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Design-Based Bone Marrow Biopsy Training.

Sam Brondfield¹, Derek Harmon, Dylan Romero

¹From the Departments of Medicine (S.B.) and Anatomy (D.H.); UCSF Library Makers Lab (D.R., J.T.); and Department of Medicine, San Francisco Veterans Affairs Medical Center, UCSF Hematology/Oncology Fellowship (G.H.), University of California, San Francisco, San Francisco, CA.

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare

|July 28, 2021

Summary

This summary is machine-generated.

Hematology/oncology fellows can now practice bone marrow biopsies using 3D-printed models. This accessible simulation improves procedural skills and anatomy understanding, addressing limitations in clinical practice volume.

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Area of Science:

Medical Education
3D Printing Technology
Surgical Simulation

Background:

Hematology/oncology fellows require bone marrow biopsy proficiency.
Clinical volume limits opportunities for fellows to practice this procedure.
A feasible, accessible system for repetitive practice is needed.

Purpose of the Study:

To develop and pilot a bone marrow biopsy simulation using 3D-printed pelvis models.
To assess the feasibility and utility of 3D-printed models for procedural practice.

Main Methods:

Design thinking was used to create and refine two 3D-printed pelvis models.
A 1-hour simulation session was conducted with nine fellows, including anatomy review and practice with faculty feedback.
Feasibility was evaluated through session evaluations, comfort surveys, and feedback from fellows and attending physicians.

Main Results:

Fellows highly rated the 3D simulation session, reporting improved comfort and skill.
Supervising physicians observed no difference in skill compared to previous years.
Fellows valued the opportunity for repetitive practice, feedback, and anatomy internalization.

Conclusions:

3D-printed models offer an accessible and feasible educational tool for bone marrow biopsy simulation.
These models facilitate iterative practice, feedback, and enhanced anatomy visualization.
Future development should incorporate user feedback to optimize the utility of 3D-printed simulation models.