Project Information

Use of Simulation to teach Bone Marrow Biopsies to Hematology/Oncology Fellows

Project Description: Hematology/Oncology fellows are required to learn how to perform bone marrow biopsies, invasive procedures often required to make the diagnosis of a variety of hematologic conditions. Oftentimes, while fellows have learned about this procedure in a didactic setting, they have not had prior hands on experience. Simulation is an educational strategy that relies on imitation of aspects of patient care through standardized patients. Use of simulation has been shown to better prepare learners as compared to didactic sessions alone without risk to patients and the ACGME has placed great value in its use. We plan to teach first year fellows how to perform bone marrow biopsies and then allow them to practice using an artificially constructed pelvis that mimics human bone. This will allow them to get hands on experience prior to performing this procedure on an actual patient. Second/third year fellows will be offered the opportunity to participate in this simulation session as upperclassmen in an alternative session geared toward troubleshooting common stumbling blocks that may present themselves during the procedure (e.g. difficult anatomic landmarks). In collaboration with a proceduralist in our Department, an artificially constructed pelvis was constructed using cow bone. An interior chamber was created and filled with a gelatinous substance that will mimic actual bone marrow. After learning the steps of the procedure including indications/contraindications, informed consent, and anatomic landmarks, fellows will be given time to practice and refine their technique.

QPI: Martina, Murphy, (

Collaborators: (; (; (; (; (

Advisors: Martina, Murphy, (

UF Health Big Aims: Zero Harm None

MeSH Keywords: Simulation Training, High Fidelity Simulation Training, Education, Medical, Graduate, Hematology, Patient Simulation, Medical education