Competency of novice Anaesthesia residents in Trans Thoracic Echocardiography with or without structured problem-based hands on course using simulator: A Randomized controlled trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- To assess whether a structured problem based TTE simulator course improves the competency score (CS) of novice anaesthesia residents.
Study Overview
Brief Summary
Trans Thoracic Echo (TTE) is a noninvasive procedure that can be performed bedside with immediate results. Basic training in TTE can facilitate in early learning and aid in qualitative and semiqualitative analysis of patients. Competency in critical care ultrasonography has become part of the intensivists curriculum. However, it has not been incorporated into the postgraduate curriculum. Simulation-based training is an increasingly popular approach as it facilitates the learners to practice their clinical and decision-making skills by mimicking the real-life situational experiences. Spectrum of simulation ranges from low fidelity to high-fidelity simulation. Difficulty in spatial orientation by beginners with reference of 3-dimensional (3D) heart geometry can be overcome by using Simulator. Simulators improve learning for bedside hemodynamic assessment , diagnosis and management of multiple scenarios.Hence, TTE simulator training in image acquisition can enable training of novice learners on real patients. A structured program is however needed to impart a cohesive training to residents. Such a program will not only provide comprehensive training regarding the common views that the residents need to master but also help them understand and diagnose common clinical pathologies they may encounter in practice. The present study is designed to assess the competency of Anaesthesia residents in Trans Thoracic Echocardiography with or without structured problem-based hands on course using TTE simulator. This study will help in realizing the utility of such a program and its introduction into the anaesthesia curriculum program.
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Expert Round Table on Ultrasound in ICU. International expert statement on training standards for critical care ultrasonography. Intensive Care Med. 201 I Jul;37(7):1077-83.
-
Gillebert TC, Brooks N, Fontes-Carvalho R, Fras z, Gueret P, Lopez-Sendon J, et al. ESC core curriculum for the general cardiologist (2013). Eur Heart J. 2013 Aug;34(30):2381-411.
-
Quinones MA, Douglas PS, Foster E, Gorcsan J, Lewis JF, Pearlman AS, et al. ACC/AHA clinical competence statement on echocardiography: a report of the American College of Cardiology/American Heart Association/American College of Physicians-American Society of Internal Medicine Task Force on clinical competence. J Am Soc Echocardiogr Off Pub! Am Soc Echocardiogr. 2003 Apr;16(4):379-402.
-
Ryan T, Armstrong WF, Khandheria BK, American Society ofEchocardiography. Task force 4: training in echocardiography endorsed by the American Society ofEchocardiography. J Am Coll Cardiol. 2008 Jan 22;51(3):361-7.
-
Fox KF, Popescu BA, Janiszewski S, Nihoyannopoulos P, Fraser AG, Pinto FJ, et al. Report on the European Association ofEchocardiography accreditations in echocardiography: December 2003-September 2006. Eur J Echocardiogr J Work Group Echocardiogr Eur Soc Cardiol. 2007 Jan;S(l):74-9.
-
2019 ACC/ AHA/ ASE Advanced Training Statement on Echocardiography (Revision of the 2003 ACC/AHA Clinical C~mpetence Statement on Echocardiography): A Report of the ACC Competency Management Committee I Circulation: Cardiovascular Imaging [Internet]. [cited 2021 Jan 9]. Available from: https://www.ahajoumals.org/doi/10.1161/HCl.0000000000000026
-
Guldbrand Nielsen D, Jensen SL, O’Neill L. Clinical assessment oftransthoracic echocardiography skills: a generalizability study. BMC Med Educ [Internet]. 2015 Feb 1 [cited 2021 Jan 9]; 15. Available from: https:/ /www .ncbi.nlm.nih.gov/pmc/articles/PMC4334848/
-
(10) (PDF) Competence oflntensivists in Focused Transthoracic Echocardiography in Intensive Care Unit: A Prospective Observational Study [Internet]. [cited 2021 Jan 9]. Available from: https://www.researchgate.net/publication/325 l 99 I 44 _Competence_ of_ Intensivists _in_ Focused_ Transtho racic _Echocardiography _in_ Intensive_ Care_ Unit_A _Prospective_ Observational_ Study
-
Alexander JH, Peterson ED, Chen AY, Harding TM, Adams DB, Kisslo JA. Feasibility of poiot-of-care echocardiography by internal medicine house staff. Am Heart J. 2004 Mar;l47(3):476-81.
IO. Beraud A-S, Rizk NW, Pearl RG, Liang DH, Patterson AJ. Focused transthoracic echocardiography during critical care medicine training: curriculum implementation and evaluation of proficiency*. Crit Care Med. 2013 Aug;4 l (8):e 179-181.
- Vignon P, Pegot B, Dalmay F, Jean-Michel V, Bocher S, L’her E, et al. Acceleration of the learning curve for mastering basic critical care echocardiography using computerized simulation. Intensive Care Med. 2018 Jul;44(7):1097-105.
Study Design
- Study Type
- Interventional
- Allocation
- Computer generated randomization
- Masking
- Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 60.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Anaesthesia junior residents with > 6months of training in Department of Anaesthesia.
Exclusion Criteria
- •Residents who have previously participated in TTE training.
- •Participant refusal.
Outcomes
Primary Outcomes
To assess whether a structured problem based TTE simulator course improves the competency score (CS) of novice anaesthesia residents.
Time Frame: 2 weeks.
Secondary Outcomes
- 1 Time taken for image plane acquisition of(each standard TTE view.)