Medical Education and eLearning Portfolio: Imaging of the Chest and Lungs - Online resources to support lecture for year 1 MBBS (NUS)

above from

NUSMed Entrada link for Sep 29, 2021 M1 lecture scheduled for 12 noon.

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Good morning, Class of 2026, YLLSOM

The decision you will have to make this morning, regarding (attending) this lecture (live) is this:

Why attend? And if you do, why engage (fully)? Be (fully) present. Is the material relevant? Examinable? Will attending, and engaging make you a better doctor?

Let me give you a couple of reasons to do so (attend, engage fully, and be fully present):

This lecture has been scheduled within your curriculum, at this time and place (within the curriculum) intentionally (by the curriculum/Phase 1 or Year 1 team). To bring a clinical perspective, into the classroom. Show you, but more importantly make you feel 'why' clinical imaging or Radiology is relevant and will be used (extensively, and on a regular, daily basis) by you, when you care for your patients. Attending and fully engaging with a 'live' lecture experience is a gift you make to yourself to form links between what you are studying in the classroom, and it's 'real world' application. Shared with you from the perspective, and voice of an active clinician and practitioner in the field. Through this experience I hope you 'feel' the value add of Radiology to not only your future clinical practice, but its immediate relevance to what you are studying in Year 1. Know the 'Why', will encourage and motivate you to work on the class material in Year 1, the 'What' and 'How' - #Why first, before #What and #How.

Yours sincerely,

Poh Sun

29 September 2021 at 0655am, Singapore Time

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Hello Year 1 YLLSOM students, the Class of 2026,

The content in this lecture, and skills you will progressively pick up, to 'read' CXRs (Chest Radiographs or XRs) and familiarity with other imaging (Radiology) of the Chest will help you to see into your patient's. Making you better and more confident doctors, by being able to visualise that is going on in the patient in front of you. Both normal structures, and function (Anatomy and Physiology), and abnormalities, (Pathology and Pathophysiology), which we will revisit next year, Year 2 of your program in 2022.

I hope the content you review here, and which we will cover, gives you an insight, visually, and in your 'mind's eye', of the anatomy, and physiology you are currently studying in lectures, small group sessions, the Anatomy museum and your experience with cadaveric anatomy in your prosection demonstrations.

Yours sincerely,

Poh Sun

27 September 2021

Preparation for session, and Content to be reviewed (below section)

The aim of the session is to link the anatomy which you have learnt in the chest, to what is visible on the two most commonly used imaging tests you will use as doctors in day to day clinical practice - the CXR, and CT scan of the Chest. Radiology allows you to see 'living anatomy' and pathology, of your patients in vivo. The CXR allows you to look inside your patient in 2D, while the CT scan gives you multi-planar sectional details, and a '3D-like' appreciation of both anatomy and pathology. You should aim to develop the ability to orientate yourself to the visible structures when viewing both the CXR, and CT scans; and be able to identify normal anatomy. This will form the foundation for the study of pathology, and the appreciation of visible pathology in your patients using CXRs and CT scans in year 2, and subsequent clinical years.

There are two learning paths (illustrated on the blog below) - a Guided learning path, and an Exploratory learning path. Please choose one path based on your learning preference, and review the material before the 'live' lecture. We will review this content during the 'live' lecture on Microsoft Teams.

Guided learning path: For those of you who like a very prescriptive guided learning path - start with CXR video 1, then CXR video 2, then CXR anatomy website (see chest section) (using illustrations as drill and quiz examples, by viewing CXR first without annotations, then mousing over each image, then read text); then view CT chest video 1, then CT chest video 2, then attempt to identify CT anatomy here. (Viewing these videos within or embedded in the blog below is one method to reduce ads which appear before the video).

Exploratory learning path: For those of you who prefer a more exploratory learning path, starting with interactive illustrations and text, you are encouraged to review the open access CXR anatomy website (see chest section) below, as well as information about how to approach the CXR (including normal anatomy), and CT scan with scrollable images links below. For those students who prefer learning from illustrated online videos, please review the two videos below before the lecture - Chest X-Ray Interpretation Explained Clearly - How to read a CXR and LEARN to Read a Chest Xray in 5 minutes!. Also review the two videos below reviewing visible anatomy on CT of the chest - Anatomy of a Transverse CT of the Thorax and Introduction to Computed Tomographic imaging of the Chest. (Viewing these videos within or embedded in the blog below is one method to reduce ads which appear before the video).

The following are links to my individual 'lecture' slides. You can preview these in sequence.

Value add of radiology

Radiology as 'AR' app

PA vs AP CXR

5 radiographic densities

5 radiographic densities illustrated

Silhouette sign

Collage CXR, axial and coronal CT chest

CXR anatomy quiz

CXR anatomy answers

Axial CT chest quiz

Axial CT chest answers