Simulation Center Training as a Means to Improve Resident Performance in Percutaneous Noncontinuous CT-Guided Fluoroscopic Procedures With Dose Reduction

Mendiratta‐Lala, Mishal; Williams, Todd R.; Mendiratta, Vivek; Ahmed, Hafeez; Bonnett, John

doi:10.2214/ajr.14.13420

Cited by 19 publications

(11 citation statements)

References 28 publications

(18 reference statements)

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“…There is an extensive amount of simulation options currently integrated into the medical field such as video games for inferior vena cava filter placement or percutaneous image-guided interventions [12,13], phantom simulators for Computed Tomography (CT) biopsies [10,[14][15][16], and animal or cadaver models to practice endovascular access or interventions [17,18]. Several studies have used simulators to demonstrate improved procedural technique, either in device manipulation [19][20][21], successful vessel cannulation [22], or reduced procedural time and radiation use [23][24][25]. There is burgeoning evidence demonstrating skill retention after the simulation [7], which has translated to improved patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

Systematic review of three-dimensional printing for simulation training of interventional radiology trainees

Tenewitz

Hernandez

et al. 2021

3D Print Med

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Rationale and objectives Three-dimensional (3D) printing has been utilized as a means of producing high-quality simulation models for trainees in procedure-intensive or surgical subspecialties. However, less is known about its role for trainee education within interventional radiology (IR). Thus, the purpose of this review was to assess the state of current literature regarding the use of 3D printed simulation models in IR procedural simulation experiences. Materials and methods A literature query was conducted through April 2020 for articles discussing three-dimensional printing for simulations in PubMed, Embase, CINAHL, Web of Science, and the Cochrane library databases using key terms relating to 3D printing, radiology, simulation, training, and interventional radiology. Results We identified a scarcity of published sources, 4 total articles, that appraised the use of three-dimensional printing for simulation training in IR. While trainee feedback is generally supportive of the use of three-dimensional printing within the field, 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 three-dimensional printing within interventional radiology as a teaching tool. Literature documenting the benefits of 3D printed models for IR simulation 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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Section: Introductionmentioning

confidence: 99%

Systematic review of three-dimensional printing for simulation training of interventional radiology trainees

Tenewitz

Hernandez

et al. 2021

3D Print Med

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show abstract

“…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]. Several studies have used simulators to demonstrate improved procedural technique, either in device manipulation [20][21][22], successful vessel cannulation [23], or reduced procedural time and radiation use [24][25][26]. There is burgeoning evidence demonstrating skill retention after the simulation [7], which has translated to improved patient outcomes.…”

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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“…A better understanding of this information could aid residency and fellowship programs as they consider instituting specialized training in the safe use of fluoroscopy (e.g., online training program in the safe use of fluoroscopy 12 , simulation-based training, and formal classroom training in radiation safety and fluoroscopy) or consider other quality improvement efforts, such as a preprocedural checklist for fluoroscopy studies to optimize safe fluoroscopy tower operation or a fluoroscopy competency check-off to assure appropriate education of radiology trainees. 13–16 Given the significant increase in radiation exposure related to medical imaging over the past decades, radiation safety and dose reduction techniques have become a priority for radiology training programs. 13…”

Section: Introductionmentioning

confidence: 99%

Radiology Trainee vs Faculty Radiologist Fluoroscopy Time for Imaging-Guided Procedures: A Retrospective Study of 17,966 Reports Over a 5.5-Year Period

DeSimone

Post

Duszak

et al. 2018

Current Problems in Diagnostic Radiology

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To evaluate differences in fluoroscopy time (FT) for common vascular access and gastrointestinal procedures performed by radiology trainees vs faculty radiologists. Report information was extracted for all 17,966 index fluoroscopy services performed by trainees or faculty, or both from 2 university hospitals over 66 months. Various vascular access procedures (eg, peripherally inserted central catheters [PICCs] and ports) and gastrointestinal fluoroscopy procedures (eg, upper gastrointestinal and contrast enema studies) were specifically targeted. Statistical analysis was performed. FT was recorded in 17,549 of 17,966 reports (98%) The 1393 procedures performed by nonphysician providers or transitional year interns were excluded. Residents, fellows, and faculty were primary operators in 5066, 6489, and 4601 procedures, respectively. Average FT (in seconds) for resident and fellow services, respectively, was less than that of faculty only for PICCs (75 and 101 vs 148, P < 0.01). For all other procedures, average FT of trainee services was greater than that for faculty. This was statistically significant (P < 0.05) for fellows vs faculty port placement (121 vs 87), resident vs faculty small bowel series (130 vs 96), and both resident and fellow vs faculty esophagram procedures (143 and 183 vs 126 ). FT for residents was significantly less than that for fellows only for PICCs (75 vs 101, P < 0.01). For most, but not all, fluoroscopy procedures commonly performed by radiology trainees, FT is greater than that for procedures performed by faculty radiologists. Better awareness and understanding of such differences may aid training programs in developing benchmarks, protocols, and focused teaching in the safe use of fluoroscopy for patients and operators.

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Simulation Center Training as a Means to Improve Resident Performance in Percutaneous Noncontinuous CT-Guided Fluoroscopic Procedures With Dose Reduction

Abstract: CT simulation training decreases procedural time, decreases radiation dose, and improves resident efficiency and confidence, which may transfer to clinical practice with improved patient care and safety.

Cited by 19 publications

References 28 publications

Systematic review of three-dimensional printing for simulation training of interventional radiology trainees

Systematic review of three-dimensional printing for simulation training of interventional radiology trainees

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

Radiology Trainee vs Faculty Radiologist Fluoroscopy Time for Imaging-Guided Procedures: A Retrospective Study of 17,966 Reports Over a 5.5-Year Period

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