Simulation in training: one-year experience using an efficiency index to assess interventional radiology fellow training status

Journal of Vascular and Interventional Radiology : JVIR
Craig GlaibermanThomas K Pilgrim

Abstract

To compare objective fellow and expert efficiency indices for an interventional radiology renal artery stenosis skill set with the use of a high-fidelity simulator. The Mentice VIST simulator was used for three different renal artery stenosis simulations of varying difficulty, which were used to grade performance. Fellows' indices at three intervals throughout 1 year were compared to expert baseline performance. Seventy-four simulated procedures were performed, 63 of which were captured as audiovisual recordings. Three levels of fellow experience were analyzed: 1, 6, and 12 months of dedicated interventional radiology fellowship. The recordings were compiled on a computer workstation and analyzed. Distinct measurable events in the procedures were identified with task analysis, and data regarding efficiency were extracted. Total scores were calculated as the product of procedure time, fluoroscopy time, tools, and contrast agent volume. The lowest scores, which reflected efficient use of tools, radiation, and time, were considered to indicate proficiency. Subjective analysis of participants' procedural errors was not included in this analysis. Fellows' mean scores diminished from 1 month to 12 months (42,960 at 1 month, 18,726 at...Continue Reading

References

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Oct 7, 2004·Quality & Safety in Health Care·M P FriedH Cuellar
Dec 23, 2006·Journal of Vascular and Interventional Radiology : JVIR·James R Duncan, Craig B Glaiberman
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Citations

Aug 3, 2012·Journal of Vascular and Interventional Radiology : JVIR·Lars LonnAnthony G Gallagher
Feb 4, 2010·Journal of Vascular and Interventional Radiology : JVIR·Kamran AhmedMohammed Hamady
May 26, 2009·Journal of Vascular and Interventional Radiology : JVIR·Elio BetaJames R Duncan
Aug 16, 2015·Academic Radiology·Alison L ChetlenLori Mankowski Gettle
May 13, 2020·Cardiovascular and Interventional Radiology·Kornelia KreiserJan S Kirschke
Apr 19, 2020·Clinical Neuroradiology·Kornelia KreiserJan S Kirschke
Feb 23, 2021·Journal of Medical Education and Curricular Development·Caleb BuschZachary Collins
Oct 11, 2020·Academic Radiology·Joshua Franklin NitscheBrian C Brost

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