High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents

Rationale and objectives: Contrast reactions are rare but serious events, frequently managed independently by Radiology Residents, who are likely underprepared to lead the acute event response. At our tertiary care center, Radiology Residents are the first responders to contrast reaction scenarios,...

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Main Authors: Danielle E. Kruse, Geoffrey Scriver, Ryan Walsh
Format: Article
Language:English
Published: Elsevier 2022-01-01
Series:European Journal of Radiology Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S235204772200051X
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author Danielle E. Kruse
Geoffrey Scriver
Ryan Walsh
author_facet Danielle E. Kruse
Geoffrey Scriver
Ryan Walsh
author_sort Danielle E. Kruse
collection DOAJ
description Rationale and objectives: Contrast reactions are rare but serious events, frequently managed independently by Radiology Residents, who are likely underprepared to lead the acute event response. At our tertiary care center, Radiology Residents are the first responders to contrast reaction scenarios, and previously had didactic only training. We sought to create a High-Fidelity Simulation Training, and to assess whether this improved resident knowledge in managing contrast reactions. Materials and methods: In September of 2020, we administered a didactic only contrast reaction training to 20 residents, with an anonymous 20 question multiple choice pre- and post-test. In January of 2022, we administered a 4-hour, 4-station contrast reaction High-Fidelity Simulation Training to 22 residents, with the same 20 question multiple choice pre- and post-test. Results: The average number of residents answering each question correctly did not significantly improve following the didactic only training (p = 0.116). Following high-fidelity simulation training, however, there was a significant improvement by a mean of 2.45 (p = 0.028), as well as a mean improvement in individual scores of 10.45% (p = 0.0001). Comparing junior and senior residents, there was a significant difference in pre-test scores, with senior residents scoring on average 9.67% better (p = 0.0364); however on post-test scores, there was no significant difference. Conclusion: High-fidelity simulation training improves resident knowledge of contrast reaction management, and allows inexperienced junior residents to attain senior resident level proficiency in these high-stress scenarios.
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spelling doaj.art-830c9777abc342f5bf9617db36a892122022-12-22T04:19:42ZengElsevierEuropean Journal of Radiology Open2352-04772022-01-019100444High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residentsDanielle E. Kruse0Geoffrey Scriver1Ryan Walsh2Duke University Hospital, Department of Radiology, Box 3808, 2301 Erwin Road, Durham, NC 27705, USA; Corresponding author.University of Vermont Medical Center, Department of Radiology, 111 Colchester Ave, Burlington, VT 05401, USAUniversity of Vermont Medical Center, Department of Radiology, 111 Colchester Ave, Burlington, VT 05401, USARationale and objectives: Contrast reactions are rare but serious events, frequently managed independently by Radiology Residents, who are likely underprepared to lead the acute event response. At our tertiary care center, Radiology Residents are the first responders to contrast reaction scenarios, and previously had didactic only training. We sought to create a High-Fidelity Simulation Training, and to assess whether this improved resident knowledge in managing contrast reactions. Materials and methods: In September of 2020, we administered a didactic only contrast reaction training to 20 residents, with an anonymous 20 question multiple choice pre- and post-test. In January of 2022, we administered a 4-hour, 4-station contrast reaction High-Fidelity Simulation Training to 22 residents, with the same 20 question multiple choice pre- and post-test. Results: The average number of residents answering each question correctly did not significantly improve following the didactic only training (p = 0.116). Following high-fidelity simulation training, however, there was a significant improvement by a mean of 2.45 (p = 0.028), as well as a mean improvement in individual scores of 10.45% (p = 0.0001). Comparing junior and senior residents, there was a significant difference in pre-test scores, with senior residents scoring on average 9.67% better (p = 0.0364); however on post-test scores, there was no significant difference. Conclusion: High-fidelity simulation training improves resident knowledge of contrast reaction management, and allows inexperienced junior residents to attain senior resident level proficiency in these high-stress scenarios.http://www.sciencedirect.com/science/article/pii/S235204772200051XHigh-fidelity simulation trainingContrast reaction managementRadiology resident trainingEducationContrast reactionResident education
spellingShingle Danielle E. Kruse
Geoffrey Scriver
Ryan Walsh
High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents
European Journal of Radiology Open
High-fidelity simulation training
Contrast reaction management
Radiology resident training
Education
Contrast reaction
Resident education
title High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents
title_full High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents
title_fullStr High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents
title_full_unstemmed High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents
title_short High-fidelity simulation training improves resident knowledge of contrast reaction management, especially for junior residents
title_sort high fidelity simulation training improves resident knowledge of contrast reaction management especially for junior residents
topic High-fidelity simulation training
Contrast reaction management
Radiology resident training
Education
Contrast reaction
Resident education
url http://www.sciencedirect.com/science/article/pii/S235204772200051X
work_keys_str_mv AT danielleekruse highfidelitysimulationtrainingimprovesresidentknowledgeofcontrastreactionmanagementespeciallyforjuniorresidents
AT geoffreyscriver highfidelitysimulationtrainingimprovesresidentknowledgeofcontrastreactionmanagementespeciallyforjuniorresidents
AT ryanwalsh highfidelitysimulationtrainingimprovesresidentknowledgeofcontrastreactionmanagementespeciallyforjuniorresidents