Mitchell John D, Mahmood Feroze, Bose Ruma, Hess Philip E, Wong Vanessa, Matyal Robina
Harvard Medical School, Boston MA; Beth Israel Deaconess Medical Center, Boston MA.
Harvard Medical School, Boston MA; Beth Israel Deaconess Medical Center, Boston MA.
J Cardiothorac Vasc Anesth. 2014 Jun;28(3):800-9. doi: 10.1053/j.jvca.2014.01.006. Epub 2014 Apr 18.
Web and simulation technology may help in creating a transesophageal echocardiography (TEE) curriculum. The authors discuss the educational principles applied to developing and implementing a multimodal TEE curriculum.
The authors modified a pilot course based on principles for effective simulation-based education. Key curricular elements were consistent with principles for effective simulation-based education: (1) clear goals and carefully structured objectives, (2) conveniently accessed, graduated, longitudinal instruction, (3) a protected and optimal learning environment, (4) repetition of concepts and technical skills, (5) progressive expectations for understanding and skill development, (6) introduction of abnormalities after understanding of normal anatomy and probe manipulation is achieved, (7) live learning sessions that are customizable to meet learner needs and individualized proctoring in skill sessions, (8) use of multiple approaches to teaching, (9) regular and relevant feedback, and (10) application of performance and compliance measures.
Fifty-five learners participated in a curriculum with web-based modules, live teaching, and simulation practice between August 2011 and May 2013.
It is possible to develop and implement an integrated, multimodal TEE curriculum supported by educational theory. The authors will explore the transferability of this approach to intraoperative TEE on live patients.
网络和模拟技术可能有助于创建经食管超声心动图（TEE）课程。作者讨论了应用于开发和实施多模式TEE课程的教育原则。
作者基于有效的基于模拟的教育原则修改了一门试点课程。关键课程要素与有效的基于模拟的教育原则一致：（1）明确的目标和精心构建的教学目标；（2）方便获取、循序渐进、纵向的教学；（3）受保护的最佳学习环境；（4）概念和技术技能的重复；（5）对理解和技能发展的逐步期望；（6）在掌握正常解剖结构和探头操作后引入异常情况；（7）可根据学习者需求定制的现场学习课程以及技能课程中的个性化指导；（8）使用多种教学方法；（9）定期且相关的反馈；（10）应用绩效和合规措施。
2011年8月至2013年5月期间，55名学习者参加了一门包含网络模块、现场教学和模拟实践的课程。
有可能开发并实施一种由教育理论支持的综合多模式TEE课程。作者将探索这种方法在活体患者术中TEE上的可转移性。
