Application value of simulation simulators in transesophageal echocardiography teaching

Kang Wenying; Guan Na; Fang Zhongrong; Duan Fujian; Yuan Su

doi:10.3760/cma.j.cn116021-20240208-01908

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Application value of simulation simulators in transesophageal echocardiography teaching

PUMC Column on Exploring Postgraduate Education in Anesthesiology | 更新时间：2024-12-26

- Application value of simulation simulators in transesophageal echocardiography teaching
- Chinese Journal of Medical Education Research Vol. 23, Issue 12, Pages: 1636-1640(2024)
- 作者机构：
  
  1.中国医学科学院　北京协和医学院　阜外医院麻醉科，北京　100037
  2.新疆维吾尔自治区人民医院超声科，乌鲁木齐　830001
- 作者简介：
  
  Yuan Su, Email: fuwaiys@126.com
- 基金信息：
- DOI：10.3760/cma.j.cn116021-20240208-01908
  CLC： R19
- Published：20 December 2024，
  
  Received：08 February 2024，
- 稿件说明：
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康文英, 关娜, 方仲蓉, 等. 仿真模拟器在经食管超声心动图教学中的应用价值[J]. 中华医学教育探索杂志, 2024, 23(12): 1636-1640.

KANG WENYING, GUAN NA, FANG ZHONGRONG, et al. Application value of simulation simulators in transesophageal echocardiography teaching. [J]. Chinese journal of medical education research, 2024, 23(12): 1636-1640.
康文英, 关娜, 方仲蓉, 等. 仿真模拟器在经食管超声心动图教学中的应用价值[J]. 中华医学教育探索杂志, 2024, 23(12): 1636-1640. DOI： 10.3760/cma.j.cn116021-20240208-01908.

KANG WENYING, GUAN NA, FANG ZHONGRONG, et al. Application value of simulation simulators in transesophageal echocardiography teaching. [J]. Chinese journal of medical education research, 2024, 23(12): 1636-1640. DOI： 10.3760/cma.j.cn116021-20240208-01908.

摘要

目的

探索在继续教育培训学习经食管超声心动图（transesophageal echocardiography，TEE）的参与者中，采用模拟器学习与不采用模拟器学习两种方式之间是否存在显著的学习效果差异。

方法

回顾性分析2022年1月至2023年12月期间在中国医学科学院阜外医院麻醉科接受TEE培训者的学习效果。根据是否使用模拟器培训，将参与者分为两组：使用模拟器培训组和未使用模拟器培训组。通过分析培训结束后测评成绩、对培训的满意度及培训后独立操作TEE的自信心程度，来比较两组医师的培训效果差异，并评价模拟器在TEE教学中的应用效果。采用SPSS 26.0软件进行统计学分析，其中计量资料以（均数±标准差）表示，组间比较采用独立样本

检验；计数资料则以百分比表示，组间比较则采用卡方检验。

结果

培训后的测试结果显示，在笔试成绩[（79.15±6.86）分vs.（71.54±5.54）分，

0.05

]

、操作考试切面获取率[（80.85±5.93）% vs. （73.85±5.06）%，

0.05

]

，以及20个标准切面获取时长[（11.45±1.12） min vs. （13.54±1.05） min，

0.05

]

这几方面，使用模拟器组的成绩明显优于未使用模拟器组。此外，培训结束后的调查问卷显示，使用模拟器组的学员对于培训后独立操作TEE的自信度明显高于未使用模拟器组的学员[（4.74±0.44） vs. （4.08±0.95），

0.05

]

。

结论

在TEE继续教育培训中，当其他培训项目保持相同的情况下，接受模拟器培训的学员在图像识别和图像获取方面取得了更好的学习效果，培训后独立操作的自信度也更高。

Abstract

Objective

To explore the differences in learning outcomes between learners undergoing transesophageal echocardiography (TEE) training with and without simulators in continuing education programs.

Methods

A retrospective analysis was conducted to examine the learning outcomes of physicians undertaking TEE training at the Department of Anesthesiology

Fuwai Hospital

Chinese Academy of Medical Sciences from January 2022 to December 2023. Participants wer

e divided into two groups: those who received training with simulators and those who did not. The study aimed to compare the training outcomes between the two groups by analyzing post-training assessment scores

satisfaction with the training

and confidence in independent TEE operation following the training

thereby evaluating the effectiveness of simulators in TEE instruction. SPSS 26.0 software was used for statistical analysis. Measurement data were expressed as mean ± standard deviation

and between-group comparisons were made using an independent samples

-test. Categorical data were expressed as percentages (%)

and between-group comparisons were made using the chi-square test.

