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Table 1 Peyton’s Four-Step Approach for the Work-Based Learning Immersion Experience in Clinical Radiology

From: Structured work-based learning in undergraduate clinical radiology immersion experience

Peyton’s four steps to acquiring skills

Chest X-ray image reading

Patient information

Demonstration

• Pre-IE learning video

• At workplace 1, resident physician read X-ray image and dictated a radiological report at normal speed.

• Student listened and observed.

• Pre-IE learning video

• At workplace 2, resident physician conducted patient information and obtained written informed consent on MRT/CT.

• Student listened and observed.

Deconstruction

“Talk the trainee through”

• Resident physician explained the reporting rationale and algorithm slowly, step by step while dictating the report.

• Student listened and asked questions.

• Resident physician explained rationale and algorithm of patient information slowly, step by step while conducting the interview.

• Student listened and asked questions.

Comprehension

“Trainee talks the trainer through”

• Student explained every single step of the reporting algorithm before resident put it into practice.

• Resident physician dictated the radiological report.

• Student explained every single step of patient information before resident put it into practice.

• Resident physician conducted the patient information.

Execution

“Trainee does”

• Student read X-ray image and dictated the report.

• Resident supervised.

• Student informed patient on preparation for MRT/CT and obtained written informed consent.

• Resident supervised.