An integrated pathology and ultrasonography-based simulation for training in performing kidney biopsy


Area of Science:

• Nephrology Education
• Medical Simulation
• Procedural Training

Background:

• Trainee duty hour limitations have reduced exposure to percutaneous kidney biopsy (PKB).
• Interest in performing PKBs among nephrology fellows has declined.
• Novel educational strategies are needed to enhance PKB skills.

Purpose of the Study:

• To evaluate the effectiveness of an integrated nephrology-pathology-led simulation workshop for PKB training.
• To assess the impact of the simulation on knowledge acquisition and procedural confidence.

Main Methods:

• A 4-hour kidney biopsy simulation workshop (KBSW) was developed.
• The workshop included 6 stations covering diagnostic ultrasound, pathology, and hands-on PKB simulation.
• Participants completed pre- and post-workshop surveys assessing knowledge and confidence.

Main Results:

• Knowledge scores increased significantly from 55% to 83% post-workshop (p=0.016).
• Self-reported confidence in performing PKBs "extremely" increased from 0-5% to 19-28% (p=0.02-0.04).
• The proportion of participants reporting "not at all confident" significantly decreased (p=0.0001-0.03).

Conclusions:

• A novel kidney biopsy simulation workshop is an effective educational tool.
• This simulation improves proficiency in percutaneous kidney biopsy performance.
• The workshop shows potential to increase trainee interest in performing PKBs.