TY - JOUR
T1 - Focused transthoracic echocardiography during critical care medicine training
T2 - Curriculum implementation and evaluation of proficiency
AU - Beraud, Anne Sophie
AU - Rizk, Norman W.
AU - Pearl, Ronald G.
AU - Liang, David H.
AU - Patterson, Andrew J.
PY - 2013/8
Y1 - 2013/8
N2 - Objectives: We designed and implemented a focused transthoracic echocardiography curriculum for critical care medicine fellows participating in 1- and 2-year training programs. We quantitatively evaluated their proficiency in focused transthoracic echocardiography. Design: Prospective study evaluating curriculum implementation and objective assessment of focused transthoracic echocardiography proficiency. Setting: Medical and surgical ICUs at an academic teaching hospital. Simulation laboratory. Subjects: Eighteen critical care medicine fellows. Interventions: Training in focused transthoracic echocardiography followed by proficiency testing. Measurements and Main Results: We assessed the ability of critical care medicine fellows to obtain and interpret focused transthoracic echocardiography images from critically ill patients and a from transthoracic echocardiography simulator. Using a cognitive examination test, we also evaluated each fellow's knowledge with regard to focused transthoracic echocardiography and each fellow's ability to interpret prerecorded focused transthoracic echocardiography images. After training, critical care medicine fellows were able to rapidly obtain five essential focused transthoracic echocardiography views: parasternal long axis, parasternal short axis, apical four chamber, subcostal four chamber, and subcostal inferior vena cava. Fellows were also able to expeditiously identify four important abnormalities: asystole, left ventricular dysfunction, right ventricular dilation and dysfunction, and a large pericardial effusion. Conclusions: A focused transthoracic echocardiography curriculum that includes quantitative measures of proficiency can be integrated into critical care medicine fellowship training programs.
AB - Objectives: We designed and implemented a focused transthoracic echocardiography curriculum for critical care medicine fellows participating in 1- and 2-year training programs. We quantitatively evaluated their proficiency in focused transthoracic echocardiography. Design: Prospective study evaluating curriculum implementation and objective assessment of focused transthoracic echocardiography proficiency. Setting: Medical and surgical ICUs at an academic teaching hospital. Simulation laboratory. Subjects: Eighteen critical care medicine fellows. Interventions: Training in focused transthoracic echocardiography followed by proficiency testing. Measurements and Main Results: We assessed the ability of critical care medicine fellows to obtain and interpret focused transthoracic echocardiography images from critically ill patients and a from transthoracic echocardiography simulator. Using a cognitive examination test, we also evaluated each fellow's knowledge with regard to focused transthoracic echocardiography and each fellow's ability to interpret prerecorded focused transthoracic echocardiography images. After training, critical care medicine fellows were able to rapidly obtain five essential focused transthoracic echocardiography views: parasternal long axis, parasternal short axis, apical four chamber, subcostal four chamber, and subcostal inferior vena cava. Fellows were also able to expeditiously identify four important abnormalities: asystole, left ventricular dysfunction, right ventricular dilation and dysfunction, and a large pericardial effusion. Conclusions: A focused transthoracic echocardiography curriculum that includes quantitative measures of proficiency can be integrated into critical care medicine fellowship training programs.
KW - Critical care medicine fellow
KW - Curriculum
KW - Focused transthoracic echocardiography
KW - Proficiency
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U2 - 10.1097/CCM.0b013e31828e9240
DO - 10.1097/CCM.0b013e31828e9240
M3 - Article
C2 - 23760156
AN - SCOPUS:84880932429
VL - 41
SP - e179-e181
JO - Critical Care Medicine
JF - Critical Care Medicine
SN - 0090-3493
IS - 8
ER -