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Optimizing simulator‐based training for emergency transesophageal echocardiography: A randomized controlled trial

Optimizing simulator‐based training for emergency transesophageal echocardiography: A randomized... INTRODUCTIONTransesophageal echocardiography (TEE) is a relatively new point‐of‐care ultrasound (POCUS) modality that is increasingly being used in emergency departments (ED).1 TEE scans performed in the ED are most commonly used to assist with managing critically ill patients, including those with hemodynamic instability and cardiac arrest. In these patients, TEE can help to identify important causes of shock such as left ventricular dysfunction, cardiac tamponade, and massive pulmonary embolism.1 Emergency physician–performed TEE has been shown to be feasible, can assist with patient diagnosis, and leads to changes in management in a significant proportion of patients.2 In 2017, the American College of Emergency Physicians introduced practice guidelines for the use of TEE in the ED.3 These guidelines acknowledged that TEE has the potential to identify life‐threatening conditions in the setting of cardiac arrest, where traditional transthoracic echocardiography (TTE) may be technically challenging.Given the relatively novel aspect of resuscitative TEE, there is limited evidence on best practices for teaching this skill to emergency physicians. Unlike most other POCUS applications, teaching TEE using healthy volunteers is not practical. It is also not feasible to bring large numbers of learners to the operating room to gain experience. As an alternative, simulation‐based training using high‐fidelity http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png AEM Education and Training Wiley

Optimizing simulator‐based training for emergency transesophageal echocardiography: A randomized controlled trial

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Publisher
Wiley
Copyright
Copyright © 2023 Society for Academic Emergency Medicine
eISSN
2472-5390
DOI
10.1002/aet2.10845
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Abstract

INTRODUCTIONTransesophageal echocardiography (TEE) is a relatively new point‐of‐care ultrasound (POCUS) modality that is increasingly being used in emergency departments (ED).1 TEE scans performed in the ED are most commonly used to assist with managing critically ill patients, including those with hemodynamic instability and cardiac arrest. In these patients, TEE can help to identify important causes of shock such as left ventricular dysfunction, cardiac tamponade, and massive pulmonary embolism.1 Emergency physician–performed TEE has been shown to be feasible, can assist with patient diagnosis, and leads to changes in management in a significant proportion of patients.2 In 2017, the American College of Emergency Physicians introduced practice guidelines for the use of TEE in the ED.3 These guidelines acknowledged that TEE has the potential to identify life‐threatening conditions in the setting of cardiac arrest, where traditional transthoracic echocardiography (TTE) may be technically challenging.Given the relatively novel aspect of resuscitative TEE, there is limited evidence on best practices for teaching this skill to emergency physicians. Unlike most other POCUS applications, teaching TEE using healthy volunteers is not practical. It is also not feasible to bring large numbers of learners to the operating room to gain experience. As an alternative, simulation‐based training using high‐fidelity

Journal

AEM Education and Training – Wiley

Published: Feb 1, 2023

References

  • Transesophageal echocardiography performed by intensivist and emergency physicians‐a 5‐year, single‐center experience
    Wray, TC; Johnson, M; Cluff, S
  • Focused transesophageal echocardiography by emergency physicians is feasible and clinically influential: observational results from a novel ultrasound program
    Arntfield, R; Pace, J; Hewak, M; Thompson, D
  • Guidelines for the use of transesophageal echocardiography (TEE) in the ED for cardiac arrest
  • Emergency physician‐performed transesophageal echocardiography in simulated cardiac arrest
    Byars, DV; Tozer, J; Joyce, JM
  • Transesophageal echocardiography simulation is an effective tool in teaching psychomotor skills to novice echocardiographers
    Sohmer, B; Hudson, C; Hudson, J; Posner, GD; Naik, V
  • Simulator training enhances resident performance in transesophageal echocardiography
    Ferrero, NA; Bortsov, AV; Arora, H
  • Repeated versus varied case selection in pediatric resident simulation
    Tofil, NM; Peterson, DT; Wheeler, JT
  • Simulator‐based transesophageal echocardiographic training with motion analysis: a curriculum‐based approach
    Matyal, R; Mitchell, JD; Hess, PE
  • Bedside identification of blunt thoracic aortic injury with point‐of‐care transesophageal echocardiography
    Landau, JH; Power, AH; Leeper, WR; Arntfield, RT
  • The rapid assessment of competency in echocardiography scale: validation of a tool for point‐of‐care ultrasound
    Millington, SJ; Arntfield, RT; Hewak, M
  • Manual skill acquisition during transesophageal echocardiography simulator training of cardiology fellows: a kinematic assessment
    Matyal, R; Montealegre‐Gallegos, M; Mitchell, JD
  • Comparison of expert and novice performance of a simulated transesophageal echocardiography examination
    Bick, JS; Demaria, S; Kennedy, JD
  • The educational impact of bench model fidelity on the acquisition of technical skill: the use of clinically relevant outcome measures
    Grober, ED; Hamstra, SJ; Wanzel, KR
  • The effect of bench model fidelity on endourological skills: a randomized controlled study
    Matsumoto, ED; Hamstra, SJ; Radomski, SB; Cusimano, MD
  • The effect of blocked versus random task practice schedules on the acquisition and retention of surgical skills
    Rivard, JD; Vergis, AS; Unger, BJ; Gillman, LM; Hardy, KM; Park, J
  • Contextual interference effects on the acquisition, retention, and transfer of a motor skill
    Shea, JB; Morgan, RL
  • Practice makes perfect: the critical role of mixed practice in the acquisition of ECG interpretation skills
    Hatala, RM; Brooks, LR; Norman, GR
  • Fixed versus variable practice for teaching medical students the management of pediatric asthma exacerbations using simulation
    Drummond, D; Truchot, J; Fabbro, E
  • Application of motor learning principles to complex surgical tasks: searching for the optimal practice schedule
    Brydges, R; Carnahan, H; Backstein, D; Dubrowski, A
  • Mastery learning of thoracentesis skills by internal medicine residents using simulation technology and deliberate practice
    Wayne, DB; Barsuk, JH; O'Leary, KJ; Fudala, MJ; McGaghie, WC
  • A randomized trial of simulation‐based deliberate practice for infant lumbar puncture skills
    Kessler, DO; Auerbach, M; Pusic, M; Tunik, MG; Foltin, JC
  • Use of simulation‐based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unit
    Barsuk, JH; McGaghie, WC; Cohen, ER; Balachandran, JS; Wayne, DB