title: An endovascular simulation exercise among radiology residents: comparison of simulation performance with and without practice.
abstract: OBJECTIVE
  The purpose was to compare resident endovascular simulator performance with and without prior simulation.
  
  
  METHODS
  Radiology residents were guided through a practice simulation and lectured on endovascular therapy, then randomized to simulate femoral arterial intervention with or without prior iliac simulation. Simulator measurements, performance grading and resident surveys were recorded.
  
  
  RESULTS
  Prior simulation of iliac intervention significantly improved resident performance. In particular, it resulted in less catheter placement without a wire (P=.01), shorter time to proper catheter positioning (P=.045) and use of oblique digital subtraction angiography (P=.035). Survey respondents valued the experience.
  
  
  CONCLUSIONS
  Endovascular simulator training improves simulation skills. Improvement of real-world performance and generalizability remain to be shown.
authors.affiliation: New York Presbyterian, Columbia Campus, Department of Radiology, 622 West 168th Street, PB1-301, New York, NY, 10032. Electronic address: dkp9003@nyp.org.
authors.forename: Daniel K
authors.initials: DK
authors.lastname: Powell
authors.affiliation: Icahn School of Medicine at Mount Sinai, 1428 Madison Ave, New York, NY, 10029.
authors.forename: D Kenneth
authors.initials: DK
authors.lastname: Jamison
authors.affiliation: Mount Sinai Beth Israel, Department of Radiology, 10 Nathan D. Perlman Pl., 2 Karpas, New York, NY, 10003.
authors.forename: James E
authors.initials: JE
authors.lastname: Silberzweig
mesh_terms: D002983:Clinical Competence; D057510:Endovascular Procedures / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D011871:Radiology / Q000193:education*
keywords: Angioplasty; Endovascular; Resident education; Simulation