Bing BAI, Yuan TIAN, Yue-lun ZHANG, Xu LI, Chun-hua YU, Yu-guang HUANG. Comparision of the Teaching Effectiveness of Two Different Simulators in Transthoracic Echocardiography Skills[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(2): 231-234. DOI: 10.3969/j.issn.1674-9081.20170095
Citation: Bing BAI, Yuan TIAN, Yue-lun ZHANG, Xu LI, Chun-hua YU, Yu-guang HUANG. Comparision of the Teaching Effectiveness of Two Different Simulators in Transthoracic Echocardiography Skills[J]. Medical Journal of Peking Union Medical College Hospital, 2020, 11(2): 231-234. DOI: 10.3969/j.issn.1674-9081.20170095

Comparision of the Teaching Effectiveness of Two Different Simulators in Transthoracic Echocardiography Skills

More Information
  • Corresponding author:

    YU Chun-hua Tel: 86-10-69152030, E-mail:yu.chunhua@aliyun.com

  • Received Date: June 11, 2017
  • Issue Publish Date: March 29, 2020
  •   Objective  The aim of this study was to evaluate the training effect of two different simulators of transthoracic echocardiography (TTE).
      Methods  Sixty-three residents who received the standardized training and volunteered to participate in this project in the Department of Anesthesiology of Peking Union Medical College Hospital from January 1st to December 31st, 2016 were perspectively enrolled and randomly divided into 3 groups (21 in each group):Heartworks group (using Heartworks simulator), U/S Mentor group (using U/S Mentor simulator), and the control group (traditional teaching method). The evaluation index of teaching effect included the written test scores about the TTE basic knowledge before and after training(the total score was 100 points), the practice examination on volunteer models after the training[including the quality of images (the total score was 25 points) and the ability of identifying cardiac anatomical structures (the total score was 25 points)], and the satisfaction assessment by the participants (3 levels).
      Results  The written test scores of the Heartworks, U/S Mentor, and the control groups before training were 41.4±10.6, 40.4±10.9, and 39.8±10.5, respectively; there was no statistical difference among the three groups (P > 0.05). The scores of the above three groups after training were 53.8±12.6, 52.6±13.6, and 43.3±10.8, respectively, which were higher than before (all P < 0.05) in each group, and there was no statistical difference between the Heartworks and the U/S Mentor groups (P>0.05), while both were higher than that of the control group (both P < 0.05). After the training, the scores of image quality of the Heartworks, U/S Mentor, and the control group were 17.1±4.5, 16.0±4.1, and 7.7±3.1, respectively; and the scores of recognition of cardiac anatomical structures were 18.2±6.3, 17.0±6.1, and 11.9±6.9, respectively; there were no statistical difference between the Heartworks and the U/S Mentor groups (P > 0.05), while both groups had higher scores than the control group (both P < 0.05). There was no statistical difference in the satisfaction among the three groups.
      Conclusions  The TTE training effect of the Heartworks and U/S Mentor simulators is similar, and both modes are better than the traditional training mode based on the lecture.
  • [1]
    Sharma V, Fletcher SN. A review of echocardiography in anaesthetic and peri-operative practice. Part 2:training and accreditation[J]. Anaesthesia, 2014, 69:919-927. DOI: 10.1111/anae.12709
    [2]
    Edrich T, Seethala RR, Olenchock BA, et al. Providing initial transthoracic echocardiography training for anesthesiologists:simulator training is not inferior to live training[J]. J Cardiothorac Vasc Anesth, 2014, 28:49-53. DOI: 10.1053/j.jvca.2013.07.011
    [3]
    Neelankavil J, Howard-Quijano K, Hsieh TC, et al. Transthoracic echocardiography simulation is an efficient method to train anesthesiologists in basic transthoracic echocardiography skills[J]. Anesth Analg, 2012, 115:1042-1051. DOI: 10.1213/ANE.0b013e318265408f
    [4]
    Platts DG, Humphries J, Burstow DJ, et al. The use of computerised simulators for training of transthoracic and transoesophageal echocardiography. The future of echocardiographic training[J]. Heart Lung Circ, 2012, 21:267-274. DOI: 10.1016/j.hlc.2012.03.012
    [5]
    Mark DG, Ku BS, Carr BG, et al. Directed bedside transthoracic echocardiography:preferred cardiac window for left ventricular ejection fraction estimation in critically ill patients[J]. Am J Emerg Med, 2007, 25:894-900. DOI: 10.1016/j.ajem.2007.01.023
    [6]
    Sobczyk D, Nycz K. Feasibility and accuracy of bedside transthoracic echocardiography in diagnosis of acute proximal aortic dissection[J]. Cardiovasc Ultrasound, 2015, 13:15-23. DOI: 10.1186/s12947-015-0008-5
    [7]
    Jensen MB, Sloth E, Larsen KM, et al. Transthoracic echocardiography for cardiopulmonary monitoring in intensive care[J]. Eur J Anaesthesiol, 2004, 21:700-707. DOI: 10.1097/00003643-200409000-00006
    [8]
    Orme RM, Oram MP, McKinstry CE. Impact of echocardiography on patient management in the intensive care unit:an audit of district general hospital practice[J]. Br J Anaesth, 2009, 102:340-344. DOI: 10.1093/bja/aen378
    [9]
    Dawe SR, Pena GN, Windsor JA, et al. Systematic review of skills transfer after surgical simulation-based training[J]. Br J Surg, 2014, 101:1063-1076. DOI: 10.1002/bjs.9482
    [10]
    Dawe SR, Windsor JA, Broeders JA, et al. A systematic review of surgical skills transfer after simulation-based training:laparoscopic cholecystectomy and endoscopy[J]. Ann Surg, 2014, 259:236-248. DOI: 10.1097/SLA.0000000000000245
  • Related Articles

