Determining procedures for simulation-based training in radiology: a nationwide needs assessment

• Published in: European radiology 2018-06, Vol.28 (6), p.2319-2327
• Main Authors: Nayahangan, Leizl Joy, Nielsen, Kristina Rue, Albrecht-Beste, Elisabeth, Bachmann Nielsen, Michael, Paltved, Charlotte, Lindorff-Larsen, Karen Gilboe, Nielsen, Bjørn Ulrik, Konge, Lars
• Format: Article
• Language: English
• Subjects: Biopsy; Clinical Competence; Computer Simulation; Curricula; Curriculum; Delphi method; Delphi Technique; Denmark; Diagnostic Radiology; Education, Medical, Graduate - methods; Education, Medical, Graduate - organization & administration; Feasibility studies; Humans; Imaging; Internal Medicine; Interventional Radiology; Medical instruments; Medicine; Medicine & Public Health; Needs analysis; Needs Assessment - organization & administration; Neuroradiology; Patient Simulation; Patients; Radiological Education; Radiology; Radiology - education; Simulation; Training; Ultrasonic imaging; Ultrasonography - standards; Ultrasonography, Interventional - standards; Ultrasound
• ISSN: 0938-7994; 1432-1084
• DOI: 10.1007/s00330-017-5244-7

Objectives New training modalities such as simulation are widely accepted in radiology; however, development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The study objective was to perform a nationwide needs assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum. Methods A needs assessment using the Delphi method was completed among 91 key leaders in radiology. Round 1 identified technical procedures that radiologists should learn. Round 2 explored frequency of procedure, number of radiologists performing the procedure, risk and/or discomfort for patients, and feasibility for simulation. Round 3 was elimination and prioritization of procedures. Results Response rates were 67 %, 70 % and 66 %, respectively. In Round 1, 22 technical procedures were included. Round 2 resulted in pre-prioritization of procedures. In round 3, 13 procedures were included in the final prioritized list. The three highly prioritized procedures were ultrasound-guided (US) histological biopsy and fine-needle aspiration, US-guided needle puncture and catheter drainage, and basic abdominal ultrasound. Conclusion A needs assessment identified and prioritized 13 technical procedures to include in a simulation-based curriculum. The list may be used as guide for development of training programs. Key Points • Simulation-based training can supplement training on patients in radiology. • Development of simulation-based training should follow a structured approach. • The CAMES Needs Assessment Formula explores needs for simulation training. • A national Delphi study identified and prioritized procedures suitable for simulation training. • The prioritized list serves as guide for development of courses in radiology.