title: Simulation-based teaching versus point-of-care teaching for identification of basic transoesophageal echocardiography views: a prospective randomised study.
abstract: In recent years, the use of transoesophageal echocardiography has increased in anaesthesia and intensive care. We explored the impact of two different teaching methods on the ability of echocardiography-naïve subjects to identify cardiac anatomy associated with the 20 standard transoesophageal echocardiography imaging planes, and assessed trainees' satisfaction with these methods of training. Fifty-two subjects were randomly assigned to one of two groups: a simulation-based and a theatre-based teaching group. Subjects undertook video-based tests comprised of 20 multiple choice questions on echocardiography views before and after receiving echocardiography teaching. Subjects in simulation- and theatre-based teaching groups scored 40% (30-40 [20-50])% and 35% (30-40 [15-55])% in the pre-test, respectively (p = 0.52). Following echocardiography teaching, subjects within both groups improved upon their pre-test knowledge (p < 0.001). Subjects in the simulation-based teaching group significantly outperformed their theatre-based group counterparts in the post-intervention test (p = 0.0002).
authors.affiliation: Department of Anaesthesia, St George's Hospital, London, UK.
authors.forename: E
authors.initials: E
authors.lastname: Ogilvie
authors.forename: A
authors.initials: A
authors.lastname: Vlachou
authors.forename: M
authors.initials: M
authors.lastname: Edsell
authors.forename: S N
authors.initials: SN
authors.lastname: Fletcher
authors.forename: O
authors.initials: O
authors.lastname: Valencia
authors.forename: M
authors.initials: M
authors.lastname: Meineri
authors.forename: V
authors.initials: V
authors.lastname: Sharma
mesh_terms: D000776:Anesthesiology / Q000193:education*; D002983:Clinical Competence / Q000706:statistics & numerical data*; D015331:Cohort Studies; D003198:Computer Simulation / Q000706:statistics & numerical data*; D017548:Echocardiography, Transesophageal / Q000379:methods* / Q000706:statistics & numerical data*; D004521:Educational Measurement / Q000379:methods / Q000706:statistics & numerical data; D006801:Humans; D007396:Internship and Residency / Q000379:methods; D019095:Point-of-Care Systems; D011446:Prospective Studies; D006113:United Kingdom