An integrated pathology and ultrasonography-based simulation for training in performing kidney biopsy
| Autor: | Vandana Dua Niyyar, Kevin D. Phelan, Shree G. Sharma, John M. Arthur, Stephen M. Bonsib, Nithin Karakala, Manisha Singh, Juan Carlos Q. Velez, Kelly W. Bulloch |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Nephrology
medicine.medical_specialty Pathology Health Knowledge Attitudes Practice Percutaneous Biopsy 030232 urology & nephrology 030204 cardiovascular system & hematology Kidney Manikins law.invention 03 medical and health sciences 0302 clinical medicine renal biopsy law Internal medicine Surveys and Questionnaires Methods Article Cadaver Medicine Humans Fellowships and Scholarships Simulation Training Ultrasonography Interventional Self-efficacy medicine.diagnostic_test business.industry Kidney pathology Medical practice General Medicine graduate medical education Self Efficacy bedside ultrasound procedure skill Plasticine Clinical Competence Ultrasonography business simulation center academic setting |
| Zdroj: | Clinical Nephrology |
| ISSN: | 0301-0430 |
| Popis: | Background: Medical practice trends and limitations in trainees’ duty hours have diminished the interest and exposure of nephrology fellows to percutaneous kidney biopsy (PKB). We hypothesized that an integrated nephrology-pathology-led simulation may be an effective educational tool. Materials and methods: A 4-hour PKB simulation workshop (KBSW), led by two ultrasonography (US)-trained nephrologists and two nephropathologists, consisted of 6 stations: 1) diagnostic kidney US with live patients, 2) kidney pathology with plasticine models of embedded torso cross-sections, 3) US-based PKB with mannequin (Blue Phantom™), 4) kidney pathology with dissected cadavers, 5) US-based PKB in lightly-embalmed cadavers, and 6) tissue retrieval adequacy examination by microscope. A 10-question survey assessing knowledge acquisition and procedural confidence gain was administered pre- and post-KBSW. Results: 21 participants attended the KBSW and completed the surveys. The overall percentage of correct answers to knowledge questions increased from 55 to 83% (p = 0.016). The number of “extremely confident” answers increased from 0 – 5% to 19 – 28% in all 4 questions (p = 0.02 – 0.04), and the number of “not at all confident” answers significantly decreased from 14 – 62% to 0 – 5% in 3 out of 4 questions (p = 0.0001 – 0.03). Impact of the imparted training on subsequent practice pattern was not assessed. Conclusion: A novel KBSW is an effective educational tool to acquire proficiency in PKB performance and could help regain interest among trainees in performing PKBs. |
| Databáze: | OpenAIRE |
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