Division of Cardiovascular Medicine, Department of Medicine, Stanford University Medical Center, Stanford, CA, USA.
Crit Care Med. 2013 Aug;41(8):e179-81. doi: 10.1097/CCM.0b013e31828e9240.
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.
Prospective study evaluating curriculum implementation and objective assessment of focused transthoracic echocardiography proficiency.
Medical and surgical ICUs at an academic teaching hospital. Simulation laboratory.
Eighteen critical care medicine fellows.
Training in focused transthoracic echocardiography followed by proficiency testing.
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.
A focused transthoracic echocardiography curriculum that includes quantitative measures of proficiency can be integrated into critical care medicine fellowship training programs.
我们为参加 1 年和 2 年培训项目的重症监护医学研究员设计并实施了一项聚焦式经胸超声心动图课程。我们对他们在聚焦式经胸超声心动图方面的熟练程度进行了定量评估。
评估课程实施情况和聚焦式经胸超声心动图熟练程度的客观评估的前瞻性研究。
学术教学医院的内科和外科重症监护病房。模拟实验室。
18 名重症监护医学研究员。
聚焦式经胸超声心动图培训，随后进行熟练程度测试。
我们评估了重症监护医学研究员从重症患者和经胸超声心动图模拟器获取和解释聚焦式经胸超声心动图图像的能力。使用认知考试测试，我们还评估了每位研究员对聚焦式经胸超声心动图的知识以及每位研究员解读预先录制的聚焦式经胸超声心动图图像的能力。培训后，重症监护医学研究员能够快速获得五个基本的聚焦式经胸超声心动图视图：胸骨旁长轴、胸骨旁短轴、心尖四腔、肋下四腔和肋下下腔静脉。研究员还能够迅速识别出四个重要异常：停搏、左心室功能障碍、右心室扩张和功能障碍以及大的心包积液。
一项包含熟练程度定量测量的聚焦式经胸超声心动图课程可以整合到重症监护医学研究员培训计划中。
