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My masters thesis in education (2012), part of the 2 year Master in Health Professions Education program at Maastricht University. The focus of this experimental study was to determine whether compare and contrast practice with similar and contrasting case pairs improved the efficiency and effectiveness of radiology training. The results of this study were promising, and have resulted in continuing work to systematically build up and utilise case based repositories of radiology images in undergraduate and postgraduate training for competency, proficiency and mastery using the principles of deliberate practice These knowledge repositories currently contain over 3000 cases, which demonstrate the full spectrum of any given radiological/clinical presentation in the major diagnostic themes within neuroradiology, not just exemplar or outlier examples. We are using neuroradiology training as an case study to build a comprehensive knowledge repository to support training in other specialties within radiology, and as a template for a recently launched pilot project to build an institution wide repository to support clinical training in the different specialties at our academic medical centre. This knowledge repository will be linked to our undergraduate and residency curricular maps.