Role of high-fidelity simulation in obstetrics ultrasound training: A fresh perspective in the COVID era

Mahesh Mijar, Lenon DSouza, Berton Monteiro, Malathi Bhat, Tanushree Kamath
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Abstract

Context: Obstetric sonography is one of the cornerstones in radiology. The exposure of radiology residents in this field is not adequate during their residency life; hence, simulation techniques can be used to bridge the knowledge gap and improve their skills. Aims: The study aimed to evaluate the impact of high-fidelity obstetric sonography simulation in resident training and competency testing. Design: The study design involves interventional longitudinal cohort study. Methods: The study was conducted among 15 radiology residents with the use of Vimedix high-fidelity Ultrasonography simulator. Seven sessions were conducted, following which the evaluation of the training program was done using the Kirkpatrick training evaluation model. The resident's reaction was recorded using the questionnaire, and the change in knowledge was ascertained by the pretest and posttest. A change in behavior was recorded using a questionnaire in the 6-month follow-up. Results: All the domains showed a positive trend after the session three and session seven. The residents were more confident and had an overall improved satisfaction of 97.4% regarding training. The Cronbach's alpha test for this study was 0.812 for session three and 0.867 for session seven. An upward trend was seen in the results of the pretest and posttest scores with P < 0.01. The average pretest mean score was 11.3, and the average posttest mean score was 21.4. A 6-month follow-up showed nearly 95% of the individuals found simulation to be helpful in their daily day-to-day practice. Conclusions: High-fidelity simulators can be used as an adjunct to conventional training in obstetric sonography training of radiology residents.
高保真模拟在产科超声训练中的作用:新冠肺炎时代的新视角
背景:产科超声是放射学的基石之一。放射科住院医师在住院期间对该领域的接触不足;因此,模拟技术可以用来弥合知识差距,提高他们的技能。目的:本研究旨在评估高保真产科超声模拟在住院医师培训和能力测试中的影响。设计:研究设计涉及介入性纵向队列研究。方法:使用Vimedix高保真超声模拟器对15名放射科住院医师进行研究。进行了七次培训,之后使用Kirkpatrick培训评估模型对培训计划进行评估。使用问卷记录居民的反应,并通过前测和后测确定知识的变化。在6个月的随访中,使用问卷记录行为的变化。结果:第三节和第七节之后,所有领域都呈现出积极的趋势。居民更加自信,对培训的总体满意度提高了97.4%。本研究的Cronbachα检验在第三阶段为0.812,在第七阶段为0.867。前后测成绩呈上升趋势,P<0.01。平均前测平均分为11.3,平均后测平均分是21.4。6个月的随访显示,近95%的人发现模拟对他们的日常实践有帮助。结论:高保真度模拟器可作为常规培训的辅助手段,用于放射科住院医师的产科超声培训。
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审稿时长
26 weeks
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