Skip to main content
Log in

Training on a vascular interventional simulator: an observational study

  • Interventional
  • Published:
European Radiology Aims and scope Submit manuscript

Abstract

Radiology registrars were observed performing a left renal artery angioplasty using a proprietary training simulator up to five times during their first year of training. Total procedure time, fluoroscopy times, and metric information from the machine were recorded. Each step of the procedure was judged by an observer and a mistake profile was generated. Fifty-two runs were completed by 12 trainees. The mean procedure time decreased from 16.6 min to 9.8 min over the five runs. The number of mistakes ranged from zero to ten and the mean number of mistakes made varied from 0.7 to 2.6 per procedure without any particular trend. Our study demonstrates that training on the simulator does improve performance. The mistakes made throughout training indicates the potential benefit from further simulator training. It remains unclear how to integrate this form of training in current educational programs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Bradley P (2006) The history of simulation in medical education and possible future directions. Med Educ 40:254–262

    Article  PubMed  Google Scholar 

  2. Saied N (2005) Virtual reality and medicine. From the cockpit to the operating room: are we there yet? Mo Medicine 102:450–455

    Google Scholar 

  3. Dewey L (2005) Will modernised medical careers produce a better surgeon? BMJ 331:1346

    Article  Google Scholar 

  4. Seymour NE, Gallagher AG, Roman SA et al (2002) Virtual reality training performance improves operating room performance. Ann Surg 236:458–464

    Article  PubMed  Google Scholar 

  5. Kneebone RL, Nestel D, Moorthy K et al (2003) Learning the skills of flexible sigmoidoscopy — the wider perspective. Med Educ 37:50–58

    Article  PubMed  Google Scholar 

  6. Satava RM (1993) Virtual reality surgical simulator: the first steps. Surg Endosc 7:203–205

    Article  PubMed  CAS  Google Scholar 

  7. Hanna GB, Frank TG, Cuschieri A (1997) Objective assessment of endoscopic knot quality. Am J Surg 174:410–413

    Article  PubMed  CAS  Google Scholar 

  8. Dayal R, Faries PL, Lin SC et al (2004) Computer simulation as a component of catheter-based training. J Vasc Surg 40:1112–1116

    Article  PubMed  Google Scholar 

  9. Hsu JH, Younan D, Pandalai S et al (2004) Use of a computer simulation for determining endovascular skill levels in a carotid stenting model. J Vasc Surg 40:1118–1125

    Article  PubMed  Google Scholar 

  10. Gallagher AG, Cates CU (2004) Approval of virtual reality training for carotid stenting. What this means for procedural-based medicine. JAMA 292:3024–3026

    Article  PubMed  CAS  Google Scholar 

  11. Healy GB (2002) The College should be instrumental in adapting simulators to education. Bull Am Coll Surg 8:10–12

    Google Scholar 

  12. Haque S, Srinivasan S (2006) A Meta-Analysis of the training effectiveness of virtual reality surgical simulators. IEEE Trans Inf Technol Biomed 10:51–58

    Article  PubMed  Google Scholar 

  13. Gould DA, Reekers JA, Kessel DO et al (2006) Simulation Devices in Interventional Radiology: Caveat Emptor. Cardiovasc Interv Radiol 29:4–6

    Article  Google Scholar 

  14. Chaer RA, Derubertis BG, Lin SC et al (2006) Simulation improves resident performance in catheter-based intervention: results of a randomized, controlled study. Ann Surg 244:343–352

    PubMed  Google Scholar 

  15. Dawson DL, Meyer J, Lee ES, Pevec WC (2004) Training with simulation improves residents’ endovascular procedural skills. J Vasc Surg 45:149–154

    Article  Google Scholar 

  16. Neequaye SK, Aggarwal R, Brightwell R et al (2007) Identification of skills common to renal and iliac endovascular procedures performed on a virtual reality simulator. Eur J Endovasc Surg 33:525–532

    Article  CAS  Google Scholar 

  17. Duncan J, Glaiberman CB (2007) Analysis of simulated angiographic procedures. Part 2: Extracting efficiency data from audio and video recordings. J Vasc Interv Radiol 18:535–554

    Article  PubMed  Google Scholar 

  18. Evans A (2002) Are we really as good as we think we are? Ann R Coll Surg Engl 84:54–56

    Article  PubMed  CAS  Google Scholar 

  19. Dankelman J, Wentink M, Grimbergen CA et al (2004) Does virtual reality training make sense in interventional radiology? Training skill-, rule- and knowledge-based behaviour. Cardiovasc Interv Radiol 27:417–421

    Article  CAS  Google Scholar 

  20. Gallagher AG, Ritter EM, Champion H et al (2005) Virtual reality simulation for the operating room. Proficiency-based training as a paradigm shift in surgical skills training. Ann Surg 241:364–372

    Article  PubMed  Google Scholar 

  21. Kneebone R (2005) Evaluating clinical simulations for learning procedural skills: a theory-based approach. Acad Med 80:549–553

    Article  PubMed  Google Scholar 

  22. Johnson S, Healey A, Evans J et al (2006) Physical and cognitive task analysis in interventional radiology. Clin Radiol 61:97–103

    Article  PubMed  CAS  Google Scholar 

  23. Smith MK. (2001) David A. Kolb on experiential learning. [Online]. The encyclopedia of informal education. Available: http://www.infed.org/b-explrn.htm

  24. Duncan J, Glaiberman CB (2006) Analysis of simulated angiographic procedures: Part 1—Capture and presentation of audio and video recordings. J Vasc Interv Radiol 17:1979–1919

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Darren Klass.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Klass, D., Tam, M.D.B.S., Cockburn, J. et al. Training on a vascular interventional simulator: an observational study. Eur Radiol 18, 2874–2878 (2008). https://doi.org/10.1007/s00330-008-1090-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00330-008-1090-y

Keywords

Navigation