Providing Initial Transthoracic Echocardiography Training for Anesthesiologists: Simulator Training Is Not Inferior to Live Training

Edrich, Thomas; Seethala, Raghu R.; Olenchock, Benjamin A.; Mizuguchi, Annette; Rivero, Jose; Beutler, Sascha S.; Fox, John A.; Liu, Xiaoxia; Frendl, György

doi:10.1053/j.jvca.2013.07.011

Cited by 29 publications

(31 citation statements)

References 11 publications

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“…However, teaching all 10 views in the rst 4 ASE modules was inappropriate for initial medical student training [10]. Selection of the 5 views was based on review of 2 guidelines and 3 studies: the World Interactive Network Focused on Critical UltraSound (WINFOCUS) recommendations [4], the European Association of Cardiovascular Imaging (EACVI) consensus for focused cardiac ultrasound (FoCUS) [21], a Focused Echocardiography Entry Level (FEEL) training study [22], a medical student FoCUS training study [14], and an initial transthoracic echocardiography (TTE) training study for anesthesiologists [23]. The WINFOCUS recommendations and the EACVI consensus selected the same 5 views as an ideal standard or basic for cardiac POCUS examination, and the 3 studies utilized the same 5 views for hands-on training.…”

Section: Cardiac Pocus Views Selectionmentioning

confidence: 99%

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Pre-clinical medical student cardiac point-of-care ultrasound curriculum based on the American Society of Echocardiography recommendations: a pilot and feasibility study

Jujo

Lee-Jayaram

Sakka

et al. 2020

Preprint

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Background Cardiac point-of-care ultrasound (POCUS) training has been integrated into medical school curricula. However, there is no standardized cardiac POCUS training method for medical students. To address this issue, the American Society of Echocardiography (ASE) proposed a framework for medical student cardiac POCUS training. The objective of this pilot study was to develop a medical student cardiac POCUS curriculum with test scoring systems and test the curriculum feasibility for a future definitive study.Methods Based on the ASE-recommended framework, we developed a cardiac POCUS curriculum consisting of a pre-training online module and hands-on training with a hand-held ultrasound (Butterfly iQ). The curriculum learning effects were assessed with a 10-point maximum skill test and a 40-point maximum knowledge test at pre-, immediate post-, and 8-week post-training. To determine the curriculum feasibility, we planned to recruit 6 pre-clinical medical students. We semi-quantitatively evaluated the curriculum feasibility in terms of recruitment rate, follow-up rate 8 weeks after training, instructional design of the curriculum, the effect size (ES) of the test score improvements, and participant satisfaction. Discriminatory ability of the test scoring systems were assessed by comparing the scores of the medical students, medical interns, and experts.Results Six pre-clinical medical students participated in the curriculum. The recruitment rate was 100% (6/6 students) and the follow-up rate 8 weeks after training was 100% (6/6). ESs of skill and knowledge test score differences between pre- and immediate post-, and between pre- and 8-week post-training were large. The students reported high satisfaction with the curriculum. The test scoring systems demonstrated excellent discriminatory ability between the 3 different performance levels.Conclusions This pilot study confirmed the curriculum design as feasible with instructional design modifications including the hands-on training group size, content of the cardiac POCUS lecture, hands-on teaching instructions, and hand-held ultrasound usage. Based on the pilot study findings, we plan to conduct the definitive study with the primary outcome of long-term skill retention 8 weeks after initial training. The definitive study has been registered in ClinicalTrials.gov (Identifier: NCT04083924).

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Section: Cardiac Pocus Views Selectionmentioning

confidence: 99%

“…We developed a 10-point maximum scoring system by modifying an existing assessment tool for TTE views [23]. The scoring system was designed to assess 5-view image quality for the purpose of rapid bedside cardiac assessment, not for a formal diagnostic comprehensive echocardiography examination.…”

Section: -Point Maximum Skill Test Scoring Systemmentioning

confidence: 99%

Pre-clinical medical student cardiac point-of-care ultrasound curriculum based on the American Society of Echocardiography recommendations: a pilot and feasibility study

Jujo

Lee-Jayaram

Sakka

et al. 2020

Preprint

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“…32,47,48 Sophisticated simulators now allow for trainees to practice on mannequins and familiarize themselves with the technicalities of 2D ultrasound. In addition, transesophageal echocardiography (TEE) simulation is fast becoming a stepping stone for getting inexperienced operators comfortable with the use of a TEE probe.…”

Section: Diagnostic Utilitymentioning

confidence: 99%

Training the Anesthesiologist in Point-of-Care Ultrasound

Deshpande

Montealegre-Gallegos

Matyal

et al. 2016

International Anesthesiology Clinics

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“…Similarly, the use of simulation compared with traditional didactics led to improved transesophageal echocardiography image acquisition on anesthetized patients among anesthesiology residents at a single center (53). A randomized study of 46 anesthesiology trainees and faculty demonstrated that a high-fidelity simulator is not inferior to the use of a human model based on practical and written examinations (54).…”

Section: Evidence From Literaturementioning

confidence: 99%

Simulation for Skills-based Education in Pulmonary and Critical Care Medicine

et al. 2015

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The clinical practice of pulmonary and critical care medicine requires procedural competence in many technical domains, including vascular access, airway management, basic and advanced bronchoscopy, pleural procedures, and critical care ultrasonography. Simulation provides opportunities for standardized training and assessment in procedures without placing patients at undue risk. A growing body of literature supports the use and effectiveness of low-fidelity and high-fidelity simulators for procedural training and assessment. In this manuscript by the Skills-based Working Group of the American Thoracic Society Education Committee, we describe the background, available technology, and current evidence related to simulation-based skills training within pulmonary and critical care medicine. We outline working group recommendations for key procedural domains.

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Providing Initial Transthoracic Echocardiography Training for Anesthesiologists: Simulator Training Is Not Inferior to Live Training

Cited by 29 publications

References 11 publications

Pre-clinical medical student cardiac point-of-care ultrasound curriculum based on the American Society of Echocardiography recommendations: a pilot and feasibility study

Pre-clinical medical student cardiac point-of-care ultrasound curriculum based on the American Society of Echocardiography recommendations: a pilot and feasibility study

Training the Anesthesiologist in Point-of-Care Ultrasound

Simulation for Skills-based Education in Pulmonary and Critical Care Medicine

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