Grants

???By practicing on anatomic phantoms, our residents gain hands-on experience before doing these precise procedures on actual patients. They gain skill and confidence ??? a benefit to them and the patients.??? - Gerritt Lagemann, MD, UPMC Presbyterian

ANATOMIC PHANTOM TO IMPROVE RADIOLOGY RESIDENT PROCEDURAL PROFICIENCY

Grant Application

Gerritt Lagemann, MD, of UPMC Presbyterian

 

Proposed Innovation

Each year, radiology residents at UPMC Presbyterian perform approximately 1,000 fluoroscopic-guided lumbar punctures and myelograms — delicate diagnostic imaging procedures requiring placement of a needle into the spinal column. Traditionally, residents have learned to do this through direct observation and then quickly moving on to “doing one.” This approach has a steep learning curve and may increase the risk of radiation exposure for patients and residents, as well as patient discomfort and trainee anxiety.

Through this project, first-year radiology residents will undergo direct, hands-on training in lumbar punctures using anatomic radiologic phantoms that simulate a patient’s spine.

 

Improvements in Action

Two anatomic radiologic phantoms will be purchased for use with incoming radiology residents over a six-month period beginning in July 2015. The residents will be divided into two groups: A control group and an experimental group. Both groups will receive the usual instruction through a lecture. But, the experimental group will also undergo four hours of individual, hand-on simulation training from an expert attending neuroradiologist using a lumbar anatomic phantom.

 

Results — In Progress

Outcomes of the training sessions will be measured over a six-month period beginning in January 2016. The simulated training sessions are expected to result in improved fluoroscopy times with reduced radiation exposure, more successful procedures without direct, hands-on intervention by the attending radiologist, and less resident anxiety throughout the radiology rotation.