title: Benchmarking Lumbar Puncture Fluoroscopy Time during Fellowship Training.
abstract: We sought to establish a guide for identifying fellowship competency in performing fluoroscopically guided lumbar punctures. With a linear mixed-effects model, we compared the fluoroscopy time between the first and last 3 months of neuroradiology training. During 7 years, 55 fellows performed 1142 and 861 lumbar punctures in the first and last quarters of training. A target fluoroscopy time of 0.26 minutes, the upper 95% confidence interval, can serve as a fellowship benchmark for successfully achieving competence in fluoroscopically guided lumbar punctures.
authors.affiliation: From the Division of Neuroradiology (H.Y., K.S., L.L., M.M., D.M.Y.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, Maryland.|Shandong Medical Imaging Research Institute (H.Y.), Shandong University, Jinan, Shandong, China.
authors.forename: H
authors.identifier: 0000-0002-1121-1124
authors.initials: H
authors.lastname: Yang
authors.affiliation: From the Division of Neuroradiology (H.Y., K.S., L.L., M.M., D.M.Y.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, Maryland.
authors.forename: K
authors.identifier: 0000-0001-5046-9251
authors.initials: K
authors.lastname: Schaffer
authors.affiliation: From the Division of Neuroradiology (H.Y., K.S., L.L., M.M., D.M.Y.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, Maryland.
authors.forename: L
authors.identifier: 0000-0002-5054-2372
authors.initials: L
authors.lastname: Liu
authors.affiliation: From the Division of Neuroradiology (H.Y., K.S., L.L., M.M., D.M.Y.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, Maryland.
authors.forename: M
authors.identifier: 0000-0002-9370-3973
authors.initials: M
authors.lastname: Mahesh
authors.affiliation: From the Division of Neuroradiology (H.Y., K.S., L.L., M.M., D.M.Y.), The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, Maryland dyousem1@jhu.edu.
authors.forename: D M
authors.identifier: 0000-0002-1222-6643
authors.initials: DM
authors.lastname: Yousem
mesh_terms: D019985:Benchmarking / Q000379:methods*; D005257:Fellowships and Scholarships; D005471:Fluoroscopy / Q000379:methods*; D006801:Humans; D016014:Linear Models; D009462:Neurology / Q000193:education* / Q000592:standards*; D011871:Radiology / Q000193:education* / Q000592:standards*; D012189:Retrospective Studies; D013129:Spinal Puncture / Q000379:methods* / Q000592:standards