• European radiology · Jun 2018

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

    • Leizl Joy Nayahangan, Kristina Rue Nielsen, Elisabeth Albrecht-Beste, Bachmann Nielsen Michael M Department of Radiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark. , Charlotte Paltved, Karen Gilboe Lindorff-Larsen, Bjørn Ulrik Nielsen, and Lars Konge.
    • Copenhagen Academy for Medical Education and Simulation, The Capital Region of Denmark, Copenhagen, Denmark. leizl.joy.nayahangan@regionh.dk.
    • Eur Radiol. 2018 Jun 1; 28 (6): 2319-2327.

    ObjectivesNew 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.MethodsA 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.ResultsResponse 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.ConclusionA 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.

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