Academic Journal
Acceleration of the learning curve for mastering basic critical care echocardiography using computerized simulation.
| Τίτλος: | Acceleration of the learning curve for mastering basic critical care echocardiography using computerized simulation. |
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| Συγγραφείς: | Vignon P; Medical-surgical ICU, Dupuytren Teaching Hospital, Limoges, France. philippe.vignon@unilim.fr.; INSERM CIC 1435, Dupuytren Teaching Hospital, Limoges, France. philippe.vignon@unilim.fr.; University of Limoges, Limoges, France. philippe.vignon@unilim.fr.; Réanimation Polyvalente, CHU Dupuytren, 2 Ave. Martin Luther King, 87042, Limoges Cedex, France. philippe.vignon@unilim.fr., Pegot B; Medical-surgical ICU, Dupuytren Teaching Hospital, Limoges, France., Dalmay F; INSERM, UMR 1094, Dupuytren Teaching Hospital, Limoges, France., Jean-Michel V; Medical ICU, Teaching Hospital, Brest, France., Bocher S; Medical ICU, Teaching Hospital, Brest, France., L'her E; Medical ICU, Teaching Hospital, Brest, France.; INSERM, UMR 1101, University of Bretagne Occidentale, Brest, France.; CESIM santé, FHU TechSan, University of Bretagne Occidentale, University of Rennes, Brest, France., Cros J; Anesthesiology Department, Dupuytren Teaching Hospital, Limoges, France., Prat G; Medical ICU, Teaching Hospital, Brest, France. |
| Συλλογικό Έργο: | EchoSimu Group |
| Πηγή: | Intensive care medicine [Intensive Care Med] 2018 Jul; Vol. 44 (7), pp. 1097-1105. Date of Electronic Publication: 2018 Jun 21. |
| Τύπος έκδοσης: | Journal Article; Multicenter Study; Observational Study |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer Verlag Country of Publication: United States NLM ID: 7704851 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1238 (Electronic) Linking ISSN: 03424642 NLM ISO Abbreviation: Intensive Care Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: New York : Springer Verlag Original Publication: Berlin ; New York, Springer International. |
| Ιατρικοί όροι (MeSH): | Computer Simulation* , Critical Illness* , Learning Curve*, Critical Care/*standards , Echocardiography/*standards, Adult ; Aged ; Clinical Competence ; Cross-Sectional Studies ; Educational Measurement ; Female ; Humans ; Intensive Care Units ; Internship and Residency ; Male ; Middle Aged ; Prospective Studies |
| Περίληψη: | Purpose: To assess the impact of computerized transthoracic echocardiography (TTE) simulation on the learning curve to achieve competency in basic critical care echocardiography (CCE). Methods: In this prospective bicenter study, noncardiologist residents novice in ultrasound followed either a previously validated training program with adjunctive computerized simulation on a mannequin (two 3 h-sessions; Vimedix simulator, CAE Healthcare) (interventional group; n = 12) or solely the same training program (control group; n = 12). All trainees from the same institution were assigned to the same study group to avoid confusion bias. Each trainee was evaluated after 1 (M1), 3 (M3) and 6 (M6) months of training using our previously validated scoring system. Competency was defined by a score ≥ 90% of the maximal value. Results: The 24 trainees performed 965 TTE in patients with cardiopulmonary compromise during their 6-month rotation. Skills assessments relied on 156 TTE performed in 106 patients (mean age 53 ± 14 years; mean Simplified Acute Physiologic Score 2: 55 ± 19; 79% ventilated). When compared to the control group, trainees of the interventional group obtained a significantly higher mean skills assessment score at M1 (41.5 ± 4.9 vs. 32.3 ± 3.7: P = 0.0004) and M3 (45.8 ± 2.8 vs. 42.3 ± 3.7: P = 0.0223), but not at M6 (49.7 ± 1.2 vs. 50.0 ± 2.7: P = 0.6410), due to higher practical and technical skills scores. Trainees of the control group required significantly more supervised TTE to obtain competency than their counterparts (36 ± 7 vs. 30 ± 9: p = 0.0145). Conclusions: Adjunctive computerized simulation accelerates the learning curve of basic CCE in improving practical and technical skills and reduces the number of TTE examinations required to reach competency. |
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| Contributed Indexing: | Investigator: F Baudrier; M Charpentier; E Chatenet; C Danthu; M Dargere; F Depays; M Dubos; B Durand; F Gauthier; M Geslain; P Guilbault; ML Langlais; L Lanfranco; C Legras; R Le Mao; P Le Mée; J Le Roy; C Ravry; F Renaudeau; S Rezig; A Saint-Paul; JT Van Nho Keywords: Computer simulation; Echocardiography; Education; Learning curve; Simulation training; Teaching |
| Entry Date(s): | Date Created: 20180623 Date Completed: 20181211 Latest Revision: 20181211 |
| Update Code: | 20260130 |
| DOI: | 10.1007/s00134-018-5248-z |
| PMID: | 29931488 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1432-1238 |
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| DOI: | 10.1007/s00134-018-5248-z |