Aims and objectives
Speed and accuracy are essential during stereotactic breast biopsy to minimize pain and discomfort experienced by patients.
However,
acquisition of procedural skills requires hands-on experience,
and traditional radiology residency curricula requires inexperienced residents tolearn by practicing on patients,
which is not ideal for the patient or resident [1].
Patients presenting for stereotactic biopsy are not only made physically uncomfortable during the procedure,
but also experience anxiety and stress surrounding both the diagnostic procedure itself and the anticipated diagnosis [1,2].
Having an inexperienced resident perform the...
Methods and materials
Third and fourth year radiology residents at our institution were asked to participate in the study.
Out of 19 residents,
17 agreed and participated to the study’s completion.
The residents were first asked to complete a pre-curriculum survey,
which assessed the following on a 5 point scale (1=strongly disagree,
5=strongly agree): individual level of confidence in their ability to perform accurate stereotactic biopsies,
whether they felt they had received adequate patient experience to perform stereotactic biopsies,
whether they would like to use a tissue model...
Results
Question
Avg.
Pre-curriculum Score
Avg.
Post-curriculum Score
I am confident in my ability to perform accurate stereotactic biopsies
1.7
4
Pre: I have received adequate patient experience in my breast rotations to perform stereotactic biopsies
Post: The tissue model experience was an adequate substitute for performing accurate stereotactic biopsies
1.8
4.8
Pre: I would like to be able to use a tissue model to practice stereotactic biopsies
Post: This tissue model experience is beneficial to the breast imaging curriculum in the radiology residency program
4.9...
Conclusion
Evaluation of pre- and post-curriculum surveys shows that residents overwhelmingly consider their experience with the breast simulation models to be educationally useful.
Prior to participating in the curriculum,
residents did not feel confident in their abilities to perform stereotactic biopsies,
as evidenced by an average score of 1.7 on the pre-curriculum survey,
meaning the residents on average did not agree that they were confident in their ability to perform accurate stereotactic biopsies.
After participation in the curriculum,
resident confidence increased to an average score of...
Personal information
Julie Gibbons,
MD
Radiology Resident,
PGY-2
Boston University,
Boston Medical Center
[email protected]
Neil Thayil,
MD
Radiology Resident,
PGY-4
Boston University,
Boston Medical Center
[email protected]
Jeffrey Brooks,
MD
Assistant Professor of Radiology
Boston University School of Medicine,
Boston Medical Center
[email protected]
References
1.
Thyail,
N.,
& Brooks,
J.
Breast Model for Teaching the Needle Localization
Procedure.
Radiological Society of North America 2014 Scientific Assembly and Annual Meeting,
Chicago IL.
Available at http://archive.rsna.org/2014/14011847.html
2.
Chun,
K.,
& Velanovich,
V.
(2002).
Patient-perceived cosmesis and satisfaction after breast biopsy: Comparison of stereotactic incisional,
excisional,
and wire-localized biopsy techniques.
Surgery,
131(5),
497–501.
doi:10.1067/msy.2002.123259
3.
Sutherland,
L.
M.,
Middleton,
P.
F.,
Anthony,
A.,
Hamdorf,
J.,
Cregan,
P.,
Scott,
D.,
& Maddern,
G.
J.
(2006).
Surgical Simulation: A Systematic Review.
Annals of Surgery,...