Determining procedures for simulation-based training in radiology: a nationwide needs assessment

Eur Radiol. 2018 Jun;28(6):2319-2327. doi: 10.1007/s00330-017-5244-7. Epub 2018 Jan 9.

Abstract

Objectives: New training modalities such as simulation are widely accepted in radiology; however, development of effective simulation-based training programs is challenging. They are often unstructured and based on convenience or coincidence. The study objective was to perform a nationwide needs assessment to identify and prioritize technical procedures that should be included in a simulation-based curriculum.

Methods: A needs assessment using the Delphi method was completed among 91 key leaders in radiology. Round 1 identified technical procedures that radiologists should learn. Round 2 explored frequency of procedure, number of radiologists performing the procedure, risk and/or discomfort for patients, and feasibility for simulation. Round 3 was elimination and prioritization of procedures.

Results: Response rates were 67 %, 70 % and 66 %, respectively. In Round 1, 22 technical procedures were included. Round 2 resulted in pre-prioritization of procedures. In round 3, 13 procedures were included in the final prioritized list. The three highly prioritized procedures were ultrasound-guided (US) histological biopsy and fine-needle aspiration, US-guided needle puncture and catheter drainage, and basic abdominal ultrasound.

Conclusion: A needs assessment identified and prioritized 13 technical procedures to include in a simulation-based curriculum. The list may be used as guide for development of training programs.

Key points: • Simulation-based training can supplement training on patients in radiology. • Development of simulation-based training should follow a structured approach. • The CAMES Needs Assessment Formula explores needs for simulation training. • A national Delphi study identified and prioritized procedures suitable for simulation training. • The prioritized list serves as guide for development of courses in radiology.

Keywords: Curriculum; Delphi technique; Needs assessment; Radiology; Simulation training.

MeSH terms

  • Clinical Competence
  • Computer Simulation
  • Curriculum
  • Delphi Technique
  • Denmark
  • Education, Medical, Graduate / methods*
  • Education, Medical, Graduate / organization & administration
  • Humans
  • Needs Assessment / organization & administration*
  • Patient Simulation
  • Radiology / education*
  • Ultrasonography / standards
  • Ultrasonography, Interventional / standards