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The ultrasound diagnosis imaging report reflects the sum of a radiologist's synthesis and judgement into a patient's condition. It is also an important product that is generated by radiologists to help the patients. In spite of the importance of clear and effective report writing, radiologists usually receive little or no formal reporting education. There are key principles when reporting the ultrasound findings, impression, and recommendations to promote report quality and reading experience. The findings should emphasize short and factual observations while avoiding redundancy. The impression is the thoughtful synthesis of findings leading to a diagnosis, a differential diagnosis and management recommendations. Improved report writing is achieved only after persistent learning, follow up and summaries.

Peyton's four-step teaching method is widely used in education of clinical skills. At the present study, this method was introduced into musculoskeletal ultrasound training, and the effect of this training strategy was evaluated. Problems which may occur in the process were also searched in order to improve this method. Compared to traditional method, students accepted Peyton's four-step teaching method, namely demonstration, deconstruction, comprehension and performance all achieved better scores in both theory and skill tests. Peyton's four-step teaching method also stimulated students′ learning interest and improved their teaching skill. However, one-to-one teaching is inefficient and few mutual discussion and inspiration among group members. The modified Peyton's four-step method with group teaching will be optimized and applied in future research and application.

Objective To explore the application of a hybrid training mode characterized by “clinical practice + result oriented +humanistic care” for practical training of medical students. Methods The research objects were the graduate students at the department of ultrasound in Peking University Third Hospital, and the subjective evaluation index was the two-way questionnaire completed by teachers and by students. The recognition of teachers and students to the new training mode and its effectiveness as well as suggestions were evaluated. Results It was found that 95.74% of teachers and students acknowledged the new mode and were willing to participate in, 76.7% of them believed that the method helped to solve problems in work and psychology, 6.4% of teachers and students thought that the communication efficiency of new mode was lower than the traditional method. The advantages and disadvantages of the new model, the opportunities and threats of teaching and management were analyzed with SWOT. Conclusions The new hybrid traniniing model has got a high degree of recognition. According to the results of SWOT analysis, we should develop strengths and circumvent weaknesses, creating new opportunities for medical practice and educational model innovation.