Simulation-Based Training May Improve Resident Skill in Ultrasound-Guided Biopsy

Fulton, Nicholas; Buethe, Ji; Gollamudi, Jayakrishna; Robbin, Mark

doi:10.2214/ajr.16.16161

Cited by 30 publications

(28 citation statements)

References 5 publications

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“…Of the 14 studies in the review, only 5 included a control group, and only 2 of those were randomized. Since this publication, multiple controlled randomized trials have reported the potential benefits of ultrasound simulators . In addition, ultrasound simulators allow trainees to practice multiple times the same ultrasound modality without the need of supervisors or models.…”

Section: Discussionmentioning

confidence: 99%

“…Since this publication, multiple controlled randomized trials have reported the potential benefits of ultrasound simulators. 3,4,[6][7][8][9][10][11][12][13] In addition, ultrasound simulators allow trainees to practice multiple times the same ultrasound modality without the need of supervisors or models. This can improve scanning proficiency, as it has been shown that the number of successful scans increases with repeated scanning.…”

Section: Discussionmentioning

confidence: 99%

“…The evidence regarding the use of ultrasound simulators to teach trainees is encouraging. In many studies, students who trained with simulators perform as well or better than their colleagues who trained with instructors …”

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confidence: 99%

“…In many studies, students who trained with simulators perform as well or better than their colleagues who trained with instructors. [9][10][11][12] While an abundance of evidence supports simulation in initial ultrasound training, to our knowledge no studies have looked at their use for the retention of scanning skills in previously trained medical students. Accessibility to ultrasound simulators could allow ultrasound-trained medical students to practice between their supervised learning sessions and aid with retention of acquired skills.…”

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confidence: 99%

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The Use of Ultrasound Simulators to Strengthen Scanning Skills in Medical Students: A Randomized Controlled Trial

Lewis

Steinmetz

et al. 2018

J of Ultrasound Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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The Use of Ultrasound Simulators to Strengthen Scanning Skills in Medical Students: A Randomized Controlled Trial

Lewis

Steinmetz

et al. 2018

J of Ultrasound Medicine

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“…Several studies have aimed to create technical improvements in US training, including the acquisition of high-quality images or the detection of target lesions using various training methods, such as lectures, hands-on sessions, and apprenticeships with an experienced radiologist. 8 9 10 11 12 13 However, no studies have addressed the problem of how to improve the evaluation of static US images, especially when the examiner and the interpreter are not the same person.…”

Section: Introductionmentioning

confidence: 99%

Effects of 1 year of training on the performance of ultrasonographic image interpretation: A preliminary evaluation using images of Sjögren syndrome patients

et al. 2021

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Purpose This study investigated the effects of 1 year of training on imaging diagnosis, using static ultrasonography (US) salivary gland images of Sjögren syndrome patients. Materials and Methods This study involved 3 inexperienced radiologists with different levels of experience, who received training 1 or 2 days a week under the supervision of experienced radiologists. The training program included collecting patient histories and performing physical and imaging examinations for various maxillofacial diseases. The 3 radiologists (observers A, B, and C) evaluated 400 static US images of salivary glands twice at a 1-year interval. To compare their performance, 2 experienced radiologists evaluated the same images. Diagnostic performance was compared between the 2 evaluations using the area under the receiver operating characteristic curve (AUC). Results Observer A, who was participating in the training program for the second year, exhibited no significant difference in AUC between the first and second evaluations, with results consistently comparable to those of experienced radiologists. After 1 year of training, observer B showed significantly higher AUCs than before training. The diagnostic performance of observer B reached the level of experienced radiologists for parotid gland assessment, but differed for submandibular gland assessment. For observer C, who did not complete the training, there was no significant difference in the AUC between the first and second evaluations, both of which showed significant differences from those of the experienced radiologists. Conclusion These preliminary results suggest that the training program effectively helped inexperienced radiologists reach the level of experienced radiologists for US examinations.

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A novel simulator model and standardized assessment tools for fine needle aspiration cytology training

Alcaraz‐Mateos

Jiang

Mohammed

et al. 2018

Diagnostic Cytopathology

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ObjectivesFine needle aspiration (FNA) is an invaluable diagnostic procedure for evaluation of lesions; however, acquisition of diagnostic material is dependent on the skill of the practitioner. We report a novel patient simulator for teaching the FNA procedure and structured assessment tools for educators and learners.MethodsWe created a novel simulator model for FNA training, employed a standardized teaching module, and assessed procedure utility in medical students. Groups of students completed training using a commercial version of the model, and underwent structured evaluation using an Objective Structured Assessment of Technical Skills (OSATS) form, and the Debriefing Assessment for Simulation in Healthcare (DASH) tool.ResultsIn the initial phase, 178 students rated the training workshop between valuable and essential (4.2 on a 5‐point Likert scale). In the second phase, for students evaluated with the OSATS form, the mean overall score was 33 out of 50 (range 26‐43). The areas of weakness for the participants were: (a) compression after the FNA procedure, (b) completion of the informed consent, and (c) correct explanation of the procedure to the patient. For the group of students that completed the DASH questionnaire, the results were: 6.2 (assessment by students) and 6.7 (assessment by instructor) out of a maximum of 7.ConclusionA realistic simulation model, in combination with a standardized training program with formal assessment methods is a valuable tool to teach FNA. We here describe a process for teaching the FNA procedure to interested educators and learners.

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Simulation-Based Training May Improve Resident Skill in Ultrasound-Guided Biopsy

Abstract: Simulation-based training improves overall procedure time, number of skin punctures and needle adjustments, and subjective performance.

Cited by 30 publications

References 5 publications

The Use of Ultrasound Simulators to Strengthen Scanning Skills in Medical Students: A Randomized Controlled Trial

The Use of Ultrasound Simulators to Strengthen Scanning Skills in Medical Students: A Randomized Controlled Trial

Effects of 1 year of training on the performance of ultrasonographic image interpretation: A preliminary evaluation using images of Sjögren syndrome patients

A novel simulator model and standardized assessment tools for fine needle aspiration cytology training

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