Purpose or Case Report: Paediatric fluoroscopy was recently incorporated into Singapore’s national FRCR aligned didactic curriculum, highlighting a growing need for structured and clinically relevant teaching in this domain. This study evaluates a novel, high-yield, case-based teaching model designed to enhance residents’ understanding, confidence, and exam preparedness in paediatric fluoroscopy.
Methods & Materials: Over two consecutive years, a 1.5-hour session on paediatric fluoroscopy was delivered annually to Year 2 radiology residents.
The session comprised:
-Focused Didactics (1 hour): Concise, high-yield review of key gastrointestinal and genitourinary topics, mainly focused on malrotation and midgut volvulus, imaging of paediatric urinary tract infection and neonatal intestinal obstruction (high and low types) — emphasizing radiation optimization, procedural pearls, and FRCR-style interpretation pitfalls.
-Live Case Showcase (30 min): Interactive discussion of anonymized curated cases with plain film and fluoroscopic studies from Singapore's tertiary paediatric hospital demonstrating classical and challenging cases, conducted in an exam oral viva format.
Pre- and post-session surveys assessed residents’ confidence and perceived relevance using a 5-point Likert scale.
Results: Twenty-four residents participated across two cohorts. Mean confidence in interpreting paediatric fluoroscopy increased significantly (mean score of 2.9 to 4.7, p<0.001). All residents rated the session (either "agree"or "strongly agree") as highly relevant to both the FRCR exam and national curriculum objectives with a median score of 4.62 (range 4.58 to 4.67) across 7 domains. Qualitative feedback provided emphasized the value of structured high-yield content combined with authentic local case material to bridge the teaching gap.
Conclusions: This structured, case-integrated teaching model effectively addresses the relative lack of paediatric fluoroscopy education. By combining high-yield didactics with real institutional cases, it enhances resident competence, confidence, and exam readiness, fostering a deeper understanding of GI and GU pathology, linking fluoroscopic interpretation to clinical decision-making. This model also provides a reproducible framework for national curriculum implementation.