Chart-stimulated Recall as a Learning Tool for Improving Radiology Residents’ Reports

Naila Nadeem, Abdul Mueed Zafar, Sonia Haider, Rukhsana W. Zuberi, Muhammad Nadeem Ahmad, Vijayanadh Ojili

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Rationale and Objectives Workplace-based assessments gauge the highest tier of clinical competence. Chart-stimulated recall (CSR) is a workplace-based assessment method that complements chart audit with an interview based on the residents’ notes. It allows evaluation of the residents’ knowledge and heuristics while providing opportunities for feedback and self-reflection. We evaluated the utility of CSR for improving the radiology residents’ reporting skills. Materials and Methods Residents in each year of training were randomly assigned to an intervention group (n = 12) or a control group (n = 13). Five pre-intervention and five post-intervention reports of each resident were independently evaluated by three blinded reviewers using a modified Bristol Radiology Report Assessment Tool. The study intervention comprised a CSR interview tailored to each individual resident's learning needs based on the pre-intervention assessment. The CSR process focused on the clinical relevance of the radiology reports. Student's t test (P <.05) was used to compare pre- and post-intervention scores of each group. Results A total of 125 pre-intervention and 125 post-intervention reports were evaluated (total 750 assessments). The Cronbach's alpha for the study tool was 0.865. A significant improvement was seen in the cumulative 19-item score (66% versus 73%, P <.001) and the global rating score (59% versus 72%, P <.001) of the intervention group after the CSR. The reports of the control group did not demonstrate any significant improvement. Conclusion CSR is a feasible workplace-based assessment method for improving reporting skills of the radiology residents.

Original languageEnglish
Pages (from-to)1023-1026
Number of pages4
JournalAcademic Radiology
Issue number8
Publication statusPublished - Aug 2017


  • Bristol Radiology Report Assessment Tool
  • Workplace-based assessment
  • chart-stimulated recall
  • educational assessment
  • radiology reports


Dive into the research topics of 'Chart-stimulated Recall as a Learning Tool for Improving Radiology Residents’ Reports'. Together they form a unique fingerprint.

Cite this