Blanchetière Amélie, Guillouët Erwan, Favrais Géraldine, Lardennois Caroline, Bellot Anne, Savey Baptiste
Neonatology Department, Caen Normandy University Hospital, Caen, France.
NorSimS Simulation Centre, Caen Normandy University Hospital, Caen, France.
Acta Paediatr. 2025 Jul;114(7):1623-1632. doi: 10.1111/apa.70003. Epub 2025 Jan 31.
Mastering echocardiography scans is essential in neonatology, but bedside training can be difficult due to the instability of neonatal patients. The aim of this study was to demonstrate the benefits of simulation-based training for residents learning echocardiography.
This multicentre randomised controlled trial involved residents from three French neonatology departments. The authors compared a control group with theoretical and bedside training and a simulation group with additional simulation-based training. Evaluations were conducted three and 6 months after training using two scoring methods: a reference score for the quality of the echocardiographic sections and a custom-made score for recognising anatomical structures.
We randomised 52 residents from 1 May 2021 to 31 May 2023. After 3 months, the residents in the simulation group achieved a higher mean score than the residents in the control group for both the reference score (11.5 ± 2.3 points vs. 7.4 ± 3.4 points, p < 0.001) and the custom-made score (25.8 ± 5.3 points vs. 16.9 ± 7.8 points, p < 0.001). The difference remained significant at 6 months and the custom-made score showed good agreement with the reference score.
Simulation-based training was a valuable approach for training neonatal residents to perform echocardiography and more extensive training courses should be developed.
ClinicalTrials.gov identifier: NCT06442683.
掌握超声心动图扫描技术在新生儿科至关重要，但由于新生儿患者不稳定，床边训练可能会很困难。本研究的目的是证明基于模拟的培训对学习超声心动图的住院医师的益处。
这项多中心随机对照试验涉及来自法国三个新生儿科的住院医师。作者将接受理论和床边训练的对照组与接受额外基于模拟训练的模拟组进行了比较。在训练后3个月和6个月使用两种评分方法进行评估：超声心动图切面质量的参考评分和识别解剖结构的定制评分。
我们在2021年5月1日至2023年5月31日期间将52名住院医师随机分组。3个月后，模拟组住院医师在参考评分（11.5±2.3分对7.4±3.4分，p<0.001）和定制评分（25.8±5.3分对16.9±7.8分，p<0.001）方面的平均得分均高于对照组。6个月时差异仍然显著，且定制评分与参考评分显示出良好的一致性。
基于模拟的培训是训练新生儿科住院医师进行超声心动图检查的一种有价值的方法，应开发更广泛的培训课程。
ClinicalTrials.gov标识符：NCT06442683。
