Kevin R Reyes, Paul Wong, Mary Petrofsky, Annie Dai, Alyson Pelayo, Sam Brondfield, Daniel H Kwon
Shared decision-making needs, barriers, and facilitators of patients with newly diagnosed advanced cancer in the hospital: a multi-level, mixed-methods study
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
background pilot study aims examine effectiveness spinal cord stimulator scs simulator training system improving confidence pain fellows scs placement methodology five ukrainian physicians neurologists neurosurgeons anesthesiologist completed 10item survey regarding confidence various aspects scs placement opinions effective scs models educational purposes placing scs leads using scs simulator physicians took survey mannwhitney u test used determine significant difference total scores pre postsimulator training software past paleontological statistics used statistical analysis results overall five participants 38 statistically significant increase survey scores intervention mean 42 vs 62 p 00055 regards item survey participants significantly increased confidence driving leads 26 vs 52 p 0008 overall technical skills scs procedure training 28 vs 52 p 00188 although eight survey items statistically significant p 005 participants 28 increase confidence inserting epidural needles 20 increase interpreting simulated xrays 32 increase navigating challenging anatomical variations 12 increase identifying key anatomical landmarks 20 increase ensuring correct placement lead 53 increase preparedness performing scs procedure real clinical setting participants perspective valuable stimulator training enhancing procedural skills increased 38 well simulator replicated reallife scs procedure increased 52 although statistically insignificant p 005 conclusions pilot study shows utilization simulated neuromodulation training viable means augmenting neuromodulation education increasing physicians confidence aspects scs placement procedure extent simulator training improves procedural skills reallife scs placement needs investigated