Evaluation of the efficacy of a self-training programme in focus cardiac ultrasound with simulator.
Cardiology
/ education
Cardiovascular Diseases
/ diagnostic imaging
Clinical Competence
Computer-Assisted Instruction
Curriculum
Echocardiography
Education, Medical, Graduate
/ methods
Educational Status
Heart
/ diagnostic imaging
Humans
Internship and Residency
Manikins
Predictive Value of Tests
Reproducibility of Results
Simulation Training
E-Learning
Focus cardiac ultrasound
Simulation
Ultrasons
Ultrasound
Échoscopie cardiaque
Journal
Archives of cardiovascular diseases
ISSN: 1875-2128
Titre abrégé: Arch Cardiovasc Dis
Pays: Netherlands
ID NLM: 101465655
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
28
02
2019
revised:
26
04
2019
accepted:
12
06
2019
pubmed:
28
7
2019
medline:
11
2
2020
entrez:
28
7
2019
Statut:
ppublish
Résumé
Focus cardiac ultrasound is a great tool for quick evaluation of cardiac function in acute settings with limited time and expertise in echocardiography. Adequate training is essential for physicians willing to use this imaging technique. The goal of this study was to assess the efficacy of a self-training programme using a cardiac ultrasound simulator. Thirty-five trainees in cardiology, emergency medicine or anaesthesiology entered the programme, which started with an e-learning lecture on focus cardiac ultrasound, with practice on a simulator, followed by implementation on patients, and ended with self-training in image analysis on an online platform. A post-test evaluation was carried out at the end of the theoretical training, followed by a final live evaluation on patients (timed acquisition of the five reference views used in focus cardiac ultrasound, grading each view on a scale of 1 to 5). Trainees were also evaluated online regarding their interpretation of 20 video clips. The median (interquartile range) interpretability scores following simulator training were 5 (4-5) for the parasternal long-axis view, 5 (4-5) for the apical four-chamber view, and 4 (4-5) for the subcostal window. Interpretability was significantly inferior in the live evaluation compared with the post-test evaluation, except for the parasternal long-axis and subcostal views. The mean score for the video clips (out of 20) was 14.5±2.4. After a short self-training programme, trainees were able to acquire the main views of focus cardiac ultrasound with sufficient quality and in a short time period.
Sections du résumé
BACKGROUND
BACKGROUND
Focus cardiac ultrasound is a great tool for quick evaluation of cardiac function in acute settings with limited time and expertise in echocardiography. Adequate training is essential for physicians willing to use this imaging technique.
AIM
OBJECTIVE
The goal of this study was to assess the efficacy of a self-training programme using a cardiac ultrasound simulator.
METHODS
METHODS
Thirty-five trainees in cardiology, emergency medicine or anaesthesiology entered the programme, which started with an e-learning lecture on focus cardiac ultrasound, with practice on a simulator, followed by implementation on patients, and ended with self-training in image analysis on an online platform. A post-test evaluation was carried out at the end of the theoretical training, followed by a final live evaluation on patients (timed acquisition of the five reference views used in focus cardiac ultrasound, grading each view on a scale of 1 to 5). Trainees were also evaluated online regarding their interpretation of 20 video clips.
RESULTS
RESULTS
The median (interquartile range) interpretability scores following simulator training were 5 (4-5) for the parasternal long-axis view, 5 (4-5) for the apical four-chamber view, and 4 (4-5) for the subcostal window. Interpretability was significantly inferior in the live evaluation compared with the post-test evaluation, except for the parasternal long-axis and subcostal views. The mean score for the video clips (out of 20) was 14.5±2.4.
CONCLUSIONS
CONCLUSIONS
After a short self-training programme, trainees were able to acquire the main views of focus cardiac ultrasound with sufficient quality and in a short time period.
Identifiants
pubmed: 31350012
pii: S1875-2136(19)30114-7
doi: 10.1016/j.acvd.2019.06.001
pii:
doi:
Types de publication
Evaluation Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
576-584Informations de copyright
Copyright © 2019. Published by Elsevier Masson SAS.