Implementing Contrast Reaction Management Training for Residents Through High-Fidelity Simulation

Area of Science:

• Medical Education
• Radiology
• Patient Safety

Background:

• Adverse reactions to intravenous contrast agents can cause significant patient harm.
• Radiologists require proficiency in recognizing and managing these contrast reactions promptly.
• A gap exists in standardized training for managing contrast media adverse events.

Purpose of the Study:

• To develop and evaluate a hands-on simulation curriculum for radiology residents.
• To enhance residents' ability and confidence in managing intravenous contrast reactions.
• To assess the impact of simulation on knowledge and comfort levels regarding contrast reactions.

Main Methods:

• A simulation curriculum for contrast reaction management was implemented in 2016 and 2017.
• Resident participants (25 in 2016, 26 in 2017) completed pre- and post-simulation surveys.
• Surveys assessed knowledge and self-reported comfort in managing contrast reactions.

Main Results:

• Knowledge assessment scores improved significantly from pre- to post-simulation (83% and 86% of questions correct in 2016 and 2017, respectively).
• Participant comfort levels in managing contrast reactions increased across all measured aspects post-simulation.
• Repeated annual simulations demonstrated further knowledge and comfort gains, indicating cumulative benefits.

Conclusions:

• High-fidelity simulation effectively improves radiology residents' knowledge and comfort in managing contrast reactions.
• The simulation curriculum has been integrated as a standard component of the residency program.
• Simulation-based training is a valuable tool for enhancing preparedness for adverse events in radiology.