Manual Skill Acquisition During Transesophageal Echocardiography Simulator Training of Cardiology Fellows: A Kinematic Assessment
Objective To investigate whether a transesophageal echocardiography (TEE) simulator with motion analysis can be used to impart proficiency in TEE in an integrated curriculum-based model. Design A prospective cohort study. Setting A tertiary-care university hospital. Participants TEE-naïve cardiology...
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| Veröffentlicht in: | Journal of cardiothoracic and vascular anesthesia 2015-12, Vol.29 (6), p.1504-1510 |
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| creator | Matyal, Robina, MD Montealegre-Gallegos, Mario, MD Mitchell, John D., MD Kim, Han, MD Bergman, Remco, MD Hawthorne, Katie M., MD O’Halloran, David, MD Wong, Vanessa, BS Hess, Phillip E., MD Mahmood, Feroze, MD |
| description | Objective To investigate whether a transesophageal echocardiography (TEE) simulator with motion analysis can be used to impart proficiency in TEE in an integrated curriculum-based model. Design A prospective cohort study. Setting A tertiary-care university hospital. Participants TEE-naïve cardiology fellows. Interventions Participants underwent an 8-session multimodal TEE training program. Manual skills were assessed at the end of sessions 2 and 8 using motion analysis of the TEE simulator’s probe. At the end of the course, participants performed an intraoperative TEE; their examinations were video captured, and a blinded investigator evaluated the total time and image transitions needed for each view. Results are reported as mean±standard deviation, or median (interquartile range) where appropriate. Measurements and Main Results Eleven fellows completed the knowledge and kinematic portions of the study. Five participants were excluded from the evaluation in the clinical setting because of interim exposure to TEE or having participated in a TEE rotation after the training course. An increase of 12.95% in post-test knowledge scores was observed. From the start to the end of the course, there was a significant reduction (p |
| doi_str_mv | 10.1053/j.jvca.2015.05.198 |
| format | Article |
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Design A prospective cohort study. Setting A tertiary-care university hospital. Participants TEE-naïve cardiology fellows. Interventions Participants underwent an 8-session multimodal TEE training program. Manual skills were assessed at the end of sessions 2 and 8 using motion analysis of the TEE simulator’s probe. At the end of the course, participants performed an intraoperative TEE; their examinations were video captured, and a blinded investigator evaluated the total time and image transitions needed for each view. Results are reported as mean±standard deviation, or median (interquartile range) where appropriate. Measurements and Main Results Eleven fellows completed the knowledge and kinematic portions of the study. Five participants were excluded from the evaluation in the clinical setting because of interim exposure to TEE or having participated in a TEE rotation after the training course. An increase of 12.95% in post-test knowledge scores was observed. From the start to the end of the course, there was a significant reduction (p<0.001 for all) in the number of probe. During clinical performance evaluation, trainees were able to obtain all the required echocardiographic views unassisted but required a longer time and had more probe transitions when compared with an expert. Conclusion A curriculum-based approach to TEE training for cardiology fellows can be complemented with kinematic analyses to objectify acquisition of manual skills during simulator-based training.</description><identifier>ISSN: 1053-0770</identifier><identifier>EISSN: 1532-8422</identifier><identifier>DOI: 10.1053/j.jvca.2015.05.198</identifier><identifier>PMID: 26341879</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anesthesia & Perioperative Care ; Biomechanical Phenomena ; Cardiology - education ; Cardiology - instrumentation ; Cardiology - standards ; Clinical Competence - standards ; Cohort Studies ; Computer Simulation - standards ; Critical Care ; Echocardiography, Transesophageal - instrumentation ; Echocardiography, Transesophageal - standards ; Feasibility Studies ; Female ; Humans ; Internship and Residency - methods ; Internship and Residency - standards ; kinematic analysis ; Male ; Prospective Studies ; simulation ; transesophageal echocardiography</subject><ispartof>Journal of cardiothoracic and vascular anesthesia, 2015-12, Vol.29 (6), p.1504-1510</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c551t-ea0e0d49e526703e3886b0d86de444d5713cc8d36d3a7ab91fcb6f727a39722d3</citedby><cites>FETCH-LOGICAL-c551t-ea0e0d49e526703e3886b0d86de444d5713cc8d36d3a7ab91fcb6f727a39722d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.jvca.2015.05.198$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26341879$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Matyal, Robina, MD</creatorcontrib><creatorcontrib>Montealegre-Gallegos, Mario, MD</creatorcontrib><creatorcontrib>Mitchell, John