Quantitative Evaluation of Performance in Interventional Neuroradiology: An Integrated Curriculum Featuring Theoretical and Practical Challenges
Identifieur interne : 000103 ( Main/Exploration ); précédent : 000102; suivant : 000104Quantitative Evaluation of Performance in Interventional Neuroradiology: An Integrated Curriculum Featuring Theoretical and Practical Challenges
Auteurs : Marielle Ernst [Allemagne] ; Levente Kriston [Allemagne] ; Javier M. Romero [États-Unis] ; Andreas M. Frölich [Allemagne] ; Olav Jansen [Allemagne] ; Jens Fiehler [Allemagne] ; Jan-Hendrik Buhk [Allemagne]Source :
- PLoS ONE [ 1932-6203 ] ; 2016.
Abstract
We sought to develop a standardized curriculum capable of assessing key competencies in Interventional Neuroradiology by the use of models and simulators in an objective, quantitative, and efficient way. In this evaluation we analyzed the associations between the practical experience, theoretical knowledge, and the skills lab performance of interventionalists.
We evaluated the endovascular skills of 26 participants of the Advanced Course in Endovascular Interventional Neuroradiology of the European Society of Neuroradiology with a set of three tasks (aneurysm coiling and thrombectomy in a virtual simulator and placement of an intra-aneurysmal flow disruptor in a flow model). Practical experience was assessed by a survey. Participants completed a written and oral examination to evaluate theoretical knowledge. Bivariate and multivariate analyses were performed.
In multivariate analysis knowledge of materials and techniques in Interventional Neuroradiology was moderately associated with skills in aneurysm coiling and thrombectomy. Experience in mechanical thrombectomy was moderately associated with thrombectomy skills, while age was negatively associated with thrombectomy skills. We found no significant association between age, sex, or work experience and skills in aneurysm coiling.
Our study gives an example of how an integrated curriculum for reasonable and cost-effective assessment of key competences of an interventional neuroradiologist could look. In addition to traditional assessment of theoretical knowledge practical skills are measured by the use of endovascular simulators yielding objective, quantitative, and constructive data for the evaluation of the current performance status of participants as well as the evolution of their technical competency over time.
Url:
DOI: 10.1371/journal.pone.0148694
PubMed: 26848840
PubMed Central: 4743848
Affiliations:
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sort="Ernst, Marielle" uniqKey="Ernst M" first="Marielle" last="Ernst">Marielle Ernst</name><affiliation wicri:level="3"><nlm:aff id="aff001"><addr-line>Center for Radiology and Endoscopy, Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany</addr-line></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center for Radiology and Endoscopy, Department of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg</wicri:regionArea><placeName><settlement type="city">Hambourg</settlement><region type="land" nuts="2">Hambourg</region></placeName></affiliation></author><author><name sortKey="Kriston, Levente" sort="Kriston, Levente" uniqKey="Kriston L" first="Levente" last="Kriston">Levente Kriston</name><affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>Department of Medical Psychology, University Medical Center 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In this evaluation we analyzed the associations between the practical experience, theoretical knowledge, and the skills lab performance of interventionalists.</p></sec><sec id="sec002"><title>Materials and Methods</title><p>We evaluated the endovascular skills of 26 participants of the Advanced Course in Endovascular Interventional Neuroradiology of the European Society of Neuroradiology with a set of three tasks (aneurysm coiling and thrombectomy in a virtual simulator and placement of an intra-aneurysmal flow disruptor in a flow model). Practical experience was assessed by a survey. Participants completed a written and oral examination to evaluate theoretical knowledge. Bivariate and multivariate analyses were performed.</p></sec><sec id="sec003"><title>Results</title><p>In multivariate analysis knowledge of materials and techniques in Interventional Neuroradiology was moderately associated with skills in aneurysm coiling and thrombectomy. Experience in mechanical thrombectomy was moderately associated with thrombectomy skills, while age was negatively associated with thrombectomy skills. We found no significant association between age, sex, or work experience and skills in aneurysm coiling.</p></sec><sec id="sec004"><title>Conclusion</title><p>Our study gives an example of how an integrated curriculum for reasonable and cost-effective assessment of key competences of an interventional neuroradiologist could look. In addition to traditional assessment of theoretical knowledge practical skills are measured by the use of endovascular simulators yielding objective, quantitative, and constructive data for the evaluation of the current performance status of participants as well as the evolution of their technical competency over time.