Computer based simulation in CT and MRI radiography education: Current role and future opportunities.

OBJECTIVE The use of Computer-based simulation (CBS), a form of simulation which utilises digital and web based platforms, is widely acknowledged in healthcare education. This literature review explores the current evidence relating to CBS activities in supporting radiographer education in CT and MRI. KEY FINDINGS Journal articles published between 2010 and 2020 were reviewed (n = 663). The content was evaluated and summarised with the following headings; current utility, overview of CBS types, knowledge acquisition and evaluation, and student perspective. CBS utility in CT and MRI radiography education is limited. Its current use is for pre-registration education, and the interfaces used vary in design but are predominantly used as a preclinical learning tool to support the training of geometric scan planning, image acquisition and reconstruction, and associated technical skills. CBS was positively acknowledged by student radiographers; based on its inherent flexibility, self-paced learning and the ability to practice in a safe environment. Nonetheless, the educational validation of CBS in CT and MRI education pertaining to knowledge and skill acquisition has not been fully assessed through rigorous academic assessments and metrics. CONCLUSION The current use of CBS in CT and MRI education is limited. The development of software programmes with functionality and capability that correlates with current clinical practice is imperative; and to enable more research in CBS utility to be undertaken to establish the efficacy of this pedagogical approach. IMPLICATIONS FOR PRACTICE Due to limited placement opportunities, the use of simulation is increasing and evolving; in line with the approach to design and deliver high quality Simulation Based Education (SBE) in Diagnostic Radiography education. The continued development, utility and evaluation of CBS interfaces to support student radiographers at pre and post registration level is therefore essential.

[1]  R. Lawton,et al.  Reviewing studies with diverse designs: the development and evaluation of a new tool. , 2012, Journal of evaluation in clinical practice.

[2]  P. Morgan,et al.  An international survey of MRI qualification and certification frameworks with an emphasis on identifying elements of good practice. , 2017, Radiography.

[3]  John Robinson,et al.  Student perceptions of remote access simulated learning in computed tomography , 2020, Interact. Learn. Environ..

[4]  Lai Fun Wong,et al.  Using simulation learning through academic-practice partnership to promote transition to clinical practice: a qualitative evaluation. , 2015, Journal of advanced nursing.

[5]  Natasha Taylor,et al.  Covid-19: using simulation and technology-enhanced learning to negotiate and adapt to the ongoing challenges in UK healthcare education , 2020, BMJ Simulation & Technology Enhanced Learning.

[6]  P. Bradley The history of simulation in medical education and possible future directions , 2006, Medical education.

[7]  Pantelis Karaiskos,et al.  A Web Simulation of Medical Image Reconstruction and Processing as an Educational Tool , 2015, Journal of Digital Imaging.

[8]  S. Tabatabai COVID-19 impact and virtual medical education , 2020, Journal of advances in medical education & professionalism.

[9]  David A Cook,et al.  Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. , 2011, JAMA.

[10]  Peter Jaye,et al.  Face, content and construct validity of a virtual reality simulator for robotic surgery (SEP Robot). , 2011, Annals of the Royal College of Surgeons of England.

[11]  H. O'Neil,et al.  Designing and using computer simulations in medical education and training: an introduction. , 2013, Military medicine.

[12]  Anouk van der Gijp,et al.  Increasing Authenticity of Simulation-Based Assessment in Diagnostic Radiology , 2017, Simulation in healthcare : journal of the Society for Simulation in Healthcare.

[13]  W. McGaghie,et al.  A critical review of simulation‐based medical education research: 2003–2009 , 2010, Medical education.

[14]  CTSim: an interactive computer simulation to learn the fundamentals of CT dose optimization. , 2014, Journal of the American College of Radiology : JACR.

[15]  Kathleen R Rosen,et al.  The history of medical simulation. , 2008, Journal of critical care.

[16]  K. A. Ericsson,et al.  The Influence of Experience and Deliberate Practice on the Development of Superior Expert Performance , 2006 .

[17]  Starla L Mason Radiography student perceptions of clinical stressors. , 2006, Radiologic technology.

[18]  N. Shiner Is there a role for simulation based education within conventional diagnostic radiography? A literature review. , 2018, Radiography.

[20]  S. Issenberg,et al.  Simulation in healthcare education: A best evidence practical guide. AMEE Guide No. 82 , 2013, Medical teacher.

[21]  D. Østergaard,et al.  Efficacy of simulation‐based trauma team training of non‐technical skills. A systematic review , 2014, Acta anaesthesiologica Scandinavica.

[22]  A. Ziv,et al.  Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review , 2005, Medical teacher.

[23]  J. McInerney,et al.  Computed tomography learning via high-fidelity simulation for undergraduate radiography students. , 2020, Radiography.

[24]  Case based simulation in MRI for suspected appendicitis in children. , 2018, Clinical imaging.

[25]  Heeseung Choi,et al.  Efficacy of the computer simulation-based, interactive communication education program for nursing students. , 2020, Nurse education today.

[26]  J. L. Portelli,et al.  Radiography students' clinical placement experiences in MRI: A phenomenological study , 2015 .

[27]  Miguel L. Bote-Lorenzo,et al.  A Web-Based Educational Magnetic Resonance Simulator: Design, Implementation and Testing , 2019, Journal of Medical Systems.

[28]  H. Turunen,et al.  Transfer of learning: Radiographers' perceptions of simulation-based educational intervention , 2016 .

[29]  Madeleine Shanahan,et al.  Student perspective on using a virtual radiography simulation , 2016 .

[30]  Ian Tseng,et al.  Evaluation of medical student experience using medical student created StudentPACS flash based PACS simulator tutorials for learning radiological topics. , 2010, Academic radiology.

[31]  W. Elshami,et al.  Transforming Magnetic Resonance Imaging Education through Simulation-Based Training. , 2017, Journal of medical imaging and radiation sciences.

[32]  R. Cant,et al.  Simulation in the Internet age: the place of web-based simulation in nursing education. An integrative review. , 2014, Nurse education today.

[33]  William F Auffermann,et al.  Conventional Medical Education and the History of Simulation in Radiology. , 2015, Academic radiology.

[34]  Stephen Maloney,et al.  Issues of cost-benefit and cost-effectiveness for simulation in health professions education , 2016, Advances in Simulation.

[35]  R. Cant,et al.  The value of simulation-based learning in pre-licensure nurse education: A state-of-the-art review and meta-analysis. , 2017, Nurse education in practice.

[36]  Laureen M. Donovan,et al.  Computer-based simulation: Effective tool or hindrance for undergraduate nursing students? , 2018, Nurse education today.