From the SimTiki Simulation Center (S.J., A.N., B.W.B.), John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI; Department of Anesthesiology (S.J., H.M.), Kameda General Hospital, Chiba; Department of Critical Care Medicine (A.N.), Nara Prefecture General Medical Center, Nara; Department of Respiratory Medicine (Y.K.) and Hospital Care Research Unit (Y.K., H.T.), Hyogo Prefectural Amagasaki General Medical Center, Hyogo; Department of Psychiatry (M.B.), Seichiryo Hospital; Department of Psychiatry (M.B.), Nagoya University Graduate School of Medicine, Aichi; Department of Nephrology and Dialysis (Y.T.), Kyoritsu Hospital, Hyogo; and Department of Healthcare Epidemiology (Y.T.), School of Public Health in the Graduate School of Medicine, and Medical Education Center (S.O.), Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Simul Healthc. 2021 Oct 1;16(5):341-352. doi: 10.1097/SIH.0000000000000537.
We aimed to assess the learning effects of novice transesophageal echocardiography (TEE) simulator training and to identify gaps in existing studies. We performed a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing the learning effects of novice TEE training with versus without simulators, searching published articles and proceedings in 6 major databases in June 2019. We included 9 RCTs (268 participants). Compared with nonsimulator training, TEE simulator training resulted in higher skill and knowledge posttraining test scores with large effect sizes (standardized mean difference = 0.81 for skill, 1.61 for knowledge; low-certainty evidence) and higher training satisfaction with a small effect size (standardized mean difference = 0.36; very low-certainty evidence). No RCTs reported training budget or patient outcomes. Additional well-designed studies with low risk of bias and large sample sizes are needed to provide reliable and robust findings and develop more effective TEE simulation-based training curricula.
我们旨在评估新手经食管超声心动图（TEE）模拟器训练的学习效果，并确定现有研究中的差距。我们对比较有与无模拟器的新手 TEE 培训学习效果的随机对照试验（RCT）进行了系统评价和荟萃分析，检索了 2019 年 6 月 6 个主要数据库中的已发表文章和会议记录。我们纳入了 9 项 RCT（268 名参与者）。与无模拟器培训相比，TEE 模拟器培训在技能和知识的培训后测试得分更高，具有较大的效应量（技能的标准化均数差为 0.81，知识为 1.61；低确定性证据），培训满意度也更高，具有较小的效应量（标准化均数差为 0.36；极低确定性证据）。没有 RCT 报告培训预算或患者结局。需要更多设计良好、偏倚风险低且样本量大的研究，以提供可靠和稳健的结果，并制定更有效的基于 TEE 模拟的培训课程。
