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  • Title: The use of a simulation center to improve resident proficiency in performing ultrasound-guided procedures.
    Author: Mendiratta-Lala M, Williams T, de Quadros N, Bonnett J, Mendiratta V.
    Journal: Acad Radiol; 2010 Apr; 17(4):535-40. PubMed ID: 20097583.
    Abstract:
    RATIONALE AND OBJECTIVES: With advancements in technology and push for health care reform and reduced costs, minimally invasive procedures, such as those that are ultrasound-guided, have become an essential part of radiology, and are used in many divisions of radiology. By incorporating standardized training methodologies in a risk free environment through utilization of a simulation center with phantom training, we hope to improve proficiency and confidence in procedural performance. MATERIALS AND METHODS: Twenty-nine radiology residents from four levels of training were enrolled in this prospective study. The residents were given written, video, and live interactive training on the basics of ultrasound-guided procedures in our simulation center on a phantom mannequin. All of the teaching materials were created by residents and staff radiologists at the institution. RESULTS: Residents demonstrated statistically significant improvement (P < .05) between their pre- and posttest scores on both the written and practical examinations. They also showed a trend toward improved dexterity in the technical aspects of ultrasound-guided procedures (P = .07) after training. On the survey questionnaire, residents confirm improved knowledge level, technical ability, and confidence levels pertaining to ultrasound-guided procedures. CONCLUSIONS: The use of controlled simulation based training can be an invaluable tool to improve the knowledge level, dexterity, and confidence of residents performing ultrasound-guided procedures. Additionally, a simulation model allows standardization of education.
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