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Preparing junior radiology residents for overnight call via peer-led, hands-on simulation

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Abstract

Purpose

The aim of this study was to assess the perceived value and impact of a hands-on mock call simulation program on resident confidence with interpretation of emergency department overnight call cases.

Methods

A five-session course was implemented in June of 2018 for rising PGY-3/R2 residents to mimic the experience of overnight call with indirect supervision. Sessions were led by senior residents in the program and consisted of timed, independent interpretation of 15–20 high-yield cases per day which highlighted “do-not miss” critical findings and simulated workflow interruptions including phone calls, consultations, and questions from technologists. IRB-approved, and anonymous pre- and post-course surveys were administered to participants which assessed residents’ degree of confidence in interpretation of on-call cases and comparison of the mock call experience with existing preparatory strategies. Survey responses were analyzed using McNemar’s test and Mann-Whitney U test.

Results

Our survey response rate was 91% (29/32). After completing the mock call simulation, there was a significant increase in the mean Likert score of resident confidence levels and feelings of preparedness from 4.59 to 7.38 (p < 0.01). The majority of respondents (72.4% [21/29]) felt that the mock call simulation was “extremely useful.” One hundred percent of respondents indicated that the mock call simulation should be implemented for the following year.

Conclusion

Implementation of a hands-on mock call simulation significantly improves the confidence levels of radiology residents before assuming on-call responsibilities and may serve as an adjunct to existing preparatory strategies.

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Data availability

All data generated or analyzed during this study are included in this published article (and its supplementary information files).

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Authors and Affiliations

  1. The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, 600 N. Wolfe St. Room 118, Baltimore, MD, 21287, USA

    Derek L. Nguyen, Peter Kamel & Erin N. Gomez

Authors
  1. Derek L. Nguyen
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  2. Peter Kamel
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  3. Erin N. Gomez
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Correspondence to Derek L. Nguyen.

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Nguyen, D.L., Kamel, P. & Gomez, E.N. Preparing junior radiology residents for overnight call via peer-led, hands-on simulation. Emerg Radiol 28, 589–599 (2021). https://doi.org/10.1007/s10140-020-01887-x

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  • DOI: https://doi.org/10.1007/s10140-020-01887-x

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