+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

High-fidelity medical simulation as an assessment tool for radiology residents' acute contrast reaction management skills



High-fidelity medical simulation as an assessment tool for radiology residents' acute contrast reaction management skills



Journal of the American College of Radiology 6(8): 582-587



The aims of this study were to use medical simulation as an assessment tool for the evaluation of radiology residents' compliance with contrast reaction treatment protocols and to gauge their perceptions of the simulation experience. A prospective, observational study of postgraduate year 2 and 3 radiology residents' management of simulated life-threatening contrast reactions was designed. After standard didactic teaching on departmental contrast reaction protocols, residents participated individually in high-fidelity medical simulations of acute contrast reactions. Residents' performance of predetermined critical actions was recorded. Presimulation and postsimulation multiple-choice testing evaluated residents' knowledge of departmental protocols. Each resident completed 5-point, Likert-type surveys assessing comfort level while managing contrast reactions and perceptions of the simulation experience. Residents performed a mean of 13 of 20 critical actions (range, 10-16). The average presimulation multiple-choice testing score was 56%, whereas the average postsimulation score was 92% (P = .0003). Subjects' average ratings of comfort level in managing in-hospital contrast reactions before and after study intervention were 3.47 and 4.07, respectively (P = .03). Average ratings for comfort level in the outpatient setting were 3.08 before and 3.69 after the study (P = .69). All residents strongly agreed that the simulation was a valuable educational experience, while 85% strongly agreed that it improved their skills in managing acute contrast reactions. Standard didactic instruction may provide insufficient training and reinforcement of acute contrast reaction management skills. Medical simulation may provide a valuable means of assessing residents' skills and comfort levels in managing severe contrast reactions.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 053545489

Download citation: RISBibTeXText

PMID: 19643387

DOI: 10.1016/j.jacr.2009.04.012


Related references

High-fidelity medical simulation as an assessment tool for pediatric residents' airway management skills. Pediatric Emergency Care 23(1): 11-15, 2007

Severe contrast reaction emergencies high-fidelity simulation training for radiology residents and technologists in a children's hospital. Academic Radiology 17(7): 934-940, 2010

Implementing Contrast Reaction Management Training for Residents Through High-Fidelity Simulation. Academic Radiology 2018, 2018

Medical Knowledge Enabled High Fidelity Simulation: A Template for a Milestone-Based Resuscitation Skills Assessment Tool. Annals of Emergency Medicine 62(4): S162-S163, 2013

Prospective randomized comparison of standard didactic lecture versus high-fidelity simulation for radiology resident contrast reaction management training. Ajr. American Journal of Roentgenology 196(6): 1288-1295, 2011

Effect of high-fidelity shoulder dystocia simulation on emergency obstetric skills and crew resource management skills among residents. International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics 135(3): 338-342, 2016

Comparison of High-Fidelity Simulation Versus Didactic Instruction as a Reinforcement Intervention in a Comprehensive Curriculum for Radiology Trainees in Learning Contrast Reaction Management: Does It Matter How We Refresh?. Academic Radiology 22(10): 1268-1276, 2016

Cost analysis and feasibility of high-fidelity simulation based radiology contrast reaction curriculum. Academic Radiology 18(1): 107-112, 2011

High-Fidelity Contrast Reaction Simulation Training: Performance Comparison of Faculty, Fellows, and Residents. Journal of the American College of Radiology 13(1): 81-87, 2016

Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. Anesthesiology 112(1): 202-211, 2010

Acquisition of Critical Intraoperative Event Management Skills in Novice Anesthesiology Residents by Using High-Fidelity Simulation-Based Training. Survey of Anesthesiology 55(1): 17-18, 2011

Comparison of High-Fidelity Medical Simulation to Short-Answer Written Examination in the Assessment of Emergency Medicine Residents in Medical Toxicology. Missouri Medicine 114(5): 396-399, 2018

Prospective randomized study of contrast reaction management curricula: computer-based interactive simulation versus high-fidelity hands-on simulation. European Journal of Radiology 82(12): 2247-2252, 2014

Perceived Barriers to the Use of High-Fidelity Hands-On Simulation Training for Contrast Reaction Management: Why Programs are Not Using It. Current Problems in Diagnostic Radiology 44(6): 474-478, 2016

Nursing students' evaluation of a new feedback and reflection tool for use in high-fidelity simulation - Formative assessment of clinical skills. A descriptive quantitative research design. Nurse Education in Practice 27: 114-120, 2017