Teaching efficacy of cardiac ultrasound simulation: a systematic review_Chinese Journal of Evidence-Based Medicine

Authors：

ZHANG Weiyi ¹ , YANG Di ² , WU Yixuan ¹ ,  YANG Lei ¹

1. Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;
2. Department of Anesthesiology, Sichuan Provincial People’s Hospital, Chengdu 610072, P.R.China;

Corresponding author：

YANG Lei, Email: leiyang2010@foxmail.com

Keywords：

Simulation; Cardiac ultrasound; Systematic review; Meta-analysis; Randomized controlled trial

DOI：

10.7507/1672-2531.202004159

Video：

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Objectives To systematically review the teaching efficacy of cardiac ultrasound simulation.Methods CNKI, VIP, PubMed, EMbase and The Cochrane Library databases were electronically searched to collect randomized controlled trials (RCTs) on cardiac ultrasound simulation from inception to March 7^th, 2020. Two reviewers independently screened literature, extracted data and assessed risk of bias of included studies, then, meta-analysis was performed by using RevMan 5.3 software.Results A total of 7 RCTs involving 300 trainees were included. The results of meta-analysis showed that: compared with traditional teaching method, trainees who received cardiac ultrasound simulation obtained higher cardiac ultrasonic structure image recognition score (SMD=1.38, 95%CI 0.81 to 1.94, P<0.000 01), higher ultrasonic image quality score (SMD=2.08, 95%CI 1.71 to 2.44, P<0.000 01), and shorter time required to obtain the correct ultrasound image (SMD=−1.19, 95%CI −1.55 to −0.83, P<0.000 01).Conclusions The current evidence shows that trainees who received cardiac ultrasound simulation have superior teaching effect immediately after the training compared with those who received traditional teaching method. However, further high-quality researches are needed to confirm whether there is a difference between the two training methods in long-term teaching effect.

Citation： ZHANG Weiyi, YANG Di, WU Yixuan, YANG Lei. Teaching efficacy of cardiac ultrasound simulation: a systematic review. Chinese Journal of Evidence-Based Medicine, 2020, 20(12): 1421-1426. doi: 10.7507/1672-2531.202004159 Copy

1.	Johri AM, Durbin J, Newbigging J, et al. Cardiac point-of-care ultrasound: state-of-the-art in medical school education. J Am Soc Echocardiogr, 2018, 31(7): 749-760.
2.	Spencer KT, Kimura BJ, Korcarz CE, et al. Focused cardiac ultrasound: recommendations from the american society of echocardiography. J Am Soc Echocardiogr, 2013, 26(6): 567-581.
3.	Damewood SC, Lewiss RE, Huang JV. Ultrasound simulation utilization among point of care ultrasound users: results of a survey. J Clin Ultrasound, 2018, 46(9): 571-574.
4.	Chen XX, Trivedi V, AlSaflan AA, et al. Ultrasound-guided regional anesthesia simulation training: a systematic review. Reg Anesth Pain Med, 2017, 42(6): 741-750.
5.	Via G, Hussain A, Wells M, et al. International evidence-based recommendations for focused cardiac ultrasound. J Am Soc Echocardiogr, 2014, 27(7): 683.
6.	Hozo SP, Djulbegovic B, Hozo I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol, 2005, 5: 1-10.
7.	Bose RR, Matyal R, Warraich HJ, et al. Utility of a transesophageal echocardiographic simulator as a teaching tool. J Cardiothorac Vasc Anesth, 2011, 25(2): 212-215.
8.	Bloch A, Von Arx R, Etter R, et al. Impact of simulator-based training in focused transesophageal echocardiography: a randomized controlled trial. Anesth Analg, 2017, 125(4): 1140-1148.
9.	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. 基础医学与临床, 2016, 36(3): 427-432.
10.	白冰, 田园, 李旭, 等. 不同经胸心脏超声模拟器在麻醉住院医师教学中的比较. 协和医学杂志, 2018-6-13. Available at: http://kns.cnki.net/kcms/detail/11.5882.R.20180613.0910.002.html.
11.	Neelankavil J, Howard-Quijano K, Hsieh TC, et al. Transthoracic echocardiography simulation is an efficient method to train anesthesiologists in basic transthoracic echocardiography skills. Anesth Analg, 2012, 115(5): 1042-1051.
12.	Smelt J, Corredor C, Edsell M, et al. Simulation-based learning of transesophageal echocardiography in cardiothoracic surgical trainees: A prospective, randomized study. J Thorac Cardiovasc Surg, 2015, 150(1): 22-25.
13.	Ogilvie E, Vlachou A, Edsell M, et al. Simulation-based teaching versus point-of-care teaching for identification of basic transoesophageal echocardiography views: A prospective randomised study. Anaesthesia, 2015, 70(3): 330-335.
14.	Kirkpatrick DL. Evaluating training programs: the four levels (3rd edition). San Francisco CA: Berrett-Koehler Publishers, 2006.
15.	Shi D, Walline JH, Liu J, et al. An Exploratory Study of Sectra Table Visualization Improves the Effectiveness of Emergency Bedside Echocardiography Training. J Ultrasound Med, 2019, 38(2): 363-370.
16.	Ferrero NA, Bortsov AV, Arora H, et al. Simulator training enhances resident performance in transesophageal echocardiography. Anesthesiology, 2014, 120(1): 149-159.
17.	Feilchenfeld Z, Dornan T, Whitehead C, et al. Ultrasound in undergraduate medical education: a systematic and critical review. Med Educ, 2017, 51(4): 366-378.
18.	Edrich T, Seethala RR, Olenchock BA, et al. Providing initial transthoracic echocardiography training for anesthesiologists: Simulator training is not inferior to live training. J Cardiothorac Vasc Anesth, 2014, 28(1): 49-53.

