• Carolyn L Wang, Jennifer G Schopp, Kimia Kani, Jonelle M Petscavage-Thomas, Sadaf Zaidi, Dan S Hippe, Angelisa M Paladin, and William H Bush.
• Department of Radiology, University of Washington, Box 357115, 1959 NE Pacific Street, Seattle, WA 98195-7115, United States. Electronic address: wangcl@uw.edu.
• Eur J Radiol. 2013 Dec 1;82(12):2247-52.

PurposeWe developed a computer-based interactive simulation program for teaching contrast reaction management to radiology trainees and compared its effectiveness to high-fidelity hands-on simulation training.Materials And MethodsIRB approved HIPAA compliant prospective study of 44 radiology residents, fellows and faculty who were randomized into either the high-fidelity hands-on simulation group or computer-based simulation group. All participants took separate written tests prior to and immediately after their intervention. Four months later participants took a delayed written test and a hands-on high-fidelity severe contrast reaction scenario performance test graded on predefined critical actions.ResultsThere was no statistically significant difference between the computer and hands-on groups' written pretest, immediate post-test, or delayed post-test scores (p>0.6 for all). Both groups' scores improved immediately following the intervention (p<0.001). The delayed test scores 4 months later were still significantly higher than the pre-test scores (p ≤ 0.02). The computer group's performance was similar to the hands-on group on the severe contrast reaction simulation scenario test (p = 0.7). There were also no significant differences between the computer and hands-on groups in performance on the individual core competencies of contrast reaction management during the contrast reaction scenario.ConclusionIt is feasible to develop a computer-based interactive simulation program to teach contrast reaction management. Trainees that underwent computer-based simulation training scored similarly on written tests and on a hands-on high-fidelity severe contrast reaction scenario performance test as those trained with hands-on high-fidelity simulation.Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

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