Imaging skills for transthoracic echocardiography in cardiology fellows: The value of motion metrics
Background: Proficiency in transthoracic echocardiography (TTE) requires an integration of cognitive knowledge and psychomotor skills. Whereas cognitive knowledge can be quantified, psychomotor skills are implied after repetitive task performance. We applied motion analyses to evaluate psychomotor s...
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Wolters Kluwer Medknow Publications
2016-01-01
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Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=2;spage=245;epage=250;aulast=Montealegre-Gallegos |
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doaj-281e6a9b82c448b488acbeda622872092020-11-24T23:40:18ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842016-01-0119224525010.4103/0971-9784.179595Imaging skills for transthoracic echocardiography in cardiology fellows: The value of motion metricsMario Montealegre-GallegosFeroze MahmoodHan KimRemco BergmanJohn D MitchellRuma BoseKatie M HawthorneT David O′HalloranVanessa WongPhilip E HessRobina MatyalBackground: Proficiency in transthoracic echocardiography (TTE) requires an integration of cognitive knowledge and psychomotor skills. Whereas cognitive knowledge can be quantified, psychomotor skills are implied after repetitive task performance. We applied motion analyses to evaluate psychomotor skill acquisition during simulator-based TTE training. Methods and Results: During the first month of their fellowship training, 16 cardiology fellows underwent a multimodal TTE training program for 4 weeks (8 sessions). The program consisted of online and live didactics as well as simulator training. Kinematic metrics (path length, time, probe accelerations) were obtained at the start and end of the course for 8 standard TTE views using a simulator. At the end of the course TTE image acquisition skills were tested on human models. After completion of the training program the trainees reported improved self-perceived comfort with TTE imaging. There was also an increase of 8.7% in post-test knowledge scores. There was a reduction in the number of probe accelerations [median decrease 49.5, 95% CI = 29-73, adjusted P < 0.01], total time [median decrease 10.6 s, 95% CI = 6.6-15.5, adjusted P < 0.01] and path length [median decrease 8.8 cm, 95% CI = 2.2-17.7, adjusted P < 0.01] from the start to the end of the course. During evaluation on human models, the trainees were able to obtain all the required TTE views without instructor assistance. Conclusion: Simulator-derived motion analyses can be used to objectively quantify acquisition of psychomotor skills during TTE training. Such an approach could be used to assess readiness for clinical practice of TTE.http://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=2;spage=245;epage=250;aulast=Montealegre-GallegosMotion analysis; Simulation training; Transthoracic echocardiography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mario Montealegre-Gallegos Feroze Mahmood Han Kim Remco Bergman John D Mitchell Ruma Bose Katie M Hawthorne T David O′Halloran Vanessa Wong Philip E Hess Robina Matyal |
spellingShingle |
Mario Montealegre-Gallegos Feroze Mahmood Han Kim Remco Bergman John D Mitchell Ruma Bose Katie M Hawthorne T David O′Halloran Vanessa Wong Philip E Hess Robina Matyal Imaging skills for transthoracic echocardiography in cardiology fellows: The value of motion metrics Annals of Cardiac Anaesthesia Motion analysis; Simulation training; Transthoracic echocardiography |
author_facet |
Mario Montealegre-Gallegos Feroze Mahmood Han Kim Remco Bergman John D Mitchell Ruma Bose Katie M Hawthorne T David O′Halloran Vanessa Wong Philip E Hess Robina Matyal |
author_sort |
Mario Montealegre-Gallegos |
title |
Imaging skills for transthoracic echocardiography in cardiology fellows: The value of motion metrics |
title_short |
Imaging skills for transthoracic echocardiography in cardiology fellows: The value of motion metrics |
title_full |
Imaging skills for transthoracic echocardiography in cardiology fellows: The value of motion metrics |
title_fullStr |
Imaging skills for transthoracic echocardiography in cardiology fellows: The value of motion metrics |
title_full_unstemmed |
Imaging skills for transthoracic echocardiography in cardiology fellows: The value of motion metrics |
title_sort |
imaging skills for transthoracic echocardiography in cardiology fellows: the value of motion metrics |
publisher |
Wolters Kluwer Medknow Publications |
series |
Annals of Cardiac Anaesthesia |
issn |
0971-9784 |
publishDate |
2016-01-01 |
description |
Background: Proficiency in transthoracic echocardiography (TTE) requires an integration of cognitive knowledge and psychomotor skills. Whereas cognitive knowledge can be quantified, psychomotor skills are implied after repetitive task performance. We applied motion analyses to evaluate psychomotor skill acquisition during simulator-based TTE training. Methods and Results: During the first month of their fellowship training, 16 cardiology fellows underwent a multimodal TTE training program for 4 weeks (8 sessions). The program consisted of online and live didactics as well as simulator training. Kinematic metrics (path length, time, probe accelerations) were obtained at the start and end of the course for 8 standard TTE views using a simulator. At the end of the course TTE image acquisition skills were tested on human models. After completion of the training program the trainees reported improved self-perceived comfort with TTE imaging. There was also an increase of 8.7% in post-test knowledge scores. There was a reduction in the number of probe accelerations [median decrease 49.5, 95% CI = 29-73, adjusted P < 0.01], total time [median decrease 10.6 s, 95% CI = 6.6-15.5, adjusted P < 0.01] and path length [median decrease 8.8 cm, 95% CI = 2.2-17.7, adjusted P < 0.01] from the start to the end of the course. During evaluation on human models, the trainees were able to obtain all the required TTE views without instructor assistance. Conclusion: Simulator-derived motion analyses can be used to objectively quantify acquisition of psychomotor skills during TTE training. Such an approach could be used to assess readiness for clinical practice of TTE. |
topic |
Motion analysis; Simulation training; Transthoracic echocardiography |
url |
http://www.annals.in/article.asp?issn=0971-9784;year=2016;volume=19;issue=2;spage=245;epage=250;aulast=Montealegre-Gallegos |
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