Clinical-year Students’ Competency in Chest X-ray Interpretation: A Theoretical-based Intervention
Background: Chest radiography is important in detecting chest abnormalities, an essential skill for medical students during their transition into clinical years. Although critical, limited research has evaluated students’ competencies in chest X-ray interpretation, a recognized area of weakness. Obj...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Saudi Journal of Medicine and Medical Sciences |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/sjmms.sjmms_623_24 |
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| author | Tarek Hegazi Khalid Kurdi Abdulaziz Alfayez Ali Alhammad Abdullah Aldakheel Rakan Alshahrani Ghazi Alotaibi Muhannad AlQahtani Mu’taman Jarrar Hussain Abu Al Ola Abdulmohsen Al Elq |
| author_facet | Tarek Hegazi Khalid Kurdi Abdulaziz Alfayez Ali Alhammad Abdullah Aldakheel Rakan Alshahrani Ghazi Alotaibi Muhannad AlQahtani Mu’taman Jarrar Hussain Abu Al Ola Abdulmohsen Al Elq |
| author_sort | Tarek Hegazi |
| collection | DOAJ |
| description | Background:
Chest radiography is important in detecting chest abnormalities, an essential skill for medical students during their transition into clinical years. Although critical, limited research has evaluated students’ competencies in chest X-ray interpretation, a recognized area of weakness.
Objectives:
This study aims to (1) assess medical students’ competencies and confidence in chest X-ray interpretation, (2) measure the effectiveness of an educational intervention, and (3) determine the influence of clinical history on students’ decision-making.
Materials and Methods:
This experimental pre- and post-design study included clinical-year students from College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia, and was conducted between November 2022 and April 2023. It was executed in three phases: pre-intervention assessment, an intervention involving a lecture based on Thomas and Kern’s six-step approach, and a post-intervention assessment.
Results:
The study comprised 77 students. Mean self-reported knowledge and confidence scores were 3.08 ± 0.6 and 2.78 ± 0.7, respectively. There was a significant difference in the mean scores for the pre-test without clinical history (6.29 ± 2.38) compared with the pre-test with clinical history scores (8.58 ± 2.65) (P < 0.001). Post-intervention scores were also significant (9.40 ± 2.91) compared to both pre-tests without and with clinical history (P < 0.001 and 0.034, respectively). Students exhibited high accuracy in diagnosing pneumoperitoneum with and without clinical history (88% and 97%, respectively). Confidence scores were elevated when clinical history was provided and the students had access to their patients’ histories.
Conclusions:
A lecture-based intervention built on Thomas and Kern’s approach markedly enhanced students’ capacities to interpret chest X-rays. Integrating clinical history proved beneficial, underscoring the necessity for comprehensive teaching methodologies in medical education. |
| format | Article |
| id | doaj-art-7832582b00cd4fc684f1cce83ec8e3e4 |
| institution | OA Journals |
| issn | 1658-631X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Medicine and Medical Sciences |
| spelling | doaj-art-7832582b00cd4fc684f1cce83ec8e3e42025-08-20T02:27:40ZengWolters Kluwer Medknow PublicationsSaudi Journal of Medicine and Medical Sciences1658-631X2025-04-0113213314110.4103/sjmms.sjmms_623_24Clinical-year Students’ Competency in Chest X-ray Interpretation: A Theoretical-based InterventionTarek HegaziKhalid KurdiAbdulaziz AlfayezAli AlhammadAbdullah AldakheelRakan AlshahraniGhazi AlotaibiMuhannad AlQahtaniMu’taman JarrarHussain Abu Al OlaAbdulmohsen Al ElqBackground: Chest radiography is important in detecting chest abnormalities, an essential skill for medical students during their transition into clinical years. Although critical, limited research has evaluated students’ competencies in chest X-ray interpretation, a recognized area of weakness. Objectives: This study aims to (1) assess medical students’ competencies and confidence in chest X-ray interpretation, (2) measure the effectiveness of an educational intervention, and (3) determine the influence of clinical history on students’ decision-making. Materials and Methods: This experimental pre- and post-design study included clinical-year students from College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia, and was conducted between November 2022 and April 2023. It was executed in three phases: pre-intervention assessment, an intervention involving a lecture based on Thomas and Kern’s six-step approach, and a post-intervention assessment. Results: The study comprised 77 students. Mean self-reported knowledge and confidence scores were 3.08 ± 0.6 and 2.78 ± 0.7, respectively. There was a significant difference in the mean scores for the pre-test without clinical history (6.29 ± 2.38) compared with the pre-test with clinical history scores (8.58 ± 2.65) (P < 0.001). Post-intervention scores were also significant (9.40 ± 2.91) compared to both pre-tests without and with clinical history (P < 0.001 and 0.034, respectively). Students exhibited high accuracy in diagnosing pneumoperitoneum with and without clinical history (88% and 97%, respectively). Confidence scores were elevated when clinical history was provided and the students had access to their patients’ histories. Conclusions: A lecture-based intervention built on Thomas and Kern’s approach markedly enhanced students’ capacities to interpret chest X-rays. Integrating clinical history proved beneficial, underscoring the necessity for comprehensive teaching methodologies in medical education.https://journals.lww.com/10.4103/sjmms.sjmms_623_24chest x-raycompetencyinterpretationmedical studentsmedical educationsaudi arabia |
| spellingShingle | Tarek Hegazi Khalid Kurdi Abdulaziz Alfayez Ali Alhammad Abdullah Aldakheel Rakan Alshahrani Ghazi Alotaibi Muhannad AlQahtani Mu’taman Jarrar Hussain Abu Al Ola Abdulmohsen Al Elq Clinical-year Students’ Competency in Chest X-ray Interpretation: A Theoretical-based Intervention Saudi Journal of Medicine and Medical Sciences chest x-ray competency interpretation medical students medical education saudi arabia |
| title | Clinical-year Students’ Competency in Chest X-ray Interpretation: A Theoretical-based Intervention |
| title_full | Clinical-year Students’ Competency in Chest X-ray Interpretation: A Theoretical-based Intervention |
| title_fullStr | Clinical-year Students’ Competency in Chest X-ray Interpretation: A Theoretical-based Intervention |
| title_full_unstemmed | Clinical-year Students’ Competency in Chest X-ray Interpretation: A Theoretical-based Intervention |
| title_short | Clinical-year Students’ Competency in Chest X-ray Interpretation: A Theoretical-based Intervention |
| title_sort | clinical year students competency in chest x ray interpretation a theoretical based intervention |
| topic | chest x-ray competency interpretation medical students medical education saudi arabia |
| url | https://journals.lww.com/10.4103/sjmms.sjmms_623_24 |
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