Rationale and Objectives
Endovascular simulation is a validated training method, allowing residents to improve
technical skills with interventional equipment in a risk-free environment. The purpose
of this study was to assess the utility and efficacy of supplementing the IR/DR Integrated
Residency training program with a dedicated 2-year endovascular simulation curriculum.
Materials and Methods
Trainees participated in a 2-year curriculum that included the completion of 8 modules
using a high-fidelity endovascular simulator (Mentice AB, Gothenberg, Sweden). Procedural
modules included IVC filter placement, transarterial chemoembolization, trauma embolization,
uterine artery embolization, prostate artery embolization, and peripheral arterial
disease interventions. Each quarter, two trainees were filmed while completing an
assigned module. Sessions led by IR faculty were held with film footage review and
didactics on the assigned topic. Pre- and postcase surveys were collected to evaluate
trainee comfort and confidence and assess the validity of the simulation. At the conclusion
of the 2-year period, a postcurriculum survey was sent to all trainees to determine
how residents viewed the utility of the simulation sessions.
Results
Eight residents participated in the pre- and postcase surveys. The simulation curriculum
significantly increased trainee confidence for these 8 residents. A separate postcurriculum
survey was completed by all 16 IR/DR residents. All 16 residents felt that simulation
was a helpful addition to their education. A total of 87.5% of all residents felt
that the sessions improved their confidence in the IR procedure room. A total of 75%
of all residents believe that the simulation curriculum should be incorporated into
the IR residency program.
Conclusion
Adoption of a 2-year simulation curriculum can be considered for existing IR/DR training
programs with access to high-fidelity endovascular simulators using the described
approach.
Key Words
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Article info
Publication history
Published online: February 25, 2023
Accepted:
January 27,
2023
Received in revised form:
January 25,
2023
Received:
August 19,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.