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Effectiveness of Simulation Training in Acquiring Echocardiography Skills among Neonatology Care ProvidersFunding None.
Objective 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.
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.
Received: 26 October 2021
Accepted: 28 April 2022
Accepted Manuscript online:
06 May 2022
Article published online:
06 June 2022
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- 1 Nguyen J, Amirnovin R, Ramanathan R, Noori S. The state of point-of-care ultrasonography use and training in neonatal-perinatal medicine and pediatric critical care medicine fellowship programs. J Perinatol 2016; 36 (11) 972-976
- 2 Schachinger S, Stansfield RB, Ensing G, Schumacher R. The prevalence of and attitudes toward neonatal functional echocardiography use and training in the United States: a survey of neonatal intensive care unit medical directors. J Neonatal Perinatal Med 2014; 7 (02) 125-130
- 3 Mertens L, Seri I, Marek J. et al; Writing Group of the American Society of Echocardiography, European Association of Echocardiography, Association for European Pediatric Cardiologists. Targeted Neonatal Echocardiography in the Neonatal Intensive Care Unit: practice guidelines and recommendations for training. Writing Group of the American Society of Echocardiography (ASE) in collaboration with the European Association of Echocardiography (EAE) and the Association for European Pediatric Cardiologists (AEPC). J Am Soc Echocardiogr 2011; 24 (10) 1057-1078
- 4 de Boode WP, Singh Y, Gupta S. et al. Recommendations for neonatologist performed echocardiography in Europe: consensus statement endorsed by European Society for Paediatric Research (ESPR) and European Society for Neonatology (ESN). Pediatr Res 2016; 80 (04) 465-471
- 5 Singh Y, Gupta S, Groves AM. et al. Expert consensus statement 'neonatologist-performed echocardiography (NoPE)'-training and accreditation in UK. Eur J Pediatr 2016; 175 (02) 281-287
- 6 Kluckow M. Use of ultrasound in the haemodynamic assessment of the sick neonate. Arch Dis Child Fetal Neonatal Ed 2014; 99 (04) F332-F337
- 7 Kluckow M, Evans N. Point of care ultrasound in the NICU-training, accreditation and ownership. Eur J Pediatr 2016; 175 (02) 289-290
- 8 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 (05) 1042-1051
- 9 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 (01) 49-53
- 10 Rambarat CA, Merritt JM, Norton HF, Black E, Winchester DE. Using simulation to teach echocardiography: a systematic review. Simul Healthc 2018; 13 (06) 413-419
- 11 Siassi B, Ebrahimi M, Noori S, Sheng S, Ghosh D, Seri I. Virtual neonatal echocardiographic training system (VNETS): an echocardiographic simulator for training basic transthoracic echocardiography skills in neonates and infants. IEEE J Transl Eng Health Med 2018; 6: 4700113
- 12 Weidenbach M, Paech C. Simulation in neonatal echocardiography. Clin Perinatol 2020; 47 (03) 487-498
- 13 Hébert A, Lavoie PM, Giesinger RE. et al. Evolution of training guidelines for echocardiography performed by the neonatologist: toward hemodynamic consultation. J Am Soc Echocardiogr 2019; 32 (06) 785-790
- 14 Wagner R, Razek V, Gräfe F. et al. Effectiveness of simulator-based echocardiography training of noncardiologists in congenital heart diseases. Echocardiography 2013; 30 (06) 693-698
- 15 Dayton JD, Groves AM, Glickstein JS, Flynn PA. Effectiveness of echocardiography simulation training for paediatric cardiology fellows in CHD. Cardiol Young 2018; 28 (04) 611-615
- 16 Noori S, Ebrahimi M, Luo H, Seri I, Siassi B. Development and validation of an automated assessment tool of echocardiography skills acquired on a neonatal simulator. Echocardiography 2021; 38 (02) 217-221