Department of Anesthesia, Lahey Hospital and Medical Center, Burlington, MA.
Department of Anesthesia, Lahey Hospital and Medical Center, Burlington, MA.
J Cardiothorac Vasc Anesth. 2019 Jun;33(6):1533-1539. doi: 10.1053/j.jvca.2018.09.020. Epub 2018 Sep 20.
Simulator-based workflow training in echocardiography appears to be gravely lacking. Workflow, or the technical and logistical steps taken to safely and efficiently execute an ultrasound procedure, is an aspect of echocardiography nearly equivalent in importance to performing the procedure itself. A knowledge gap in workflow presently exists between trainees and senior staff; this knowledge gap stems from the fact that workflow education usually is obtained "on the job" through extended repetition. Indeed, the designers of current echocardiographic simulators have gone leaps and bounds to simulate echocardiographic procedures, but none presently allows for workflow training. In this review, the authors describe a proficiency-based educational model for echocardiography, specifically highlighting transesophageal echocardiography, and briefly discuss its design. In addition, the review describes a simulator that when used in combination with formal didactics could provide echocardiographic workflow training.
基于模拟器的超声心动图工作流程培训似乎严重缺乏。工作流程，或者说为了安全、有效地执行超声检查而采取的技术和后勤步骤，是超声心动图中与执行检查本身同等重要的一个方面。目前，在工作流程方面，受训者和资深工作人员之间存在知识差距；这种知识差距源于这样一个事实，即工作流程教育通常是通过反复延长工作时间“在职”获得的。事实上，目前超声心动图模拟器的设计者已经在模拟超声心动图程序方面取得了飞跃性的进展，但目前还没有模拟器能够进行工作流程培训。在这篇综述中，作者描述了一种基于熟练程度的超声心动图教育模式，特别是强调了经食管超声心动图，并简要讨论了其设计。此外，该综述还描述了一种模拟器，如果与正规教学相结合，可提供超声心动图工作流程培训。
