Department of Radiology, Division of Interventional Radiology, New York Presbyterian Hospital/Weill Cornell Medicine, New York, New York.
Department of Radiology, Division of Interventional Radiology, New York Presbyterian Hospital/Weill Cornell Medicine, New York, New York.
Acad Radiol. 2023 Sep;30(9):2067-2078. doi: 10.1016/j.acra.2023.01.036. Epub 2023 Feb 26.
Endovascular simulation is a validated training method, allowing residents to improve technical skills with interventional equipment in a risk-free environment. The purpose of this study was to assess the utility and efficacy of supplementing the IR/DR Integrated Residency training program with a dedicated 2-year endovascular simulation curriculum.
Trainees participated in a 2-year curriculum that included the completion of 8 modules using a high-fidelity endovascular simulator (Mentice AB, Gothenberg, Sweden). Procedural modules included IVC filter placement, transarterial chemoembolization, trauma embolization, uterine artery embolization, prostate artery embolization, and peripheral arterial disease interventions. Each quarter, two trainees were filmed while completing an assigned module. Sessions led by IR faculty were held with film footage review and didactics on the assigned topic. Pre- and postcase surveys were collected to evaluate trainee comfort and confidence and assess the validity of the simulation. At the conclusion of the 2-year period, a postcurriculum survey was sent to all trainees to determine how residents viewed the utility of the simulation sessions.
Eight residents participated in the pre- and postcase surveys. The simulation curriculum significantly increased trainee confidence for these 8 residents. A separate postcurriculum survey was completed by all 16 IR/DR residents. All 16 residents felt that simulation was a helpful addition to their education. A total of 87.5% of all residents felt that the sessions improved their confidence in the IR procedure room. A total of 75% of all residents believe that the simulation curriculum should be incorporated into the IR residency program.
Adoption of a 2-year simulation curriculum can be considered for existing IR/DR training programs with access to high-fidelity endovascular simulators using the described approach.
血管内模拟是一种经过验证的培训方法，使住院医师能够在无风险的环境中使用介入设备提高技术技能。本研究的目的是评估在 IR/DR 综合住院医师培训计划中补充专门的 2 年血管内模拟课程的效用和效果。
受训者参加了为期 2 年的课程，其中包括使用高保真血管内模拟器（瑞典哥德堡 Mentice AB）完成 8 个模块。程序模块包括 IVC 过滤器放置、经动脉化疗栓塞、创伤栓塞、子宫动脉栓塞、前列腺动脉栓塞和外周动脉疾病介入。每个季度，有两名受训者在完成指定模块时被拍摄。由 IR 教员主持的课程会进行影片回顾和指定主题的教学。收集课前和课后调查，以评估学员的舒适度和信心，并评估模拟的有效性。在 2 年课程结束时，向所有受训者发送了课后调查，以确定住院医师如何看待模拟课程的效用。
8 名住院医师参加了课前和课后调查。模拟课程显著提高了这 8 名住院医师的信心。所有 16 名 IR/DR 住院医师都完成了单独的课后调查。所有 16 名住院医师都认为模拟是他们教育的有益补充。所有住院医师中有 87.5%的人认为这些课程提高了他们在 IR 操作室的信心。所有住院医师中有 75%的人认为模拟课程应该纳入 IR 住院医师培训计划。
对于有条件获得高保真血管内模拟器的现有 IR/DR 培训计划，可以考虑采用 2 年模拟课程。
