provide.

Clinical Competence↗
PubMed2002

Assessing radiology resident reporting skills.

PURPOSE: To develop an Objective Structured Clinical Examination for assessing the reporting skills of radiology residents. MATERIALS AND METHODS: The approach used in this study derives from performance-based assessment, that is, tests in which actual performance of a skill is observed and measured. For this task, 29 radiology residents and five faculty members (n = 34) independently dictated reports regarding a set of 20 cases with radiographs in 1 hour. The task was performed in a controlled environment. Data were analyzed by using analysis of variance and tests for linear trends, with the expectation of increasing performance with increasing experience. RESULTS: Significant relationships were observed between subjects' experience and the mean number of cases completed (F = 4.46, P =.006), the mean number of well-specified impressions (F = 5.84, P =.001), and the mean number of urgent or discrepant findings noted (F = 3.67, P =.015). Results also demonstrated a clear linear trend of increasing performance with increasing experience with each variable (P =.002, <.001, and.002, respectively, for t tests with polynomial contrasts). CONCLUSION: The significant linear trends indicate that reporting skills increase with increasing experience in the program. This finding supports the validity of the measurement. The Objective Structured Clinical Examination provides a means of assessing radiology resident reporting skills.

Clinical Competence↗