1. Pretest

2. 1.Materials Needed 1.Ink Pen—black ink 2.1 blank sheet of 8 x 11 paper 2.Procedure A. Place your identification number at the top of the sheet of paper. (This number was e-mailed to you after you agreed to participate in this study. B. One at a time, view the 10 cases. C. Write down the case number you are working on and then write down your interpretation of the X-rays provided for each case. Use your best judgment of how a radiologist would interpret the X-rays and how you would explain the X-ray findings to another physician. D. Scoring: The test will be scored on a 10 point system for each case. 1. 5 points ---Identification of the orthopedic abnormalities that are determined to be significant by a Board Certified Radiologist. 2. 2.5 points –Proper anatomical description to localize the abnormality on the specific bone at the specific site on the bone. 3. 2.5 points—Proper descriptive terminology to identify the characteristics of the abnormality. ie oblique, spiral, displaced, etc. 3. Bonus point—Using an eponym correctly. 4. Negative point—Incorrectly identifying a normal finding as abnormal E. Use the same procedure for all 10 cases. F. When you are done, please e-mail your answers to Study Staff at clinical.research @live.com Access Code #2 will then be emailed to you

3. Case 1 X-rays 1-2 of 4

4. Case 1 X-rays 3-4 of 4

5. Case 2 X-rays 1-2 of 3

6. Case 2 X-rays 3 of 3

7. Case 3 X-rays 1 of 2

8. Case 3 X-rays 2 of 2

9. Case 4 X-rays 1 of 2

10. Case 4 X-rays 2 of 2

11. Case 5 X-rays 1-3 of 3

12. Case 5 X-rays 3 of 3

13. Case 6 X-rays 1 of 2

14. Case 6 X-rays 3 of 3

15. Case 7 X-rays 1-2 of 4

16. Case 7 X-rays 3-4 of 4

17. Case 8 X-rays 1-2 of 4

18. Case 8 X-rays 3-4 of 4

19. Case 9 X-rays 1-3 of 3

20. Case 10 X-rays 1-2 of 2

21. When you are done, please e-mail your answers to Study Staff at clinical.research @live.com Be sure your Identification Number is included. Access Code #2 will then be emailed to you.