A new, expanded approach to pediatric cardiology fellowship orientation

Burstein, Danielle S.; Mille, Felina; Cohen, Meryl S.; Ravishankar, Chitra

doi:10.1016/j.ppedcard.2018.06.001

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…Thus, improving and standardizing echocardiography education has been a recent focus at many fellowship programs. A common development has been the implementation of a “boot camp” at the beginning of fellowship . The amount of time dedicated to teaching echocardiography skills in these programs varies, but intensive educational sessions have been shown to lead to higher quality echocardiograms and greater independence .…”

Section: Introductionmentioning

confidence: 99%

“…A common development has been the implementation of a "boot camp" at the beginning of fellowship. [2][3][4][5][6] The amount of time dedicated to teaching echocardiography skills in these programs varies, but intensive educational sessions have been shown to lead to higher quality echocardiograms and greater independence. 7 However, an understanding of best practices in echocardiography education after fellowship orientation is lacking.…”

Section: Introductionmentioning

confidence: 99%

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A standardized imaging protocol improves quality and reduces practice variability in echocardiographic assessment of ventricular function by first‐year pediatric cardiology fellows

White

Rogers

et al. 2019

Echocardiography

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Background Echocardiography education for pediatric cardiology fellows has been a recent focus leading to the implementation of “boot camps.” Less is described about continuing education through fellowship and improving image quality. We noticed practice variation in echocardiograms assessing ventricular function performed on nights and weekends. Thus, we implemented a standardized protocol and assessed its impact on imaging and reporting completeness. Methods We created an imaging protocol for the assessment of ventricular function in the acute setting. The protocol included demographic information, a list of images to be obtained, and the methods to quantify ventricular function. The protocol was explained to first‐year fellows and distributed on an electronic quick reference card. Echocardiograms independently performed by first‐year fellows during their first 4 months of on‐call time were assessed pre‐ and postintervention using a standard rubric. Results Compliance with demographic reporting was high pre‐ and postintervention, but significantly improved after the standardized protocol (P < 0.001). Use of the protocol increased the median number of unique images obtained per echocardiogram from 13 to 17 (out of 23 required views, P < 0.001). Particularly improved was the performance of quantitative evaluations of function, including Simpson's method for left ventricular ejection fraction (four chamber: 40% vs 67%, P < 0.001; two chamber: 33% vs 67%, P < 0.001) and tricuspid annular plane systolic excursion (45% vs 80%, P < 0.001). Conclusions The introduction of a standardized imaging protocol and its distribution to first‐year fellows resulted in improvements in echocardiographic reporting completeness and increased the quality of information obtained by providing more quantitative assessments of ventricular function.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A standardized imaging protocol improves quality and reduces practice variability in echocardiographic assessment of ventricular function by first‐year pediatric cardiology fellows

White

Rogers

et al. 2019

Echocardiography

View full text Add to dashboard Cite

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“…Thus, many fellowship programmes have designed and implemented "boot camps" during fellowship orientation. [1][2][3][4][5] For the fellowship class that started in summer 2020, these established orientations were thrown into turmoil by the COVID-19 pandemic. 6 Many didactic lectures were moved to virtual conferences, and hands-on instruction with the echocardiography machine was curtailed.…”

mentioning

confidence: 99%

Sustained improvement in fellows’ echocardiographic completeness through the coronavirus pandemic with a standardised imaging protocol

et al. 2022

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First-year cardiology fellows must quickly learn basic competency in echocardiography during fellowship orientation. This educational process was disrupted in 2020 due to the coronavirus pandemic, as our hands-on echocardiography teaching transitioned from practice on paediatric volunteers to simulation-based training. We previously described an improvement in echocardiographic completeness after implementation of a standardised imaging protocol for the performance of acute assessments of ventricular function. Herein, we assessed whether this improvement could be sustained over the two subsequent years, including the fellowship year affected by the pandemic. Echocardiograms performed by first-year paediatric cardiology fellows to assess ventricular function were reviewed for completeness. The frequency with which each requested component was included was measured. A total demographic score (out of 7) and total imaging score (out of 23) were calculated. The pre-protocol years (2015–2017) were compared to the post-protocol years (2018–2020), and the pre-COVID years (2018–2019) were compared to the year affected by COVID (2020). There was a sustained improvement in completeness after protocol implementation with improvement in the demographic score (median increasing from 6 to 7, p < 0.001) and imaging score (median increasing from 13 to 16, p < 0.001). More individual components showed a statistically significant increase in frequency compared to our prior publication. The COVID pandemic resulted in very few differences in completeness. Demographic reporting improved modestly (p = 0.04); the imaging score was unchanged (p = 0.59). The only view obtained less frequently was the apical two-chamber view. A standardised imaging protocol allowed sustained improvements in echocardiographic completeness despite the disruption of fellowship orientation by COVID-19.

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A new, expanded approach to pediatric cardiology fellowship orientation

Cited by 2 publications

References 9 publications

A standardized imaging protocol improves quality and reduces practice variability in echocardiographic assessment of ventricular function by first‐year pediatric cardiology fellows

A standardized imaging protocol improves quality and reduces practice variability in echocardiographic assessment of ventricular function by first‐year pediatric cardiology fellows

Sustained improvement in fellows’ echocardiographic completeness through the coronavirus pandemic with a standardised imaging protocol

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