• J Am Coll Radiol · May 2014

    Retrospective study of the impact of fellowship training on two quality and safety measures in uterine artery embolization.

    • Sam Stuart, John R Mayo, Alden Ling, Michael Schulzer, Darren Klass, Mark A Power, Benjamin J Roberton, J M Wan, and David M Liu.
    • Department of Radiology, Vancouver General Hospital, Vancouver, Canada.
    • J Am Coll Radiol. 2014 May 1; 11 (5): 471-6.

    Rationale And ObjectivesTo measure the impact of 1-year interventional fellowship training on fluoroscopic time and contrast media utilization in uterine artery embolization (UAE).Materials And MethodsRetrospective single institution analysis of 323 consecutive UAEs performed by 12 interventional fellows using a standardized protocol. Fluoroscopy time and contrast media volume were recorded for each patient and correlated with stage of fellowship training. Preprocedure uterine volume (using MRI or ultrasound) was used as a measure of procedural complexity. Regression analysis was conducted per trainee factoring in duration of training, procedure number, supervising radiologist, uterine volume, and outcome variables of fluoroscopy time and contrast media volume.ResultsMedian number of patients treated per trainee was 27 (range, 16-43) with mean fluoroscopic time 24.5 minutes (range, 4-90 min) and mean contrast volume 190 mL (range, 50-320 mL). Increasing uterine volume had no significant effect (P > .05) on fluoroscopic time but significantly increased (P < .001) contrast media volume. Significant training effect was identified with decrease in fluoroscopic time (P < .001) and decrease in contrast volume (P = .02) over training. Over the course of a 1-year fellowship, these summed to a decrease of 12 minutes in UAE fluoroscopy time and 17 mL less contrast.ConclusionA significant (P < .05) training effect that is clinically relevant was demonstrated over the course of a yearlong interventional radiology fellowship program in performance of a standardized protocol for UAE. This data supports fellowship training as a basis for UAE credentialing and privileging.Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.

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