A novel simulator model and standardized assessment tools for fine needle aspiration cytology training.


Journal Article

OBJECTIVES: Fine needle aspiration (FNA) is an invaluable diagnostic procedure for evaluation of lesions; however, acquisition of diagnostic material is dependent on the skill of the practitioner. We report a novel patient simulator for teaching the FNA procedure and structured assessment tools for educators and learners. METHODS: We created a novel simulator model for FNA training, employed a standardized teaching module, and assessed procedure utility in medical students. Groups of students completed training using a commercial version of the model, and underwent structured evaluation using an Objective Structured Assessment of Technical Skills (OSATS) form, and the Debriefing Assessment for Simulation in Healthcare (DASH) tool. RESULTS: In the initial phase, 178 students rated the training workshop between valuable and essential (4.2 on a 5-point Likert scale). In the second phase, for students evaluated with the OSATS form, the mean overall score was 33 out of 50 (range 26-43). The areas of weakness for the participants were: (a) compression after the FNA procedure, (b) completion of the informed consent, and (c) correct explanation of the procedure to the patient. For the group of students that completed the DASH questionnaire, the results were: 6.2 (assessment by students) and 6.7 (assessment by instructor) out of a maximum of 7. CONCLUSION: A realistic simulation model, in combination with a standardized training program with formal assessment methods is a valuable tool to teach FNA. We here describe a process for teaching the FNA procedure to interested educators and learners.

Full Text

Duke Authors

Cited Authors

  • Alcaraz-Mateos, E; Jiang, XS; Mohammed, AAR; Turic, I; Hernández-Sabater, L; Caballero-Alemán, F; Párraga-Ramírez, MJ; Poblet, E

Published Date

  • April 2019

Published In

Volume / Issue

  • 47 / 4

Start / End Page

  • 297 - 301

PubMed ID

  • 30474299

Pubmed Central ID

  • 30474299

Electronic International Standard Serial Number (EISSN)

  • 1097-0339

Digital Object Identifier (DOI)

  • 10.1002/dc.24105


  • eng

Conference Location

  • United States