Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 7-Day Trial for You or Your Team.

Learn More →

Evaluation of a training course in focused echocardiography for noncardiology house officers

Evaluation of a training course in focused echocardiography for noncardiology house officers Objective To determine whether a training course in focused echocardiography can improve the proficiency of noncardiology house officers in accurately interpreting cardiovascular disease and echocardiography findings in dogs entering the emergency room setting. Design Prospective, blinded, educational study. Setting University veterinary teaching hospital. Study Subjects House officers underwent training in focused echocardiography. Fifteen dogs, including normal dogs and dogs with stable congenital or acquired cardiac disease, were used as study subjects during the laboratory session. Interventions A 6‐hour curriculum on focused echocardiography was developed that included didactic lectures, clinical cases, and hands‐on echocardiography. Measurements and Main Results Pre‐ and postcourse written examinations were administered to participants. House officers attended didactic lectures that were subsequently followed by a hands‐on laboratory session and practical examination, which involved performing transthoracic echocardiography on dogs with and without cardiovascular disease. Twenty‐one house officers completed the focused echocardiography training course. Written examination scores were 57 ± 12% before and 75 ± 10% after training (P < 0.001). Following the course, 97% of participants in the practical examination were able to obtain the correct right parasternal short‐ or long‐axis view. Posttraining, most participants correctly identified pleural effusion (90%) and pericardial effusion (95%) and discriminated normal atrial size from atrial enlargement (86%). However, successful identification of a cardiac mass, volume status, and ability to recognize a poor quality study as nondiagnostic remained relatively low. Most trainees responded that the length of hands‐on laboratory training was too abbreviated and that the course should be > 6 hours. Conclusion A focused echocardiography training course improved knowledge and yielded acceptable proficiency in some echocardiographic findings commonly identified in the emergency room. This training course was not able to provide the skills needed for house officers to accurately assess fluid volume status, identify cardiac masses, ventricular enlargement or hypertrophy, and certain cardiac diseases. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Veterinary Emergency and Critical Care Wiley

Evaluation of a training course in focused echocardiography for noncardiology house officers

Download PDF
6 pages

Loading next page...
 
/lp/wiley/evaluation-of-a-training-course-in-focused-echocardiography-for-9QH02lZO0r

References (11)

Publisher
Wiley
Copyright
Copyright © 2013 Veterinary Emergency and Critical Care Society
ISSN
1479-3261
eISSN
1476-4431
DOI
10.1111/vec.12056
pmid
23647602
Publisher site
See Article on Publisher Site

Abstract

Objective To determine whether a training course in focused echocardiography can improve the proficiency of noncardiology house officers in accurately interpreting cardiovascular disease and echocardiography findings in dogs entering the emergency room setting. Design Prospective, blinded, educational study. Setting University veterinary teaching hospital. Study Subjects House officers underwent training in focused echocardiography. Fifteen dogs, including normal dogs and dogs with stable congenital or acquired cardiac disease, were used as study subjects during the laboratory session. Interventions A 6‐hour curriculum on focused echocardiography was developed that included didactic lectures, clinical cases, and hands‐on echocardiography. Measurements and Main Results Pre‐ and postcourse written examinations were administered to participants. House officers attended didactic lectures that were subsequently followed by a hands‐on laboratory session and practical examination, which involved performing transthoracic echocardiography on dogs with and without cardiovascular disease. Twenty‐one house officers completed the focused echocardiography training course. Written examination scores were 57 ± 12% before and 75 ± 10% after training (P < 0.001). Following the course, 97% of participants in the practical examination were able to obtain the correct right parasternal short‐ or long‐axis view. Posttraining, most participants correctly identified pleural effusion (90%) and pericardial effusion (95%) and discriminated normal atrial size from atrial enlargement (86%). However, successful identification of a cardiac mass, volume status, and ability to recognize a poor quality study as nondiagnostic remained relatively low. Most trainees responded that the length of hands‐on laboratory training was too abbreviated and that the course should be > 6 hours. Conclusion A focused echocardiography training course improved knowledge and yielded acceptable proficiency in some echocardiographic findings commonly identified in the emergency room. This training course was not able to provide the skills needed for house officers to accurately assess fluid volume status, identify cardiac masses, ventricular enlargement or hypertrophy, and certain cardiac diseases.

Journal

Journal of Veterinary Emergency and Critical Care – Wiley

Published: May 1, 2013

There are no references for this article.