Impact of Simulation-Based Training on Radiology Trainee Education in Ultrasound-Guided Breast Biopsies

Roark, Ashley; Ebuoma, Lilian O.; Ortiz-Perez, Tamara; Sepulveda, Karla A.; Severs, Frederick J.; Wang, Tao; Benveniste, Ana Paula; Sedgwick, Emily L.

doi:10.1016/j.jacr.2017.09.016

Cited by 13 publications

(6 citation statements)

References 12 publications

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“…Additionally, simulators have been increasingly used for teaching and training purposes in academic settings, and many medical specialties have attempted to integrate portable US devices into their curricula 21,22 . Multiple studies have looked at how simulation‐based training affects radiology resident education in various modalities.…”

Section: Discussionmentioning

confidence: 99%

“…Multiple studies have looked at how simulation‐based training affects radiology resident education in various modalities. For instance, Roark et al 21 tried to determine the impact of a simulation‐based, US‐guided breast biopsy training session on radiology residents' comfort levels and overall procedural knowledge and ultimately found the training to be beneficial in those aspects. In another study, Gunabushanam et al 22 attempted to develop an accessible and low‐cost personal US training simulator, which residents indeed found useful as part of their education.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound Training in Radiology Residency Programs

Mansoori

Golnari

Sharifi

et al. 2020

J of Ultrasound Medicine

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Objectives Comprehensive training in ultrasound (US) imaging during radiology residency is crucial if radiologists are expected to maintain a substantial role in this widely used imaging modality. This study aimed to evaluate the current curriculum of US training among radiology residency programs across the country via a nationwide survey. Methods A 28‐question survey was distributed among all academic radiology departments in the United States and their radiology residents. The survey consisted of 4 sections: general demographic information, training information, clinical competency, and adequacy of training (perspective). The Student t test and 1‐way analyses of variance were performed to assess statistical significance. Results Overall, 256 residents from 32 states completed the questionnaire. Only 114 (45%) residents reported having a dedicated rotation for performing US studies. Although 228 (89%) of trainees believed they received adequate experience for interpreting US studies, only 66 (26%) of them had the same belief about performing them. Only 116 (45%) of the residents were comfortable operating the US machines in their departments. Higher years of residency training, having a dedicated rotation for performing US studies, and having more than 10 hours per year of didactic lectures and/or more than 5 hours per year of case conferences dedicated to US had a positive impact on the residents' clinical competency and perspective (all P < .05). Conclusions Most radiology residents do not feel confident in performing US examinations by themselves. However, higher clinical competency was reported in the residents who had dedicated rotations for performing US studies and received more hours of US lectures and case conferences throughout their residency.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Ultrasound Training in Radiology Residency Programs

Mansoori

Golnari

Sharifi

et al. 2020

J of Ultrasound Medicine

View full text Add to dashboard Cite

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“…Similarly, participant evaluations of simulators represent opinions, and offer little evidence to support their educational value [76]. Six studies assessed theoretical knowledge [44,47,55,60,66,68], but assessment of theoretical knowledge is a poor predictor for procedural competence [78]. A fundamental methodological problem related to performance assessment.…”

Section: Discussionmentioning

confidence: 99%

“…12 studies examined thoracic procedures (▶ Table 3). Two examined thoracentesis (one also examined paracentesis) [37,38], three examined pericardiocentesis [39][40][41], and seven examined breast biopsies [42][43][44][45][46][47][48]. All used physical phantoms, and five studies had educational co-interventions such as lectures [38,41,[43][44][45].…”

Section: Non-randomized Controlled Studiesmentioning

confidence: 99%

Simulation-Based Training of Ultrasound-Guided Procedures in Radiology – A Systematic Review

et al. 2019

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Purpose To perform a systematic review of the effect of simulation-based training (SBT) of percutaneous abdominal and thoracic ultrasound-guided procedures and to assess the transfer of procedural competence to a clinical context. Materials and Methods This systematic review was conducted in accordance with the PRISMA statement. Pubmed, Embase, Web of Science, and the Cochrane Library were searched for studies assessing procedural competence after SBT. Two authors independently reviewed all studies and extracted data. Risk of bias was assessed using the Cochrane tool for randomized studies (RoB) and non-randomized studies (ROBINS-I). Quality of evidence was assessed using the GRADE approach. Results 42 studies were included. 6 were randomized controlled, 3 non-randomized controlled, and 33 non-randomized non-controlled. 26 studies examined US-guided abdominal procedures, 13 examined thoracic procedures, and 3 examined both. The results favored SBT compared to other educational interventions and found that training was superior to no training. Only two studies examined the transfer of procedural skills to a clinical context. All studies had a high or critical risk of bias. Thus, the quality of evidence for the effect of SBT on procedural competence was low, and evidence for its transfer to a clinical context was very low. Conclusion The evidence supporting SBT of percutaneous abdominal and thoracic US-guided procedures remains insufficient due to methodological problems and a high risk of bias. Future studies should be randomized and single-blinded, use assessment tools supported by validity evidence, compare different educational strategies, and examine the transfer of skills to a clinical setting.

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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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Impact of Simulation-Based Training on Radiology Trainee Education in Ultrasound-Guided Breast Biopsies

Cited by 13 publications

References 12 publications

Ultrasound Training in Radiology Residency Programs

Ultrasound Training in Radiology Residency Programs

Simulation-Based Training of Ultrasound-Guided Procedures in Radiology – A Systematic Review

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

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