Results

Post-training assessments revealed markedly superior performance in the simulator group compared to the non-simulator group regarding written examination scores [(79.15±6.86) vs. (71.54±5.54)

0.05

]

rate of acquiring imaging planes during the operational examination [(80.85±5.93)% vs. (73.85±5.06)%

0.05

]

and time for acquiring 20 standard imaging planes [(11.45±1.12) min vs. (13.54±1.05) min

0.05

]

. Post-training questionnaire surveys indicated that participants in the simulator group exhibited significantly improved confidence in independent TEE operation following the training compared with the non-simulator group [(4.74±0.44) vs. (4.08±0.95)

0.05

]

Conclusions

In TEE training during continuing education

when other training components are held constant

the use of simulators leads to better learning outcomes in image recognition and image acquisition compared to training without simulators

as well as higher confidence in independent operation after training.

关键词

仿真模拟器经食管超声心动图教学继续教育培训

Keywords

Simulation simulatorTransesophageal echocardiographyTeachingContinuing education program

references

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Dudzinski DM, Mangalmurti SS, Oetgen WJ. Characterization of medical professional liability risks associated with transesophageal echocardiography [J]. J Am Soc Echocardiogr, 2019, 32(3): 359-364. DOI: 10.1016/j.echo.2018.11.003http://dx.doi.org/10.1016/j.echo.2018.11.003.

姚舜，唐雅彬，易晨越，等. 医学技能模拟训练的临床效果转化研究热点及趋势分析[J]. 中华医学教育探索杂志， 2023， 22（9）： 1308-1314. DOI: 10.3760/cma.j.cn116021-20210408-01408http://dx.doi.org/10.3760/cma.j.cn116021-20210408-01408.

娄智超，李旭，白冰，等. TTE模拟教学在麻醉专业住院医师基本超声技能教学中的应用[J]. 基础医学与临床， 2016， 36（3）： 427-432. DOI: 10.16352/j.issn.1001-6325.2016.03.030http://dx.doi.org/10.16352/j.issn.1001-6325.2016.03.030.

郭潇潇，郭立琳，魏统辉，等. 模拟器教学在经胸超声心动图操作培训中的应用[J]. 基础医学与临床， 2022， 42（2）： 353-356. DOI: 10.16352/j.issn.1001-6325.2022.02.022http://dx.doi.org/10.16352/j.issn.1001-6325.2022.02.022.

Pezel T, Dreyfus J, Mouhat B, et al. Effectiveness of simulation-based training on transesophageal echocardiography learning: the SIMULATOR randomized clinical trial [J]. JAMA Cardiol, 2023, 8(3): 248-256. DOI: 10.1001/jamacardio.2022.5016http://dx.doi.org/10.1001/jamacardio.2022.5016.

孙兆楚，龚婵娟，沈健. 经食道超声心动图模拟训练系统在麻醉规培带教中的应用[J]. 中华医学教育探索杂志， 2023， 22（9）： 1394-1397. DOI: 10.3760/cma.j.cn116021-20220311-01427http://dx.doi.org/10.3760/cma.j.cn116021-20220311-01427.

Jujo S, Nakahira A, Kataoka Y, et al. Transesophageal echocardiography simulator training: a systematic review and meta-analysis of randomized controlled trials [J]. Simul Healthc, 2021, 16(5): 341-352. DOI: 10.1097/sih.0000000000000537http://dx.doi.org/10.1097/sih.0000000000000537.

Maloney S, Haines T. Issues of cost-benefit and cost-effectiveness for simulation in health professions education [J]. Adv Simul, 2016, 1: 13. DOI: 10.1186/s41077-016-0020-3http://dx.doi.org/10.1186/s41077-016-0020-3.

Yiqun Lin, Adam Cheng, Kent Hecker, et al. Implementing economic evaluation in simulation-based medical education: challenges and opportunities [J]. Med Educ, 2018, 52(2): 150-160. DOI: 10.1111/medu.13411http://dx.doi.org/10.1111/medu.13411.

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