Transesophageal Echocardiography Simulator Training For Visualization of the Pulmonary Veins: A Randomized Controlled Study

Document Type

Conference Proceeding

Publication Date

4-1-2025

Publication Title

J Am Coll Cardiol

Keywords

adult, conference abstract, controlled study, diagnosis, human, learning environment, lung vein, middle aged, pulmonary vein, randomized controlled trial, simulation, simulation training, simulator, training, transesophageal echocardiography

Abstract

Background We sought to determine if transesophageal (TEE) simulation training would improve fellow preparation, clinical performance, and learning environment at an urban teaching hospital. To do so, we focused on the challenging process of visualizing all pulmonary veins. Methods Fellows in cardiology or anesthesiology were randomized to simulator training. All completed a pre and post-test survey. The intervention group received a comprehensive 1.5 hour TEE simulation session. All then performed a clinically indicated TEE exam and were rated on clarity of pulmonary vein images and ability to image each structure independently. Results Control and intervention groups were evenly matched in demographics and experience. Survey results demonstrate a significant difference in comfort level with the theory, interpretation, and technical performance of a complete TEE exam, and effectiveness of attendings. However, there was no difference in overall satisfaction with TEE training and comfort level obtaining pulmonary veins. Additionally, assessment data did not show a difference between the clarity of images or the ability to achieve the pulmonary veins independently. [Formula presented] Conclusion Simulation training did not improve real-world trainee performance in imaging all pulmonary veins compared to standard TEE training. But simulation training is a means to improve overall understanding of interpretation and performance of TEE, and teaching effectiveness of attendings.

Volume

85

Issue

12

First Page

2528

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