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Interventional Spine Course: Improving Fluoroscopic Safety and Procedural Efficacy Among Physical Medicine and
Michael Appeadu1, Richard Rosales, Andrew L Sherman
1From the Department of Physical Medicine and Rehabilitation, University of Miami/Jackson Memorial Hospital, Miami, Florida.
American Journal of Physical Medicine & Rehabilitation
|February 2, 2023
Summary
A new interventional spine training course significantly improved safety and efficacy for physical medicine and rehabilitation residents. Objective assessments showed better performance in fluoroscopic spinal procedures after the course.
Area of Science:
- Medical Education
- Physical Medicine and Rehabilitation
- Interventional Spine Procedures
Background:
- Fluoroscopy-guided interventional techniques are crucial for managing spinal pain.
- Current training lacks standardized methods for physiatry trainees in these procedures.
- Ensuring resident competency in spinal interventions is vital for patient safety.
Purpose of the Study:
- To assess the effectiveness of a dedicated interventional spine training course.
- To improve the safety and efficacy of fluoroscopic spinal procedures among residents.
- To provide a standardized educational framework for physical medicine and rehabilitation trainees.
Main Methods:
- Prospective multiple cohort study design.
- Implementation of a training course including lectures, hands-on practice, and self-assessment.
- Objective structured clinical examinations (OSCEs) and written examinations for pre- and post-training evaluation.
Main Results:
- Statistically significant improvements in mean OSCE scores across all resident cohorts (P < 0.05).
- Significant gains in written examination scores observed in postgraduate years 2 and 3 residents.
- Demonstrated enhanced knowledge and procedural skills post-training.
Conclusions:
- The interventional spine training course is a valuable tool for physical medicine and rehabilitation residents.
- The course effectively enhances resident competency in performing fluoroscopic spinal procedures.
- Continued cohort studies will further validate the comprehensive benefits of this training program.

