Rush University Medical Center, Chicago, IL.
Rush University Medical Center, Chicago, IL.
Urology. 2019 Dec;134:51-55. doi: 10.1016/j.urology.2019.09.004. Epub 2019 Sep 20.
To evaluate our initial experience with a multi-institutional workshop model of MRI/US fusion biopsy simulation for resident education.
Residents from 6 Chicago area urology programs participated in a MRI/US fusion biopsy workshop, which incorporated a 30 minute didactic session followed by hands-on simulation. The workshop was facilitated by fellowship-trained university faculty members and company representatives of MRI/US fusion technologies who provided teaching assistance and verbal feedback. Participants completed pre- and post-test nonvalidated 4-item questionnaires graded on a Likert scale. Information on resident prior experience with TRUS and MRI/US fusion biopsies was also collected. Pre-and postquestionnaires were compared with paired t tests for each survey domain (P <.05 were considered significant).
Thirty-three residents (PGY 1-6, median PGY 3) participated in the workshop. 13 (40.6%) residents reported performing between 51 and 100 TRUS biopsies previously. Twenty-one (65.6%) reported being familiar with PIRADS v2 interpretation of prostate MR imaging, however 17 (53.1%) had never previously performed a MRI/US fusion biopsy. Analysis of pre- and post-test questionnaires showed significant increases in all 4 survey domains (P <.05). Residents demonstrated increased familiarity with indications for fusion biopsy (mean difference = +0.59), preparation for fusion biopsy (mean difference = +1.16), methods of MRI to TRUS image registration (mean difference = +1.38), and the advantages/disadvantages of perineal vs TRUS fusion biopsy (mean difference = +1.25).
This workshop model which combines didactics followed by hands-on simulation training is an effective method for increasing the knowledge and familiarity with MRI/US fusion biopsy of trainees.
评估我们在一项多机构 MRI/US 融合活检模拟培训计划方面的初步经验，该计划旨在为住院医师教育提供支持。
来自芝加哥地区 6 个泌尿科项目的住院医师参加了 MRI/US 融合活检研讨会，该研讨会包括 30 分钟的讲座环节和实际操作模拟环节。研讨会由受过专业培训的大学教员和 MRI/US 融合技术公司代表主持，他们提供教学协助和口头反馈。参与者在会前和会后完成了非验证的 4 项问卷，采用李克特量表进行评分。还收集了住院医师之前进行经直肠超声 (TRUS) 和 MRI/US 融合活检的经验信息。使用配对 t 检验对每个调查领域的预问卷和后问卷进行比较（P<.05 被认为具有统计学意义）。
共有 33 名住院医师（PGY1-6，中位数 PGY3）参加了研讨会。13 名（40.6%）住院医师报告之前进行了 51 到 100 次 TRUS 活检。21 名（65.6%）报告熟悉前列腺磁共振成像 PIRADS v2 解读，但 17 名（53.1%）从未进行过 MRI/US 融合活检。分析预问卷和后问卷显示，所有 4 个调查领域的得分均显著增加（P<.05）。住院医师对融合活检的适应证（平均差异=+0.59）、融合活检的准备工作（平均差异=+1.16）、MRI 到 TRUS 图像配准的方法（平均差异=+1.38）以及会阴与 TRUS 融合活检的优缺点（平均差异=+1.25）的熟悉程度均有所提高。
这种将讲座与实践操作模拟培训相结合的模式是一种有效的方法，可以提高受训者对 MRI/US 融合活检的知识和熟悉程度。