D., MD</creatorcontrib><creatorcontrib>Kim, Han, MD</creatorcontrib><creatorcontrib>Bergman, Remco, MD</creatorcontrib><creatorcontrib>Hawthorne, Katie M., MD</creatorcontrib><creatorcontrib>O’Halloran, David, MD</creatorcontrib><creatorcontrib>Wong, Vanessa, BS</creatorcontrib><creatorcontrib>Hess, Phillip E., MD</creatorcontrib><creatorcontrib>Mahmood, Feroze, MD</creatorcontrib><title>Manual Skill Acquisition During Transesophageal Echocardiography Simulator Training of Cardiology Fellows: A Kinematic Assessment</title><title>Journal of cardiothoracic and vascular anesthesia</title><addtitle>J Cardiothorac Vasc Anesth</addtitle><description>Objective To investigate whether a transesophageal echocardiography (TEE) simulator with motion analysis can be used to impart proficiency in TEE in an integrated curriculum-based model. Design A prospective cohort study. Setting A tertiary-care university hospital. Participants TEE-naïve cardiology fellows. Interventions Participants underwent an 8-session multimodal TEE training program. Manual skills were assessed at the end of sessions 2 and 8 using motion analysis of the TEE simulator’s probe. At the end of the course, participants performed an intraoperative TEE; their examinations were video captured, and a blinded investigator evaluated the total time and image transitions needed for each view. Results are reported as mean±standard deviation, or median (interquartile range) where appropriate. Measurements and Main Results Eleven fellows completed the knowledge and kinematic portions of the study. Five participants were excluded from the evaluation in the clinical setting because of interim exposure to TEE or having participated in a TEE rotation after the training course. An increase of 12.95% in post-test knowledge scores was observed. From the start to the end of the course, there was a significant reduction (p<0.001 for all) in the number of probe. During clinical performance evaluation, trainees were able to obtain all the required echocardiographic views unassisted but required a longer time and had more probe transitions when compared with an expert. Conclusion A curriculum-based approach to TEE training for cardiology fellows can be complemented with kinematic analyses to objectify acquisition of manual skills during simulator-based training.</description><subject>Anesthesia & Perioperative Care</subject><subject>Biomechanical Phenomena</subject><subject>Cardiology - education</subject><subject>Cardiology - instrumentation</subject><subject>Cardiology - standards</subject><subject>Clinical Competence - standards</subject><subject>Cohort Studies</subject><subject>Computer Simulation - standards</subject><subject>Critical Care</subject><subject>Echocardiography, Transesophageal - instrumentation</subject><subject>Echocardiography, Transesophageal - standards</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Internship and Residency - methods</subject><subject>Internship and Residency - standards</subject><subject>kinematic analysis</subject><subject>Male</subject><subject>Prospective Studies</subject><subject>simulation</subject><subject>transesophageal echocardiography</subject><issn>1053-0770</issn><issn>1532-8422</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU9v0zAYhy0EYqPwBTggH7kk8584ThBCqso2EEMcOs6Wa79p3TlxZydDPfLNcejgwIFTfHh-j5zHCL2mpKRE8It9uX8wumSEipKIkrbNE3ROBWdFUzH2NJ8zVRApyRl6kdKeEEqFkM_RGat5RRvZnqOfX_UwaY_Xd857vDT3k0tudGHAH6fohi2-jXpIkMJhp7eQwUuzC0ZH68I26sPuiNeun7weQ5xRN8yb0OHVb8SH7RFfgffhR3qHl_iLG6DXozN4mbI09TCML9GzTvsErx6_C_T96vJ29am4-Xb9ebW8KYwQdCxAEyC2akGwWhIOvGnqDbFNbaGqKisk5cY0lteWa6k3Le3Mpu4kk5q3kjHLF-jtyXuI4X6CNKreJZPvpgcIU1JUCtq2Fc-iBWIn1MSQUoROHaLrdTwqStQcVe3VnF7N6RURKqfPozeP_mnTg_07-dM6A-9PAOS_fHAQVTIOBgPWRTCjssH93__hn7nxObfR_g6OkPZhikPup6hKTBG1nj3z21NBiCAt5b8AA0qsHw</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Matyal, Robina, MD</creator><creator>Montealegre-Gallegos, Mario, MD</creator><creator>Mitchell, John D., MD</creator><creator>Kim, Han, MD</creator><creator>Bergman, Remco, MD</creator><creator>Hawthorne, Katie M., MD</creator><creator>O’Halloran, David, MD</creator><creator>Wong, Vanessa, BS</creator><creator>Hess, Phillip E., MD</creator><creator>Mahmood, Feroze, MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Manual Skill Acquisition During Transesophageal Echocardiography Simulator Training of Cardiology Fellows: A Kinematic Assessment</title><author>Matyal, Robina, MD ; Montealegre-Gallegos, Mario, MD ; Mitchell, John D., MD ; Kim, Han, MD ; Bergman, Remco, MD ; Hawthorne, Katie M., MD ; O’Halloran, David, MD ; Wong, Vanessa, BS ; Hess, Phillip E., MD ; Mahmood, Feroze, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c551t-ea0e0d49e526703e3886b0d86de444d5713cc8d36d3a7ab91fcb6f727a39722d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Anesthesia & Perioperative Care</topic><topic>Biomechanical Phenomena</topic><topic>Cardiology - education</topic><topic>Cardiology - instrumentation</topic><topic>Cardiology - standards</topic><topic>Clinical Competence - standards</topic><topic>Cohort Studies</topic><topic>Computer Simulation - standards</topic><topic>Critical Care</topic><topic>Echocardiography, Transesophageal - instrumentation</topic><topic>Echocardiography, Transesophageal - standards</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Internship and Residency - methods</topic><topic>Internship and Residency - standards</topic><topic>kinematic analysis</topic><topic>Male</topic><topic>Prospective Studies</topic><topic>simulation</topic><topic>transesophageal echocardiography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matyal, Robina, MD</creatorcontrib><creatorcontrib>Montealegre-Gallegos, Mario, MD</creatorcontrib><creatorcontrib>Mitchell, John D., MD</creatorcontrib><creatorcontrib>Kim, Han, MD</creatorcontrib><creatorcontrib>Bergman, Remco, MD</creatorcontrib><creatorcontrib>Hawthorne, Katie M., MD</creatorcontrib><creatorcontrib>O’Halloran, David, MD</creatorcontrib><creatorcontrib>Wong, Vanessa, BS</creatorcontrib><creatorcontrib>Hess, Phillip E., MD</creatorcontrib><creatorcontrib>Mahmood, Feroze, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cardiothoracic and vascular anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matyal, Robina, MD</au><au>Montealegre-Gallegos, Mario, MD</au><au>Mitchell, John D., MD</au><au>Kim, Han, MD</au><au>Bergman, Remco, MD</au><au>Hawthorne, Katie M., MD</au><au>O’Halloran, David, MD</au><au>Wong, Vanessa, BS</au><au>Hess, Phillip E., MD</au><au>Mahmood, Feroze, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Manual Skill Acquisition During Transesophageal Echocardiography Simulator Training of Cardiology Fellows: A Kinematic Assessment</atitle><jtitle>Journal of cardiothoracic and vascular anesthesia</jtitle><addtitle>J Cardiothorac Vasc Anesth</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>29</volume><issue>6</issue><spage>1504</spage><epage>1510</epage><pages>1504-1510</pages><issn>1053-0770</issn><eissn>1532-8422</eissn><abstract>Objective To investigate whether a transesophageal echocardiography (TEE) simulator with motion analysis can be used to impart proficiency in TEE in an integrated curriculum-based model. Design A prospective cohort study. Setting A tertiary-care university hospital. Participants TEE-naïve cardiology fellows. Interventions Participants underwent an 8-session multimodal TEE training program. Manual skills were assessed at the end of sessions 2 and 8 using motion analysis of the TEE simulator’s probe. At the end of the course, participants performed an intraoperative TEE; their examinations were video captured, and a blinded investigator evaluated the total time and image transitions needed for each view. Results are reported as mean±standard deviation, or median (interquartile range) where appropriate. Measurements and Main Results Eleven fellows completed the knowledge and kinematic portions of the study. Five participants were excluded from the evaluation in the clinical setting because of interim exposure to TEE or having participated in a TEE rotation after the training course. An increase of 12.95% in post-test knowledge scores was observed. From the start to the end of the course, there was a significant reduction (p<0.001 for all) in the number of probe. During clinical performance evaluation, trainees were able to obtain all the required echocardiographic views unassisted but required a longer time and had more probe transitions when compared with an expert. Conclusion A curriculum-based approach to TEE training for cardiology fellows can be complemented with kinematic analyses to objectify acquisition of manual skills during simulator-based training.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26341879</pmid><doi>10.1053/j.jvca.2015.05.198</doi><tpages>7</tpages></addata></record> |
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| subjects | Anesthesia & Perioperative Care Biomechanical Phenomena Cardiology - education Cardiology - instrumentation Cardiology - standards Clinical Competence - standards Cohort Studies Computer Simulation - standards Critical Care Echocardiography, Transesophageal - instrumentation Echocardiography, Transesophageal - standards Feasibility Studies Female Humans Internship and Residency - methods Internship and Residency - standards kinematic analysis Male Prospective Studies simulation transesophageal echocardiography |
| title | Manual Skill Acquisition During Transesophageal Echocardiography Simulator Training of Cardiology Fellows: A Kinematic Assessment |
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