Use of a simulation laboratory to train radiology residents in the management of acute radiologic emergencies.
AJR Am J Roentgenol
; 199(2): 244-51, 2012 Aug.
Article
in En
| MEDLINE
| ID: mdl-22826384
ABSTRACT
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 ANDMETHODS:
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.
Full text:
1
Database:
MEDLINE
Main subject:
Radiology
/
Education, Medical, Graduate
/
Emergency Medicine
/
Internship and Residency
Limits:
Female
/
Humans
/
Male
Language:
En
Year:
2012
Type:
Article