Simulation‐based training in echocardiography

Biswas, Monodeep; Patel, Rajendrakumar; German, Charles; Kharod, Anant; Mohamed, Ahmed H.; Dod, Harvinder S.; Kapoor, Poonam Malhotra; Nanda, Navin C.

doi:10.1111/echo.13352

Cited by 15 publications

(9 citation statements)

References 19 publications

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“…The development and use of e-learning tools [ 24 ] should be intensified in the future so that echocardiographic skills can be taught using a “blended learning” approach [ 32 , 57 ] — a view that is also supported by some of the text comments provided in the evaluations. Since information about pathological findings was only conveyed in theoretical form in the present approach, the use of ultrasound simulators might allow a more practically oriented form of pathology training that would not have to take place directly on the patient [ 23 , 31 , 58 ]. Important factors that would have to be considered here include realistic implementation and haptics, as well as the usually high acquisition costs.…”

Section: Discussionmentioning

confidence: 99%

FoCUS cardiac ultrasound training for undergraduates based on current national guidelines: a prospective, controlled, single-center study on transferability

et al. 2023

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Introduction In emergency and critical-care medicine, focused cardiac ultrasound (FoCUS) is indispensable for assessing a patient’s cardiac status. The aim of this study was to establish and validate a peer-to-peer–supported ultrasound course for learning FoCUS-specific skills during undergraduate studies at a German university. Methods A 1-day, 12 teaching units training course was developed for students in the clinical section of medical college, with content based on the current national guidelines. A total of 217 students participated in the study (97 in the course group and 120 in the control group). The course and the participants’ subjective assessment of improved skills were evaluated using a questionnaire (7-point Likert scale; 7 = complete agreement and 1 = no agreement at all). Objective learning gains were assessed by tests before and after the course. These consisted of a test of figural intelligence (eight items) and a test of technical knowledge (13 items). Results The course participants experienced significant improvement (P < 0.001) from before to after the course, with a large effect size of η2part = 0.26. In addition, the course group had significantly better results (P < 0.001) than the control group in the post-test, with a medium to large effect size of η2part = 0.14. No significant differences (P = 0.27) were detected in the test section on figural intelligence. The evaluations showed that the participants had a high degree of satisfaction with the course approach, teaching materials, and tutors. There was also a positive increase in their subjective assessment of their own skills, including areas such as technical knowledge, ultrasound anatomy, and performance of the examination. Conclusion The results of both the objective learning assessment and the subjective evaluations suggest that a FoCUS course originally intended for qualified physicians is equally suitable for students. With the development and provision of modern digital teaching media, even more students will be able to benefit from this approach in the future.

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Section: Discussionmentioning

confidence: 99%

FoCUS cardiac ultrasound training for undergraduates based on current national guidelines: a prospective, controlled, single-center study on transferability

et al. 2023

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“…Due to concerns raised by fellowship programs regarding the impact of the COVID-19 pandemic, the National Board of Echocardiography extended the time required to obtain procedural experience by one year for trainees affected by the pandemic [ 13 ]. Fellowship programs have had to explore alternative options to increase fellow echocardiography exposure— including virtual reading sessions with attending physicians, online lectures, and hands-on learning with simulation software [ 3 , 14 ]. In our center, the implementation of virtual reading sessions increased fellow interpretation numbers.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on cardiology fellow echocardiography education at a large academic center

et al. 2022

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Background In response to COVID-19 pandemic state restrictions, our institution deferred elective procedures from 3/15/2020 to 6/13/2020, and removed cardiology fellows from the echocardiography rotation to staff clinical services. We assessed the impact of the COVID-19 pandemic on fellow education and echocardiography volumes. Methods Our institutional database was used to examine volumes of transthoracic (TTE), stress (SE), and transesophageal echocardiograms (TEE) from 7/1/2018 to 10/10/2020. Study volumes were compared in three intervals: pre-pandemic (7/1/2018- 3/14/2020), pandemic (3/15/2020–6/13/2020), and pandemic recovery (6/14/2020–10/10/2020). We examined weekly number of TTEs performed or interpreted by cardiology fellows during the study period, and compared these to the two previous academic years. Results Weekly TTE volume declined by 54% during the pandemic, and increased by 99% during pandemic recovery, (p < 0.05). SE and TEE revealed similar trends. A strong correlation between weekly TTE volume and inpatient admissions was observed during the study period (rs=0.67, p < 0.05). Weekly fellow TTE scans declined by 78% during the pandemic, with a 380% increase during pandemic recovery (p < 0.05). Weekly fellow TTE interpretations declined by 56% during the pandemic, with a 76% increase during pandemic recovery (p < 0.05). Conclusion COVID restrictions between 3/15/2020- 6/14/2020 coincided with a marked decline in TTE, SE, and TEE volumes, with an increase similar to near pre-pandemic volumes during the pandemic recovery period. A similar decline with the onset of COVID restrictions, and increase to pre-restriction volumes thereafter was observed with fellow scans and interpretations, but total academic year fellow training volumes remained depressed. With the ongoing COVID-19 pandemic and rise of multiple variants, training programs may need to adjust fellows’ clinical responsibilities so as to support achievement of echocardiography training certification.

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“…The American College of Cardiology COCATS 4 document makes a specific note of the growing role and potential of TEE simulators 26 . Commercially available virtual (dry) simulators primarily focus on basic TEE image acquisition 27 . More robust systems to simulate active procedural guidance are less available but given the growth in iTEE, it is likely development of these high level systems will appear in a matter of time.…”

Section: Training In Iteementioning

confidence: 99%

Interventional echocardiography: Opportunities and challenges in an emerging field

Lee¹,

Chen

Gill

2020

Echocardiography

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The growth of transcatheter structural heart disease interventions has created a subspecialty of interventional imagers who focus on preprocedural planning and the periprocedural guidance of these complex cases. In particular interventional imagers who focus on periprocedural guidance have developed a specific expertise in interventional transesophageal echocardiography (iTEE). This nascent field has challenges in training, reimbursement, and occupational hazards which are unique to this field. This review encompasses the evolution of iTEE, current challenges, and future opportunities.

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Simulation‐based training in echocardiography

Cited by 15 publications

References 19 publications

FoCUS cardiac ultrasound training for undergraduates based on current national guidelines: a prospective, controlled, single-center study on transferability

FoCUS cardiac ultrasound training for undergraduates based on current national guidelines: a prospective, controlled, single-center study on transferability

Impact of the COVID-19 pandemic on cardiology fellow echocardiography education at a large academic center

Interventional echocardiography: Opportunities and challenges in an emerging field

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