Document Detail


Use of a simulation laboratory to train radiology residents in the management of acute radiologic emergencies.
MedLine Citation:
PMID:  22826384     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Simulation laboratories use realistic clinical scenarios to train physicians in a controlled environment, especially in potentially life-threatening complications that require prompt management. The objective of our study was to develop a comprehensive program using the simulation laboratory to train radiology residents in the management of acute radiologic emergencies.
MATERIALS AND METHODS: All radiology residents attended a dedicated simulation laboratory course lasting 3 hours, divided over two sessions. Training included basic patient management skills, management of a tension pneumothorax, massive hemorrhage, and contrast agent reactions. Participants were presented with 20 multiple-choice questions before and after the course. Pre- and posttest results were analyzed, and the McNemar test was used to compare correct responses by individual question.
RESULTS: Twenty-six radiology residents attended the class. The average pre- and posttest scores and the average difference between the scores for all residents were 13.8, 17.1, and 3.3, respectively (p < 0.0001). Incorrect answers on the pretest examination that were subsequently answered correctly concerned administration of epinephrine for severe reactions, management of a tension pneumothorax, oxygen therapy, ECG placement, cardiopulmonary resuscitation technique, and where to stand during a code situation. Persistent incorrect answers concerned vasovagal reactions and emergency telephone numbers at an off-site imaging center.
CONCLUSION: Simulation laboratories can be used to teach crisis management and crisis resource management for radiology residents and should be part of the education toolbox. Defined objectives lead to a comprehensive course dealing with the management of acute radiologic emergencies. Such programs can improve the role of radiologists as members of the health care team.
Authors:
Nabeel Sarwani; Rafel Tappouni; Donald Flemming
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  199     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-07-24     Completed Date:  2012-10-24     Revised Date:  2013-06-11    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  244-51     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Penn State Hershey Medical Center, 500 University Dr, H066, Hershey, PA 17033, USA. nsarwani@hmc.psu.edu
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Curriculum
Education, Medical, Graduate / methods*
Educational Measurement
Emergency Medicine / education*
Female
Humans
Internship and Residency*
Male
Manikins
Patient Simulation
Radiology / education*
Teaching Materials
Comments/Corrections
Comment In:
AJR Am J Roentgenol. 2013 May;200(5):W536   [PMID:  23617525 ]
AJR Am J Roentgenol. 2013 May;200(5):W537   [PMID:  23617526 ]

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