Effectiveness of Simulation Training in Acquiring Echocardiography Skills among Neonatology Care Providers

Shahab Noori; Mahmood Ebrahimi; Merujan Uzunyan; Dariush Bazyani; Aryan J. Noori; Bijan Siassi; Rangasamy Ramanathan

doi:10.1055/a-1845-2083

American Journal of Perinatology, Table of Contents

Am J Perinatol 2024; 41(S 01): e114-e118
DOI: 10.1055/a-1845-2083

Original Article

Effectiveness of Simulation Training in Acquiring Echocardiography Skills among Neonatology Care Providers

Shahab Noori

¹Fetal and Neonatal Institute, Division of Neonatology, Children's Hospital Los Angeles, Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California

,

Mahmood Ebrahimi

²Division of Neonatology, Department of Pediatrics, Los Angeles County + University of Southern California Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, California

,

Merujan Uzunyan

³Division of Cardiology, Department of Pediatrics, Los Angeles County + University of Southern California Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, California

,

Dariush Bazyani

¹Fetal and Neonatal Institute, Division of Neonatology, Children's Hospital Los Angeles, Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California

,

Aryan J. Noori

¹Fetal and Neonatal Institute, Division of Neonatology, Children's Hospital Los Angeles, Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California

,

Bijan Siassi

²Division of Neonatology, Department of Pediatrics, Los Angeles County + University of Southern California Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, California

,

Rangasamy Ramanathan

²Division of Neonatology, Department of Pediatrics, Los Angeles County + University of Southern California Medical Center, Keck School of Medicine of University of Southern California, Los Angeles, California

› Author Affiliations

Abstract

Objectives The objective of this study was to test the hypothesis that simulation training improves echocardiography skills.

Study Design In this prospective study, 43 participants (16 neonatologists, 26 neonatology fellows, and 1 nurse practitioner) were tested on the simulator after 4 hours of didactic sessions on topographical cardiac anatomy and standard echocardiographic views. Participants were given 20 minutes to obtain and save the standard views. After the simulation hands-on training for 8 hours over 3 days, they were tested again. Each image was scored from 0 to 3 based on the image quality. Pre- and postsimulator training data were compared using both automated and visual scoring methods.

Results After the hands-on simulator training, the automated median (interquartile) score for the quality of acquired images increased from 36 (22, 43) to 55 (48, 58), p < 0.0001. The increase was similar using visual scoring. The number of views with acceptable or good image quality (scores of 2 or 3) increased from 11 (6, 16) to 20 (17, 21), p < 0.0001. The neonatology fellows and faculty, as well as those with or without prior echocardiography experience, demonstrated significant improvement.

Conclusions Echocardiography simulation is an effective tool in improving echocardiography skills among neonatology care providers.

Key Points

Simulation is effective in acquiring echocardiography skills among neonatology care providers.
Simulation improves image acquisition in those with and without prior echocardiography experience.
Effectiveness of simulation in retaining the acquired echocardiography skill should be investigated.

Keywords

echocardiography - neonate - simulation training - Doppler

Full Text

References

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