    [1]LI Yanbing, ZHOU Menglan, XU Yingchun. Progress in the Study of Polymyxin Heteroresistance Molecular Mechanisms[J]. Medical Journal of Peking Union Medical College Hospital, 2025, 16(1): 177-183. DOI: 10.12290/xhyxzz.2024-0159
    [2]JIA Chunyu, WANG Gangan, WANG Jiahui, CHEN Gang, ZHENG Ke, LI Xuemei. Correlation Between Neutrophil-to-lymphocyte Ratio and eGFR in Diabetic Patients: A Cross-sectional Analysis Based on NHANES Data[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-0908
    [3]MA Xing, LIU Chang. Prognosis and Treatment Strategies of FIGO 2018 Stage ⅢC Cervical Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(6): 1253-1260. DOI: 10.12290/xhyxzz.2024-0097
    [4]LIU Yuan, ZHAO Lin. Update and Interpretation of 2022 National Comprehensive Cancer Network Clinical Practice Guidelines for Gastric Cancer[J]. Medical Journal of Peking Union Medical College Hospital, 2022, 13(6): 999-1004. DOI: 10.12290/xhyxzz.2022-0271
    [5]Yuan XIA, Xiang-pei LI. The Role of MicroRNA Regulation of Interferon-α in the Pathogenesis of Systemic Lupus Erythematosus[J]. Medical Journal of Peking Union Medical College Hospital, 2019, 10(6): 673-678. DOI: 10.3969/j.issn.1674-9081.2019.06.021
    [6]Li Wang, Kailiang Cheng. Database of Electronic Health Records: Application in Clinical Research and Bias Control[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(2): 177-182. DOI: 10.3969/j.issn.1674-9081.2018.02.014
    [7]Hao GUO, Wen-da WANG, Yi CAI, Yu-shi ZHANG. Progress in Research on MicroRNA in Tuberous Sclerosis Complex Related Diseases[J]. Medical Journal of Peking Union Medical College Hospital, 2017, 8(4-5): 283-288. DOI: 10.3969/j.issn.1674-9081.2017.05.017
    [8]Lei LI, Hui-min BAI, Shi-fu WENG, Li-min YANG, Jin-guang WU, Yi-zhuang XU, Keng SHEN. Laboratory Study for Analysis of Intra-tumor Heterogeneity of Ovarian Cancer by Fourier Transform Infrared Spectroscopy[J]. Medical Journal of Peking Union Medical College Hospital, 2017, 8(4-5): 268-273. DOI: 10.3969/j.issn.1674-9081.2017.05.014
    [10]Jie SHI, Zhi-yong LIANG, Tong-hua LIU. Expression of Cyclin D1 in Invasive Lobular Carcinoma of the Breast and Its Significance[J]. Medical Journal of Peking Union Medical College Hospital, 2012, 3(1): 8-12. DOI: 10.3969/j.issn.1674-9081.2012.01.004
  • Cited by

    Periodical cited type(13)

    1. 朱成占,张高伟,张勇. 经肛门内镜微创手术治疗直肠癌前病变的应用效果研究. 首都食品与医药. 2019(23): 29 .
    2. 封益飞,王诗佳,张悦,吉冰,钱文伟,季东健,张冬生,胥子玮,王勇,傅赞,孙跃明. 经肛门内镜微创手术治疗直肠占位的临床体会(附53例报告). 腹腔镜外科杂志. 2017(10): 753-756 .
    3. 刘斌,孙壮,杜继明,宫爱民. 20例直肠肿瘤经肛门内镜下手术治疗体会. 中国医疗器械信息. 2017(10): 67-68 .
    4. 林国乐,邱辉忠,周皎琳,牛备战,孙曦羽,陆君阳,张冠南. 经肛门内镜微创手术治疗直肠肿瘤的临床研究. 中国全科医学. 2016(03): 254-259 .
    5. 苏航,王竟,芦婷婷,鲁大鹏. 吻合器经肛门行直肠黏膜选择性切除钉合术治疗低位直肠良性肿瘤疗效分析. 大连医科大学学报. 2015(04): 355-357 .
    6. 张小虎,李志霞,安大立,刘靖,李伟. TEM治疗直肠肿瘤19例体会. 中华结直肠疾病电子杂志. 2015(05): 68-71 .
    7. 林国乐,邱辉忠,周皎琳,牛备战,孙曦羽,陆君阳,张冠南. 经肛门内镜微创手术的适应证与并发症. 中华结直肠疾病电子杂志. 2015(05): 63-67 .
    8. 彭华敏. 经肛门内镜微创手术(TEM)治疗29例直肠肿瘤的临床疗效观察. 现代诊断与治疗. 2014(06): 1377-1378 .
    9. 孙小林,杨龙江,娄善华. 经肛门内镜显微手术的临床分析. 中国药物经济学. 2014(S2): 428-430 .
    10. 黄兴,黄忠诚,刘祺. 低位直肠癌的治疗及术后评估. 中国现代普通外科进展. 2012(05): 385-388 .
    11. 曾庆智. 直肠癌外科手术治疗研究进展. 右江民族医学院学报. 2012(06): 793-795 .
    12. 陈镇武. 老年人低位直肠癌前切除术后回肠置管造口与横结肠造口的对比研究. 吉林医学. 2011(16): 3199-3200 .
    13. 刘宝华. 直肠癌局部切除术的国内外进展. 中国普外基础与临床杂志. 2011(11): 1132-1134 .

    Other cited types(8)

Catalog

    Article Metrics

    Article views (457) PDF downloads (90) Cited by(21)
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close