Eng Soo Yap1, Pei Lin Koh, Chin Hin Ng, Sanjay de Mel, Yen Lin Chee. 1. From the Department of Haematology-Oncology, National University Cancer Institute, Singapore (E.S.Y., C.H.N., S.D.M., Y.L.C.); Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore (P.L.K.); and Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore (P.L.K.).
Abstract
INTRODUCTION: Bone marrow aspirate and trephine (BMAT) biopsy is a commonly performed procedure in hematology-oncology practice. Although complications are uncommon, they can cause significant morbidity and mortality. Simulation models are an excellent tool to teach novice doctors basic procedural skills before performing the actual procedure on patients to improve patient safety and well-being. METHODS: There are no commercial BMAT simulators, and this technical report describes the rationale, technical specifications, and construction of a low-cost, easily constructed, reusable BMAT simulator that reproduced the tactile properties of tissue layers for use as a teaching tool in our resident BMAT simulation course. Preliminary data of learner responses to the simulator were also collected. RESULTS: From April 2013 to November 2013, 32 internal medicine residents underwent the BMAT simulation course. Eighteen (56%) completed the online survey, 11 residents with previous experience doing BMAT and 7 without experience. Despite the difference in operative experience, both experienced and novice residents all agreed or strongly agreed that the model aided their understanding of the BMAT procedure. All agreed or strongly agreed that this enhanced their knowledge of anatomy and 16 residents (89%) agreed or strongly agreed that this model was a realistic simulator. CONCLUSIONS: We present a novel, low-cost, easily constructed, realistic BMAT simulator for training novice doctors to perform BMAT.
INTRODUCTION: Bone marrow aspirate and trephine (BMAT) biopsy is a commonly performed procedure in hematology-oncology practice. Although complications are uncommon, they can cause significant morbidity and mortality. Simulation models are an excellent tool to teach novice doctors basic procedural skills before performing the actual procedure on patients to improve patient safety and well-being. METHODS: There are no commercial BMAT simulators, and this technical report describes the rationale, technical specifications, and construction of a low-cost, easily constructed, reusable BMAT simulator that reproduced the tactile properties of tissue layers for use as a teaching tool in our resident BMAT simulation course. Preliminary data of learner responses to the simulator were also collected. RESULTS: From April 2013 to November 2013, 32 internal medicine residents underwent the BMAT simulation course. Eighteen (56%) completed the online survey, 11 residents with previous experience doing BMAT and 7 without experience. Despite the difference in operative experience, both experienced and novice residents all agreed or strongly agreed that the model aided their understanding of the BMAT procedure. All agreed or strongly agreed that this enhanced their knowledge of anatomy and 16 residents (89%) agreed or strongly agreed that this model was a realistic simulator. CONCLUSIONS: We present a novel, low-cost, easily constructed, realistic BMAT simulator for training novice doctors to perform BMAT.
Authors: Nathalie Bravenboer; Miriam A Bredella; Christophe Chauveau; Alessandro Corsi; Eleni Douni; William F Ferris; Mara Riminucci; Pamela G Robey; Shanti Rojas-Sutterlin; Clifford Rosen; Tim J Schulz; William P Cawthorn Journal: Front Endocrinol (Lausanne) Date: 2020-01-24 Impact factor: 5.555