1. Johri AM, Durbin J, Newbigging J, et al. Cardiac point-of-care ultrasound: state-of-the-art in medical school education. J Am Soc Echocardiogr, 2018, 31(7): 749-760.
2. Spencer KT, Kimura BJ, Korcarz CE, et al. Focused cardiac ultrasound: recommendations from the american society of echocardiography. J Am Soc Echocardiogr, 2013, 26(6): 567-581.
3. Damewood SC, Lewiss RE, Huang JV. Ultrasound simulation utilization among point of care ultrasound users: results of a survey. J Clin Ultrasound, 2018, 46(9): 571-574.
4. Chen XX, Trivedi V, AlSaflan AA, et al. Ultrasound-guided regional anesthesia simulation training: a systematic review. Reg Anesth Pain Med, 2017, 42(6): 741-750.
5. Via G, Hussain A, Wells M, et al. International evidence-based recommendations for focused cardiac ultrasound. J Am Soc Echocardiogr, 2014, 27(7): 683.
6. Hozo SP, Djulbegovic B, Hozo I. Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol, 2005, 5: 1-10.
7. Bose RR, Matyal R, Warraich HJ, et al. Utility of a transesophageal echocardiographic simulator as a teaching tool. J Cardiothorac Vasc Anesth, 2011, 25(2): 212-215.
8. Bloch A, Von Arx R, Etter R, et al. Impact of simulator-based training in focused transesophageal echocardiography: a randomized controlled trial. Anesth Analg, 2017, 125(4): 1140-1148.
9. 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. 基础医学与临床, 2016, 36(3): 427-432.
10. 白冰, 田园, 李旭, 等. 不同经胸心脏超声模拟器在麻醉住院医师教学中的比较. 协和医学杂志, 2018-6-13. Available at: http://kns.cnki.net/kcms/detail/11.5882.R.20180613.0910.002.html.
11. Neelankavil J, Howard-Quijano K, Hsieh TC, et al. Transthoracic echocardiography simulation is an efficient method to train anesthesiologists in basic transthoracic echocardiography skills. Anesth Analg, 2012, 115(5): 1042-1051.
12. Smelt J, Corredor C, Edsell M, et al. Simulation-based learning of transesophageal echocardiography in cardiothoracic surgical trainees: A prospective, randomized study. J Thorac Cardiovasc Surg, 2015, 150(1): 22-25.
13. Ogilvie E, Vlachou A, Edsell M, et al. Simulation-based teaching versus point-of-care teaching for identification of basic transoesophageal echocardiography views: A prospective randomised study. Anaesthesia, 2015, 70(3): 330-335.
14. Kirkpatrick DL. Evaluating training programs: the four levels (3rd edition). San Francisco CA: Berrett-Koehler Publishers, 2006.
15. Shi D, Walline JH, Liu J, et al. An Exploratory Study of Sectra Table Visualization Improves the Effectiveness of Emergency Bedside Echocardiography Training. J Ultrasound Med, 2019, 38(2): 363-370.
16. Ferrero NA, Bortsov AV, Arora H, et al. Simulator training enhances resident performance in transesophageal echocardiography. Anesthesiology, 2014, 120(1): 149-159.
17. Feilchenfeld Z, Dornan T, Whitehead C, et al. Ultrasound in undergraduate medical education: a systematic and critical review. Med Educ, 2017, 51(4): 366-378.
18. Edrich T, Seethala RR, Olenchock BA, et al. Providing initial transthoracic echocardiography training for anesthesiologists: Simulator training is not inferior to live training. J Cardiothorac Vasc Anesth, 2014, 28(1): 49-53.

Chinese Journal of Evidence-Based Medicine

Teaching efficacy of cardiac ultrasound simulation: a systematic review

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