Effects of Transesophageal Echocardiography Simulator Training on Learning and Performance in Cardiovascular Medicine Fellows

Damp, Julie B.; Anthony, Ryan; Davidson, Mario; Mendes, Lisa A.

doi:10.1016/j.echo.2013.08.008

Cited by 53 publications

(64 citation statements)

References 22 publications

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“…Previous studies investigating the use of simulationbased TOE teaching have demonstrated that it is an effective method for teaching basic TOE concepts, and an effective adjunct to standard teaching methods [10][11][12]. Most of these studies were limited by their sample size, and none have directly compared simulation-based TOE teaching with an intra-operative TOE learning experience.…”

Section: Discussionmentioning

confidence: 99%

“…echocardiography fellowship. Simulation-based TOE teaching is a relatively new concept, and recent evidence supports its use as a supplement to conventional TOE teaching methods [11][12][13][14]. Simulation could thus provide a powerful strategy to accelerate TOE learning for non-cardiac anaesthetists and to maximise short training programmes in cardiac anaesthesia.…”

Section: Discussionmentioning

confidence: 99%

“…Simulation-based learning in TOE is gaining in popularity, with expert opinion reinforcing the results of studies showing benefit when compared with more traditional methods of TOE teaching [8][9][10][11][12][13][14]. The primary objective of this study was to compare the effectiveness of simulationbased and point-of-care TOE training to enable echocardiography-na€ ıve trainees to identify the cardiac anatomy associated with the 20 standard TOE imaging planes.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Simulation‐based teaching versus point‐of‐care teaching for identification of basic transoesophageal echocardiography views: a prospective randomised study

et al. 2014

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SummaryIn recent years, the use of transoesophageal echocardiography has increased in anaesthesia and intensive care. We explored the impact of two different teaching methods on the ability of echocardiography-na€ ıve subjects to identify cardiac anatomy associated with the 20 standard transoesophageal echocardiography imaging planes, and assessed trainees' satisfaction with these methods of training. Fifty-two subjects were randomly assigned to one of two groups: a simulation-based and a theatre-based teaching group. Subjects undertook video-based tests comprised of 20 multiple choice questions on echocardiography views before and after receiving echocardiography teaching. Subjects in simulation-and theatre-based teaching groups scored 40% (30-40 [20-50]) % and 35% (30-40 [15-55])% in the pretest, respectively (p = 0.52). Following echocardiography teaching, subjects within both groups improved upon their pre-test knowledge (p < 0.001). Subjects in the simulation-based teaching group significantly outperformed their theatre-based group counterparts in the post-intervention test (p = 0.0002).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Simulation‐based teaching versus point‐of‐care teaching for identification of basic transoesophageal echocardiography views: a prospective randomised study

et al. 2014

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“…Surgical programs, in particular, have been at the forefront of this effort, often instituting simulation training to recreate opportunities for both practice and assessment [1,2,5,9,10,19,22,27,29,34]. With respect to noninvasive cardiology training, there is a single report of assessing trainees with a computerized written examination and there are a few reports outlining testing of skills, predominantly for those learning to perform transesophageal echocardiograms [6,14,17,26]. While simulation can be incorporated into competency assessment for pediatric cardiology trainees, at present it can only have a limited role as the tools to evaluate significant congenital heart disease in a simulated environment do not currently exist.…”

Section: Discussionmentioning

confidence: 96%

Competency Testing for Pediatric Cardiology Fellows Learning Transthoracic Echocardiography: Implementation, Fellow Experience, and Lessons Learned

2015

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Evaluation consisted of a two-part exercise performed after years 1 and 2 of pediatric cardiology training. Part 1: a directly observed evaluation of technical skills as fellows imaged a normal subject (year 1) and a patient with complex heart disease (year 2). Part 2: fellows interpreted and wrote reports for two echocardiograms illustrating congenital heart disease. These were graded for accuracy and facility with communicating pertinent data. After 5 years of testing, fellows were surveyed about their experience. In 5 years, 40 fellows were tested at least once. Testing identified four fellows who underperformed on the technical portion and four on the interpretive portion. Surveys were completed by 33 fellows (83 %). Most (67 %) felt that intermittent observation by faculty was inadequate for assessing skills and that procedural volume was a poor surrogate for competency (58 %). Posttest feedback was constructive and valuable for 90, and 70 % felt the process helped them set goals for skill improvement. Overall, fellows felt this testing was fair and should continue. Fellow performance and responses identified programmatic issues that were creating barriers to learning. We describe a practical test to assess competency for cardiology fellows learning echocardiography. This paradigm is feasible, has excellent acceptance among trainees, and identifies trainees who need support. Materials developed could be easily adapted to help track upcoming ACGME-mandated metrics.

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“…These platforms are especially important to TEE-naïve since improves expertise, speed learning and comfort with TEE [65][66][67][68][69].…”

Section: Training and Competenciesmentioning

confidence: 99%

Intraoperative Transesophageal Echocardiography: Review and Evolution

Duque¹,

Machado²

2016

General Anesthesia and Sleep

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Effects of Transesophageal Echocardiography Simulator Training on Learning and Performance in Cardiovascular Medicine Fellows

Cited by 53 publications

References 22 publications

Simulation‐based teaching versus point‐of‐care teaching for identification of basic transoesophageal echocardiography views: a prospective randomised study

Simulation‐based teaching versus point‐of‐care teaching for identification of basic transoesophageal echocardiography views: a prospective randomised study

Competency Testing for Pediatric Cardiology Fellows Learning Transthoracic Echocardiography: Implementation, Fellow Experience, and Lessons Learned

Intraoperative Transesophageal Echocardiography: Review and Evolution

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