Simulation-based Training for Interventional Radiology and Opportunities for Improving the Educational Paradigm

Miller, Zoe A.; Amin, A.; Tu, Jonathan; Echenique, Ana; Winokur, Ronald S.

doi:10.1053/j.tvir.2018.10.008

Cited by 25 publications

(32 citation statements)

References 17 publications

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“…Some disadvantages of the standard apprenticeship model are: cost, duration of cases (taking longer), need for an expert mentor, and lack of uniformity, because the model is limited to only learning clinical cases that their patients’ present. It is necessary to underline that the medical sector also has to ensure lifelong learning, training, and professional development of doctors, with a mandatory role for starting, improving, and maintaining professional skills, so that simulation could also be useful not only for beginners but also for seasoned experts as a method of maintenance of certifications and development of new skills [25–27].…”

Section: Simulator Programmesmentioning

confidence: 99%

“…Increasingly, simulation-based training has been used in ultrasonography and interventional radiology to maximise patient safety and ensure adequate students training. However, despite its ability to revolutionise clinical skill training, simulation still remains only a hypothetical possibility, mainly due to cost and artificial conditions of practice [25–27]. This potential can be hindered by sparse and non-uniform evidence of educational validity of commercially available simulation technology.…”

Section: Simulator Programmesmentioning

confidence: 99%

“…This will lead to widespread implementation. To reach this aim, simulators must first be incorporated into programs where extensive research on devices and simulation-based training can be performed in order to include it in standardised interventional radiology and ultrasonography curriculum, to create a new hybrid educational paradigm that bolsters the safety, efficacy, and uniformity of medical education [25].…”

Section: Simulator Programmesmentioning

confidence: 99%

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ESR statement on new approaches to undergraduate teaching in Radiology

2019

Insights Imaging

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Medical education is evolving and electronic learning (e-Learning) strategies have now become an essential asset in radiology education. Radiology education is a significant part of the undergraduate medical curriculum and the use of e-Learning in radiology teaching in medical schools is on the rise. If coupled with clinical decision support systems, e-Learning can be a practical way of teaching students clinical decision making, such as selecting the diagnostic imaging tests that are best suited in certain clinical scenarios.The innovative concept of flipped classroom learning encourages students to work independently and maximises the application of learnt contents in interactive classroom sessions.For integrated curricula with their student-centred, problem-based, and community-based design, an approach to systematically integrate radiology may be to define diagnostic reasoning as one of the core goals. Radiologists as teachers and scholars may understand themselves as experts in diagnostic reasoning and in mentoring how to make medical decisions.Computer programs simulating the routine work are available and can be used to teach the recognition of anatomical structures and pathological patterns, and also to teach ultrasonography and interventional radiology, maximising patient safety.

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Section: Simulator Programmesmentioning

confidence: 99%

Section: Simulator Programmesmentioning

confidence: 99%

Section: Simulator Programmesmentioning

confidence: 99%

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ESR statement on new approaches to undergraduate teaching in Radiology

2019

Insights Imaging

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“…Angiography suite learning involves attempting procedures while patients are minimally sedated yet cognizant of their surroundings. This can increase patient anxiety and apprehension, compromise patient safety and satisfaction, and hinder the teaching experience [12,13]. Current simulation options are varied, ranging from video games for inferior vena cava filter placement or percutaneous image-guided interventions [14,15], phantom simulators for Computed Tomography (CT) biopsies [10,[16][17][18], or animal or cadaver models to practice endovascular access or interventions [13,19].…”

Section: Introductionmentioning

confidence: 99%

“…Simulations can be categorized by fidelity, or degree of situational realism, anatomic accuracy, or physiologic replication [28]. Although high-fidelity models have been shown to significantly increase technical performance in a simulated environment [29], they are often of higher cost, limited availability, or if using animal or cadaver sources, raise ethical concerns [12,19,28]. The holy grail in simulation medicine is the ability to develop a reproducible, realistic, and inexpensive product, which may be refined via three-dimensional (3D) printing.…”

Section: Introductionmentioning

confidence: 99%

Current State of Three-Dimensional Printing for Simulation Training of Interventional Radiology Trainees

Tenewitz¹,

Le²,

Hernandez³

et al. 2020

Preprint

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Objectives: The purpose of this review was to assess the use of three-dimensional (3D) printing in interventional radiology (IR) simulation experiences.Materials and Methods: A literature query was conducted in April 2020 for articles discussing 3D printing for simulations in numerous library databases using various search terms.Results: While trainee feedback is generally supportive of 3D printing within the field of IR, current applications utilizing 3D printed models are heterogeneous, reflecting a lack of best practices standards in the realm of medical education.Conclusions: Presently available literature endorses the use of 3D printing within IR. 3D printing has the potential to expand within the field, as it offers a straightforward, sustainable, and reproducible means for hands-on training that ought to be standardized.

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Ultrasound Simulation Training for Radiology Residents—Curriculum Design and Implementation

Alexander

McComb

Bowman

et al. 2022

J of Ultrasound Medicine

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Medical simulation training can be used to improve clinician performance, teach communication and professionalism skills, and enhance team training. Radiology residents can benefit from simulation training in diagnostic ultrasound, procedural ultrasound, and communication skills prior to direct patient care experiences. This paper details a weeklong ultrasound simulation training curriculum for radiology residents during the PGY-1 clinical internship. The organization of established teaching methods into a dedicated course early in radiology residency training with the benefit of a multi-disciplinary approach makes this method unique. This framework can be adapted to fit learners at different skill levels or with specific procedural needs. Key Words-curriculum; internship and residency; radiology; simulation training; ultrasonography U ltrasound (US) examinations are highly operator dependent and require a complex skill set including anatomic knowledge, hand-eye coordination, and image optimization. In the United States, the US examination is primarily performed by sonographers, with interpretation by radiologists; however, residents are expected to demonstrate competency in US image generation as well as interpretation. 1,2 Accurately performing US is also particularly important for US-guided interventions, which span nearly all subspecialties in radiology.Medical education training has long been taught by an apprenticeship model, but changes in regulations, quality and safety initiatives, and societal expectations of medical care have led to a decrease in hands-on training opportunities. 3 Simulation training in undergraduate and graduate medical education has been growing in use over the last two decades, particularly in surgical specialties and in technical skills, 4 and provides an effective and safe environment in which to practice a procedure or symptom scenario before encountering a patient in the clinical setting. [5][6][7][8] Trainees can perform deliberate practice in a low stress environment, essential for skill acquisition. 3,9 In radiology education, simulation-based training methods often focus on specific procedural skills, 10-20 call preparation, 5,21,22 and contrast reaction scenarios, [23][24][25][26] but are likely underutilized in diagnostic radiology (DR) and interventional radiology (IR) training. 27,28 Simulation training offers opportunity for instruction in communication skills as well as physical clinical skills. Communication workshops can be particularly beneficial to radiologists as their

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Simulation-based Training for Interventional Radiology and Opportunities for Improving the Educational Paradigm

Cited by 25 publications

References 17 publications

ESR statement on new approaches to undergraduate teaching in Radiology

ESR statement on new approaches to undergraduate teaching in Radiology

Current State of Three-Dimensional Printing for Simulation Training of Interventional Radiology Trainees

Ultrasound Simulation Training for Radiology Residents—Curriculum Design and Implementation

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