Axial Skeletal Image Interpretation

Module title	Axial Skeletal Image Interpretation
Module code	PAMM106
Academic year	2019/0
Credits	15
Module staff	Ms Lucy Banfield (Convenor)

Duration: Term	1	2	3
Duration: Weeks	1	2	2

Number students taking module (anticipated)	20

Module description

To develop the students understanding and knowledge of the axial skeleton and to develop their image interpretation skills. This module will allow for a comprehensive understanding of axial skeletal trauma and will allow for either application of the knowledge gained in the musculoskeletal pathology module, or revision of prior learning.

Students undertaking this module should be familiar with projection radiography images and have an understanding of anatomy. This module alone does not prove competence to provide definitive medical reports, professionals undertaking it will be able to use their knowledge and skills to enhance the service they provide according to their employer's policies.

Module aims - intentions of the module

This module aims to support you in developing your knowledge of the axial skeleton. This module will introduce you to the various presenting mechanisms of injury and will enable you to identify the radiological appearances of trauma commonly associated with the axial skeleton. The module will also consolidate your knowledge and understanding of various musculoskeletal pathologies in addition to normal variants.

The module will develop and enhance your image interpretation abilities and as a result you will be able to demonstrate a deeper understanding of how the clinical picture relates to the image findings.

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

1. Analyse, interpret and critically evaluate radiographic images of the axial skeleton including complex cases.
2. Use clinical reasoning and critical judgement in the process of image interpretation of the axial skeleton and demonstrate comprehension of the resultant clinical decision making process.
3. Use the current evidence base to inform knowledge and demonstrate understanding of pathologies and trauma appearances of the axial skeleton.

ILO: Discipline-specific skills

On successfully completing the module you will be able to...

4. Demonstrate a systematic understanding of medical vocabulary and use accurate terminology to describe image findings precisely.
5. Undertake analysis of complex image findings and cases and apply advanced theoretical knowledge in the evaluation of findings in the context of the most recent evidence-base
6. Evaluate the context of the radiological image interpretation and how it may impact on the subsequent management of the patient based on the current evidence base

ILO: Personal and key skills

On successfully completing the module you will be able to...

7. Identify, evaluate and maintain qualities to support effective communication in a range of complex and specialised contexts.
8. Exercise initiative and personal responsibility for independent learning and continuing professional development.

Syllabus plan

Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows:

Develop a comprehensive understanding of:

Normal axial skeletal anatomy and normal variants
Axial musculoskeletal pathology
Mechanism of injury and radiological appearances
The appearances of minor and major axial skeletal trauma
Use and application of correct medical terminology
Appropriate construction of radiological reports
Demonstrate an awareness of image quality
Appropriate diagnostic pathway and clinical decision making

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching Activities	Guided independent study	Placement / study abroad
25	125	0

Details of learning activities and teaching methods

Category	Hours of study time	Description
Scheduled Learning and Teaching Activities	10	Test banks - practical image viewing sessions
Scheduled Learning and Teaching Activities	15	Lectures - delivered by a variety of practitioners experienced in clinical image interpretation. Lectures will be delivered over 5 university contact days and will involve; lectures/seminars (3hours each), a 90 minute image interpretation session each visit and a 1 hour feedback/discussion session.
Guided independent study	75	Assessment preparation
Guided independent study	50	Guided reading

Formative assessment

Form of assessment	Size of the assessment (eg length / duration)	ILOs assessed	Feedback method
Practice image interpretation and viva's	Test bank of appendicular images each teaching block	1-8	Verbal
Reflective audit	500 words reflecting on image interpretation progress	4,7,8	Written

Summative assessment (% of credit)

Coursework	Written exams	Practical exams
30	0	70

Details of summative assessment

Form of assessment	% of credit	Size of the assessment (eg length / duration)	ILOs assessed	Feedback method
Case study report	30	Case study report (1,500 words)	2-8	Written
OSCE	70	Axial plain radiography examinations (90 mins)	1,2,4,5,7,8	Written

Details of re-assessment (where required by referral or deferral)

Original form of assessment	Form of re-assessment	ILOs re-assessed	Timescale for re-assessment
Case Study Report (30%)	Case study report (1,500 words) resubmission of original assignment	2-8	8 weeks
OSCE (70%)	Axial plain radiography examinations (90 mins)	1,2,4,5,7,8	8 weeks

Re-assessment notes

The final OSCE score will be scaled in order that the final module mark is in line with accepted conventions in regard to the classifications awarded for successful postgraduate study. Specific details can be found in the programme handbook.

The score (prior to scaling) for the OSCE must equal 75% or above in order to pass the module.

Indicative learning resources - Basic reading

Interpreting Trauma Radiographs, McConnell J., Eyres R. and Nightingale J. (2005), Blackwell, ISBNA 1-4051-1534 (UL: 616.0757 MAC)

Accident and Emergency Radiology - A Survival Guide, Raby N. (2003), (2nd edition), Saunders Ltd, ISBNA 0-702-02667-0 (UL: 616.0757 RAB)

Fundamentals of skeletal radiology, Helms, Clyde A, (2014) Philadelphia, Pennsylvania : Elsevier Saunders, ISBN-13: 9780781750066ISBN-10: 1455751545

Grainger and Allison's diagnostic radiology : a textbook of medical imaging, Grainger R, Allison D, (2001), (4^th Edition), London : Churchill Livingstone, ISBN 0443064326

Orthopaedic radiology : pattern recognition and differential diagnosis, Renton P, (1998) (2^nd edition), London : M. Dunitz, ISBN 1853174343

https://vle.exeter.ac.uk/course/view.php?id=6301

Key words search

Image Interpretation Axial Skeleton

Credit value	15
Module ECTS	15
Module pre-requisites	N/A
Module co-requisites	N/A
NQF level (module)	7
Available as distance learning?	No
Origin date	04/11/2015
Last revision date	24/04/2019