Application of transesophageal echocardiography simulation training system in standardized training and teaching of anesthesia residents

Sun Zhaochu; Gong Chanjuan; Shen Jian

doi:10.3760/cma.j.cn116021⁃20220311⁃01427

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Application of transesophageal echocardiography simulation training system in standardized training and teaching of anesthesia residents

Standardized Residency Training | 更新时间：2023-10-12

- Application of transesophageal echocardiography simulation training system in standardized training and teaching of anesthesia residents
- Chinese Journal of Medical Education Research Vol. 22, Issue 9, Pages: 1394-1397(2023)
- 作者机构：
  
  南京医科大学第一附属医院麻醉与围术期医学科，南京　210029
- 作者简介：
  
  Shen Jian, Email: 34514322@qq.com
- 基金信息：
  
  Educational Research Project of Nanjing Medical University(2019LX041)
- DOI：10.3760/cma.j.cn116021⁃20220311⁃01427
  CLC： R-05
- Published：20 September 2023，
  
  Received：11 March 2022，
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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.

Sun Zhaochu, Gong Chanjuan, Shen Jian. Application of transesophageal echocardiography simulation training system in standardized training and teaching of anesthesia residents. [J]. Chinese Journal of Medical Education Research 22(9):1394-1397(2023)
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.

Sun Zhaochu, Gong Chanjuan, Shen Jian. Application of transesophageal echocardiography simulation training system in standardized training and teaching of anesthesia residents. [J]. Chinese Journal of Medical Education Research 22(9):1394-1397(2023) DOI： 10.3760/cma.j.cn116021⁃20220311⁃01427.

摘要

目的

探讨经食道超声心动图（transesophageal echocardiography，TEE）模拟训练系统是否能够提高麻醉规培医师的教学效果。

方法

将72名没有心脏超声基础的麻醉专业住院医师随机分为传统教学组（36人）和模拟训练组（36人）。授课前后均进行涵盖5个心超相关知识点的理论考核，规范化轮转2个月后对学员再次进行理论及操作考核，并记录临床相关指标。采用SPSS 23.0进行

检验、秩和检验、卡方检验或Fisher精确概率法。

结果

两组学员授课前理论成绩差异无统计学意义。授课后模拟训练组学员理论成绩高于传统教学组，且切面识别及图像诊断题差异有统计学意义（

0.05）。轮转后，两组学员理论成绩差异无统计学意义，但操作考核成绩模拟训练组明显优于传统组（

0.05）。轮转期间，模拟教学组TEE 相关并发症的发生率低，且临床操作技能评估量化评分较高（

0.05）。

结论

麻醉住院医师在进行TEE 培训前预先接受模拟系统训练，能够更快地掌握操作技能，减少相关并发症发生，更准确地识别和获得TEE 标准切面，对临床教学具有重要价值。

Abstract

Objective

To explore whether the simulation training system for transesophageal echocardiography (TEE) can improve the effectiveness of standardized training of resident anesthesiologists.

Methods

A total of 72 resident anesthesiologists without experience in cardiac ultrasound were randomly divided into traditional teaching group (36 residents) and simulation training group (36 residents). Before and after the teaching

theoretical examinations of 5 knowledge points related to cardiac ultrasound were conducted. After a standardized rotation of 2 months

the students were re-examined for both theories and operations

and clinical indicators were recorded. SPSS 23.0 was used for the

-test

rank sum test

chi-square test

or Fisher's exact test.

Results

There was no significant difference in scores of theoretical examinations between the two groups of students before teaching. After teaching

the scores of the simulation training group were higher than those of the traditional teaching group

and the differences were significant in cross-sectional recognition and image diagnosis (

0.05). After rotation

there was no significant difference in theoretical examination between the two groups of students

but the score of operation was significantly higher in the simulation training group than in the traditional teaching group (

0.05). During the rotation period

the incidence of TEE-related complications was relatively low and the quantitative score of clinical operational skill assessment was relatively high in the simulation training group (

0.05).

Conclusion

Anesthesia residents who receive training with the simulation system before TEE training can quickly acquire operational skills

reduce related complications

and more accurately identify and obtain standard TEE sections

which has significant value for clinical teaching.

关键词

经食道超声心动图模拟教学住院医师麻醉学学习曲线

Keywords

Transesophageal echocardiographySimulation teachingResidentAnesthesiologyLearning curve

references

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Issenberg SB, McGaghie WC, Petrusa ER, et al. Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic review [J]. Med Teach, 2005, 27(1) : 10-28. DOI:10.1080/01421590500046924http://dx.doi.org/10.1080/01421590500046924.

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Cardiovascular Section of the Canadian Anesthesiologists' Society, Echocardiography CSO, Béïque F, et al. Canadian guidelines for training in adult perioperative transesophageal echocardiography. Recommendations of the Cardiovascular Section of the Canadian Anesthesiologists' Society and the Canadian Society of Echocardiography [J]. Can J Cardiol, 2006, 22(12): 1015-1027. DOI: 10.1016/s0828-282x(06)70317-8http://dx.doi.org/10.1016/s0828-282x(06)70317-8.

王晟，王锷，余海，等. 麻醉医生接受规范化围术期经食道超声心动图培训势在必行[J]. 麻醉安全与质控， 2017， 1（3）： 117-120. DOI: 10.3969/j.issn.2096-2681.2017.03.002http://dx.doi.org/10.3969/j.issn.2096-2681.2017.03.002.

Jelacic S, Bowdle A, Togashi K, et al. The use of TEE simulation in teaching basic echocardiography skills to senior anesthesiology residents [J]. J Cardiothorac Vasc Anesth, 2013, 27(4): 670-675. DOI: 10.1053/j.jvca.2013.01.016http://dx.doi.org/10.1053/j.jvca.2013.01.016.

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