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Vonofakos, D" uniqKey="Vonofakos D">D Vonofakos</name></author><author><name sortKey="Marcu, H" uniqKey="Marcu H">H Marcu</name></author><author><name sortKey="Hacker, H" uniqKey="Hacker H">H Hacker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Levinson, W" uniqKey="Levinson W">W Levinson</name></author><author><name sortKey="King, Te" uniqKey="King T">TE King</name></author><author><name sortKey="Goldman, L" uniqKey="Goldman L">L Goldman</name></author><author><name sortKey="Goroll, Ah" uniqKey="Goroll A">AH Goroll</name></author><author><name sortKey="Kessler, B" uniqKey="Kessler B">B Kessler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yousem, Dm" uniqKey="Yousem D">DM Yousem</name></author><author><name sortKey="Nidecker, A" uniqKey="Nidecker A">A Nidecker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Drazen, Jm" uniqKey="Drazen J">JM Drazen</name></author><author><name sortKey="Weinstein, Df" uniqKey="Weinstein D">DF Weinstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miranpuri, As" uniqKey="Miranpuri A">AS Miranpuri</name></author><author><name sortKey="Nickele, Cm" uniqKey="Nickele C">CM Nickele</name></author><author><name sortKey="Akture, E" uniqKey="Akture E">E Akture</name></author><author><name sortKey="Royalty, K" uniqKey="Royalty K">K Royalty</name></author><author><name sortKey="Niemann, Db" uniqKey="Niemann D">DB Niemann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ahmed, K" uniqKey="Ahmed K">K Ahmed</name></author><author><name sortKey="Keeling, An" uniqKey="Keeling A">AN Keeling</name></author><author><name sortKey="Fakhry, M" uniqKey="Fakhry M">M Fakhry</name></author><author><name sortKey="Ashrafian, H" uniqKey="Ashrafian H">H Ashrafian</name></author><author><name sortKey="Aggarwal, R" uniqKey="Aggarwal R">R Aggarwal</name></author><author><name sortKey="Naughton, Pa" uniqKey="Naughton P">PA Naughton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Spiotta, Am" uniqKey="Spiotta A">AM Spiotta</name></author><author><name sortKey="Rasmussen, Pa" uniqKey="Rasmussen P">PA Rasmussen</name></author><author><name sortKey="Masaryk, Tj" uniqKey="Masaryk T">TJ Masaryk</name></author><author><name sortKey="Benzel, Ec" uniqKey="Benzel E">EC Benzel</name></author><author><name sortKey="Schlenk, R" uniqKey="Schlenk R">R Schlenk</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Suzuki, Y" uniqKey="Suzuki Y">Y Suzuki</name></author><author><name sortKey="Fujitsuka, M" uniqKey="Fujitsuka M">M Fujitsuka</name></author><author><name sortKey="Chaloupka, Jc" uniqKey="Chaloupka J">JC Chaloupka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wong, Ja" uniqKey="Wong J">JA Wong</name></author><author><name sortKey="Matsumoto, Ed" uniqKey="Matsumoto E">ED Matsumoto</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fiorella, D" uniqKey="Fiorella D">D Fiorella</name></author><author><name sortKey="Arthur, A" uniqKey="Arthur A">A Arthur</name></author><author><name sortKey="Byrne, J" uniqKey="Byrne J">J Byrne</name></author><author><name sortKey="Pierot, L" uniqKey="Pierot L">L Pierot</name></author><author><name sortKey="Molyneux, A" uniqKey="Molyneux A">A Molyneux</name></author><author><name sortKey="Duckwiler, G" uniqKey="Duckwiler G">G Duckwiler</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Eva, Kw" uniqKey="Eva K">KW Eva</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Austin, Pc" uniqKey="Austin P">PC Austin</name></author><author><name sortKey="Steyerberg, Ew" uniqKey="Steyerberg E">EW Steyerberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Boulet, Jr" uniqKey="Boulet J">JR Boulet</name></author><author><name sortKey="Murray, D" uniqKey="Murray D">D Murray</name></author><author><name sortKey="Kras, J" uniqKey="Kras J">J Kras</name></author><author><name sortKey="Woodhouse, J" uniqKey="Woodhouse J">J Woodhouse</name></author><author><name sortKey="Mcallister, J" uniqKey="Mcallister J">J McAllister</name></author><author><name sortKey="Ziv, A" uniqKey="Ziv A">A Ziv</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nguyen, N" uniqKey="Nguyen N">N Nguyen</name></author><author><name sortKey="Eagleson, R" uniqKey="Eagleson R">R Eagleson</name></author><author><name sortKey="Boulton, M" uniqKey="Boulton M">M Boulton</name></author><author><name sortKey="De Ribaupierre, S" uniqKey="De Ribaupierre S">S de Ribaupierre</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Arthur, A" uniqKey="Arthur A">A Arthur</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>États-Unis</li></country><region><li>Hambourg</li><li>Massachusetts</li><li>Schleswig-Holstein</li></region><settlement><li>Hambourg</li><li>Kiel</li></settlement></list><tree><country name="Allemagne"><region name="Hambourg"><name sortKey="Ernst, Marielle" sort="Ernst, Marielle" uniqKey="Ernst M" first="Marielle" last="Ernst">Marielle Ernst</name></region><name sortKey="Buhk, Jan Hendrik" sort="Buhk, Jan Hendrik" uniqKey="Buhk J" first="Jan-Hendrik" last="Buhk">Jan-Hendrik Buhk</name><name sortKey="Fiehler, Jens" sort="Fiehler, Jens" uniqKey="Fiehler J" first="Jens" last="Fiehler">Jens Fiehler</name><name sortKey="Frolich, Andreas M" sort="Frolich, Andreas M" uniqKey="Frolich A" first="Andreas M." last="Frölich">Andreas M. Frölich</name><name sortKey="Jansen, Olav" sort="Jansen, Olav" uniqKey="Jansen O" first="Olav" last="Jansen">Olav Jansen</name><name sortKey="Kriston, Levente" sort="Kriston, Levente" uniqKey="Kriston L" first="Levente" last="Kriston">Levente Kriston</name></country><country name="États-Unis"><region name="Massachusetts"><name sortKey="Romero, Javier M" sort="Romero, Javier M" uniqKey="Romero J" first="Javier M." last="Romero">Javier M. Romero</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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