Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.
Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA.
J Cardiothorac Vasc Anesth. 2022 Jan;36(1):155-162. doi: 10.1053/j.jvca.2021.08.012. Epub 2021 Aug 14.
The use of basic transesophageal echocardiography (TEE) in critically ill and older surgical patients can change patient management and improve outcomes after noncardiac surgery. The authors hypothesized that educating the future generation on basic TEE skills by an intense two-month rotation will help them achieve basic TEE certification by the National Board of Echocardiography (NBE) and facilitate good use of their skills for patient care during their practice.
This is a descriptive report of graduating anesthesiology residents who completed two months basic TEE rotation at the authors' residency program between 2013 and 2019. The authors report the clinical training goals, NBE testamur and certification status, and a survey report on the use of basic TEE skills in their practice SETTINGS: University medical center.
Residents who completed two months basic TEE rotation during their Clinical Anesthesia (CA)-3 year.
None.
Of a total of 115 residents, 67 (58%) elected basic TEE rotation. The NBE basic TEE certification and testamur status were achieved by 12 (21%) and 14 (24%) eligible residents, respectively. Residents (n = 43) personally performed 73 ± 21 (mean ± standard deviation) and reviewed 72 ± 28 (mean ± standard deviation basic TEE studies before graduation. The survey indicated that 63.4% of residents trained in basic TEE did not use their skills in their practice.
Two months' basic TEE rotation was able to fulfill its educational goals (testamur status and clinical training) but fell short on achieving NBE certification rate and its ultimate impact on practice and patient care.
在危重症和老年手术患者中使用基础经食管超声心动图（TEE）可以改变患者的管理方式，并改善非心脏手术后的结果。作者假设，通过为期两个月的强化轮转向未来的一代传授基本 TEE 技能将帮助他们通过国家超声心动图委员会（NBE）获得基本 TEE 认证，并在实践中为患者护理提供良好的技能应用。
这是一篇描述性报告，介绍了在 2013 年至 2019 年间在作者所在住院医师计划中完成两个月基本 TEE 轮转的麻醉学住院医师的情况。作者报告了临床培训目标、NBE 测试和认证状态，以及一项关于基本 TEE 技能在实践中的应用的调查报告。
大学医疗中心。
在临床麻醉学（CA）-3 年期间完成两个月基本 TEE 轮转的住院医师。
无。
在总共 115 名住院医师中，有 67 名（58%）选择了基本 TEE 轮转。有资格获得 NBE 基本 TEE 认证和测试证书的分别有 12 名（21%）和 14 名（24%）居民。居民（n = 43）在毕业前分别亲自进行了 73 ± 21（平均值 ± 标准差）和 72 ± 28（平均值 ± 标准差）的基本 TEE 研究。调查表明，63.4%接受过基本 TEE 培训的住院医师在实践中没有使用他们的技能。
两个月的基础 TEE 轮转能够实现其教育目标（测试证书状态和临床培训），但在获得 NBE 认证率及其对实践和患者护理的最终影响方面仍有不足。
