Lower Limb Image Interpretation
| Module title | Lower Limb Image Interpretation |
|---|---|
| Module code | PAMM107 |
| 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 advanced understanding and knowledge of the appendicular skeleton and in particular the lower limb in order to develop their image interpretation skills. This module will allow for a comprehensive understanding of lower limb skeletal trauma and will allow for the application of the knowledge gained in the musculoskeletal pathology module. In addition you will be introduced to clinical examination in the trauma setting which will serve to consolidate their comprehension of typical mechanisms of injury and how this affects the resultant radiographic image.
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 the development of your knowledge of the appendicular skeleton, specifically of the lower limb. This module will introduce you to the various presenting mechanism of injury and will enable you to identify the radiological appearances of trauma commonly associated with the appendicular skeleton. The module will also introduce and further your knowledge and understanding of some typical musculoskeletal pathologies, and how they may appear on the resultant radiographic images. You will also become more confident in the appreciation of anatomical 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 appendicular skeleton, specifically the lower limb, including complex cases.
- 2. Use clinical reasoning and critical judgement in the process of image interpretation of the lower limb and demonstrate comprehension of the resultant clinical decision making process.
- 3. Use the current evidence base to inform knowledge and demonstrate understanding of the pathologies and trauma appearances of the lower limb.
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 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:
A comprehensive understanding of:
1. Normal lower limb anatomy and normal variants
2. Lower limb musculoskeletal pathology
3. Mechanism of injury and radiological appearances
4. The appearances of minor and major lower limb skeletal trauma
5. Use and apply the correct medical terminology
6. Appropriate construction of radiological comments
7. Demonstrate an awareness of image quality
8. 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 & Teaching activities | 10 | Test banks practical image viewing sessions |
| Scheduled Learning & Teaching activities | 15 | Lectures - delivered by a variety of practitioners experienced in clinical image interpretation the module will be delivered over a maximum of five teaching blocks and will involve; lectures, seminars and small group work delivered via a combination of 1- and 2-hour sessions, and a 90-minute image interpretation session at each visit. |
| 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 | Test bank of appendicular images each teaching block | 1-8 | Written and 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 | 1500 words | 2-8 | Written |
| OSCE | 70 | Lower limb 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%) | Lower limb plain radiography examinations (90 min OSCE). | 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
http://vle.exeter.ac.uk/course/view.php?id=6300
| Credit value | 15 |
|---|---|
| Module ECTS | 7.5 |
| Module pre-requisites | N/A |
| Module co-requisites | N/A |
| NQF level (module) | 7 |
| Available as distance learning? | Yes |
| Origin date | 04/11/2015 |
| Last revision date | 24/04/2019 |
