Variability in the Use of Simulation for Procedural Training in Radiology Residency: Opportunities for Improvement

Publication date: Available online 19 March 2018
Source:Current Problems in Diagnostic Radiology
Author(s): Shanna A. Matalon, Sona A. Chikarmane, Eren D. Yeh, Stacy E. Smith, William W. Mayo-Smith, Catherine S. Giess
ObjectiveIncreased attention to quality and safety has led to a re-evaluation of the classic apprenticeship model for procedural training. Many have proposed simulation as a supplementary teaching tool. The purpose of this study was to assess radiology resident exposure to procedural training and procedural simulation.Materials and MethodsAn IRB-exempt online survey was distributed to current radiology residents in the United States by e-mail. Survey results were summarized using frequency and percentages. Chi-square tests were used for statistical analysis where appropriate.Results353 current residents completed the survey. Thirty-seven percent (n=129/353) of respondents had never used procedure simulation. Of the residents who had used simulation, most did not do so until after having already performed procedures on patients (59%, n=132/223). The presence of a dedicated simulation center was reported by over half of residents (56%, n=196/353) and was associated with prior simulation experience (P=.007). Residents who had not had procedural simulation were somewhat likely or highly likely (3 and 4 on a 4-point Likert-scale) to participate if it were available (81%, n=104/129). Simulation training was associated with higher comfort levels in performing procedures (P<.001).ConclusionsAlthough procedural simulation training is associated with higher comfort levels when performing procedures, there is variable use in radiology resident training and its use is not currently optimized. Given the increased emphasis on patient safety, these results suggest the need to increase procedural simulation use during residency, including an earlier introduction to simulation prior to patient exposure.



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