Cited by 55Intelligent Tutoring Systems and Adaptive LearningInnovations in Medical EducationRadiology practices and education

Adaptive tutorials versus web-based resources in radiology: A mixed methods comparison of efficacy and student engagement

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Wong, Vincent, Smith, Ariella J., Hawkins, Nicholas J., Kumar, Rakesh K., Young, Noel, Kyaw, Merribel, Velan, Gary M.·2015·Academic Radiology

Abstract

Rationale and objectives Diagnostic imaging is under-represented in medical curricula globally. Adaptive tutorials, online intelligent tutoring systems that provide a personalized learning experience, have the potential to bridge this gap. However, there is limited evidence of their effectiveness for learning about diagnostic imaging.Materials and methods We performed a randomized mixed methods crossover trial to determine the impact of adaptive tutorials on perceived engagement and understanding of the appropriate use and interpretation of common diagnostic imaging investigations. Although concurrently engaged in disparate blocks of study, 99 volunteer medical students (from years 1-4 of the 6-year program) were randomly allocated to one of two groups. In the first arm of the trial on chest X-rays, one group received access to an adaptive tutorial, whereas the other received links to an existing peer-reviewed Web resource. These two groups crossed over in the second arm of the trial, which focused on computed tomography scans of the head, chest, and abdomen. At the conclusion of each arm of the trial, both groups completed an examination-style assessment, comprising questions both related and unrelated to the topics covered by the relevant adaptive tutorial. Online questionnaires were used to evaluate student perceptions of both learning resources.Results In both arms of the trial, the group using adaptive tutorials obtained significantly higher assessment scores than controls. This was because of higher assessment scores by senior students in the adaptive tutorial group when answering questions related to topics covered in those tutorials. Furthermore, students indicated significantly better engagement with adaptive tutorials than the Web resource and rated the tutorials as a significantly more valuable tool for learning.Conclusions Medical students overwhelmingly accept adaptive tutorials for diagnostic imaging. The tutorials significantly improve the understanding of diagnostic imaging by senior students.

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Crossref · 10.1016/j.acra.2015.07.002

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Authors
Wong, V., Smith, A. J., Hawkins, N. J., Kumar, R. K., Young, N., Kyaw, M., & Velan, G. M.
Affiliations
  • UNSW Sydney (AU)
  • Westmead Hospital (AU)
Corresponding author
Velan, Gary M.
Venue
Academic Radiology
Publisher
Elsevier BV
Published
2015-10
Volume
22
Issue
10
Pages
1299-1307
ISSN
1076-6332 (ISSN-L)
OpenAlex
W1923702955
Cited by
55
References
21
Citations by year
2026: 2 · 2025: 4 · 2024: 15 · 2023: 2 · 2022: 9 · 2021: 3 · 2020: 4 · 2019: 7 · 2018: 4 · 2017: 2 · 2016: 1 · 2015: 1
FWCI
2.61
Type
journal article
Language
en
Open access
Locations
  • Academic Radiology (publishedVersion)
  • PubMed (publishedVersion)
  • UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
  • UNSWorks (UNSW Sydney) (submittedVersion, cc-by-nc-nd)
Funders
University of New South Wales
Topics
  • Physical Sciences › Computer Science › Artificial Intelligence › Intelligent Tutoring Systems and Adaptive Learning
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
Keywords
intelligent tutoring systems, medical imaging education, medical students, student engagement, chest radiography, computed tomography, web-based learning resources, personalized learning, radiology curriculum
MeSH terms
Clinical Competence, Computer-Assisted Instruction, Curriculum, Humans, Surveys and Questionnaires, Radiology, Cross-Over Studies, Problem-Based Learning, Internet

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