What, where, and how : a proposal for structuring preliminary clinical evaluations

Used within the classroom and clinical practice setting the WHAT, WHERE, HOW method enhances student understanding of theoretical concepts of image interpretation and is readily open to assessment to demonstrate accuracy of diagnosis and content. The WHAT, WHERE, HOW structure allows students to break down appearances into components and make sense of even complex traumatic radiographic findings, instilling a feeling of competence and understanding. It is proposed that this structure be integrated into undergraduate and postgraduate education programs and courses, with the potential to develop knowledge and understanding of musculoskeletal anatomy, but also the confidence to provide a useful and meaningful role in clinical practice. It would also provide additional value to RadBench and enable the benchmarking of commentary. Further adaption and development is being undertaken to develop the practice into other clinical areas such as non-trauma and chest radiography, and CT head interpretation. The vision of the Society and College of Radiographer’s to introduce commenting skills as a competency for Radiography graduates by 20101 may have passed, but is very much alive and this work is a key step forward.