Table 1 Analysis of the IWB/CRL sessions
Objectives of learning test requesting, interpretation and use for medical students | N = 22 |
|---|---|
1. Clinically assess the patient | 100% |
2. Identify the question/the indication | 100% |
No. of questions/indications | 2.48 ± 1.34 |
Type % (diagnosis/aetiology/prognosis/evolution/complication/treatment) | 35/70/35/22/65/9 |
Suggestion of a diagnostic test | 100% |
No. of diagnostic tests suggested | 8.05 ± 3.21 |
Mention of an indication/test | 63.6% |
• Test a hypothesis | 90.9% |
• Conform to recommendations | 0.0% |
• “Systematic approach” | 0.0% |
• Assess the time course | 63.6% |
• Adapt the treatment | 4.5% |
Appropriateness of the test regarding the diagnostic hypothesis | |
Mention of the looked-for nonclinical signs/test | 26.1% |
3. Suggest one or more hypotheses | 100% |
No. of hypotheses | 7.23 ± 2.27 |
4. Assess the potential contraindications, feasibility, requirements and risks of the diagnostic test | |
Risks and adverse events discussed | 30.4% |
Feasibility and limits discussed | 17.4% |
6. Specify the conditions for conducting the test | 31.3% |
No. of diagnostic tests interpreted | 4.36 ± 1.59 |
• Biology/laboratory | 0.90 ± 0.89 |
• Functional | 2.09 ± 1.27 |
• Imaging | 1.09 ± 0.68 |
• Nuclear medicine | 0.05 ± 0.21 |
• Cytology – Anatomic pathology | 0.05 ± 0.21 |
• Other | 0.05 ± 0.21 |
8. Verify the interpretability of the results | 23.8% |
9. Compare the results with reference values, previous personal values, post-challenge values | 100% |
No. of nonclinical signs identified | 8.57 ± 5.27 |
• No. of positive signs identified | 5.48 ± 3.14 |
• No. of negative signs identified | 3.10 ± 2.93 |
10. Interpret the results: use signs to answer the question – affirm or eliminate the hypothesis | 54.5% |