Retrospective Study of the Impact of Fellowship Training on Two Quality and Safety Measures in Uterine Artery Embolization
| Autor: | Sam Stuart, John M. C. Wan, Alden Ling, Mark A. Power, Darren Klass, Michael Schulzer, John R. Mayo, Benjamin J. Roberton, David M. Liu |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Time Factors medicine.medical_treatment education Contrast Media Radiology Interventional Credentialing Uterine artery embolization Triiodobenzoic Acids Humans Medicine Fluoroscopy Radiology Nuclear Medicine and imaging Fellowships and Scholarships Stage (cooking) Ultrasonography Interventional Retrospective Studies medicine.diagnostic_test business.industry Ultrasound Retrospective cohort study Interventional radiology Training effect Uterine Artery Embolization Treatment Outcome Education Medical Graduate Female Clinical Competence Educational Measurement Radiology business |
| Zdroj: | Journal of the American College of Radiology. 11:471-476 |
| ISSN: | 1546-1440 |
| DOI: | 10.1016/j.jacr.2013.09.020 |
| Popis: | Rationale and Objectives To measure the impact of 1-year interventional fellowship training on fluoroscopic time and contrast media utilization in uterine artery embolization (UAE). Materials and Methods Retrospective single institution analysis of 323 consecutive UAEs performed by 12 interventional fellows using a standardized protocol. Fluoroscopy time and contrast media volume were recorded for each patient and correlated with stage of fellowship training. Preprocedure uterine volume (using MRI or ultrasound) was used as a measure of procedural complexity. Regression analysis was conducted per trainee factoring in duration of training, procedure number, supervising radiologist, uterine volume, and outcome variables of fluoroscopy time and contrast media volume. Results Median number of patients treated per trainee was 27 (range, 16-43) with mean fluoroscopic time 24.5 minutes (range, 4-90 min) and mean contrast volume 190 mL (range, 50-320 mL). Increasing uterine volume had no significant effect ( P > .05) on fluoroscopic time but significantly increased ( P 001) contrast media volume. Significant training effect was identified with decrease in fluoroscopic time ( P 001) and decrease in contrast volume ( P = . 02) over training. Over the course of a 1-year fellowship, these summed to a decrease of 12 minutes in UAE fluoroscopy time and 17 mL less contrast. Conclusion A significant ( P 05) training effect that is clinically relevant was demonstrated over the course of a yearlong interventional radiology fellowship program in performance of a standardized protocol for UAE. This data supports fellowship training as a basis for UAE credentialing and privileging. |
| Databáze: | OpenAIRE |
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