An Effective Curriculum for Focused Assessment Diagnostic Echocardiography: Establishing the Learning Curve in Surgical Residents

Journal of Surgical Education
Nicole T TownsendThomas Robinson

Abstract

Simulation training and competency-based assessment are the evolving standard for surgical education. The Focused Assessment Diagnostic Echocardiography (FADE) examination is a bedside, limited transthoracic ultrasound to assess cardiac function, anatomy, and volume status. FADE can be used to noninvasively evaluate and guide resuscitation of critically ill patients. The purpose of this study was to determine the learning curve for surgical residents to perform and interpret the results of the FADE examination using simulation and competency-based assessment. Novice surgical residents were enrolled in a FADE curriculum prospectively. The curriculum involved 4 successive sessions of 45 minutes of simulation followed by 5 FADE examinations on surgical intensive care unit patients. Examination performance was evaluated using a standardized scoresheet (15 points total) and plotted by session. Independent and paired t test and linear regression were used for statistical analysis. In total, 20 individuals completed 390 FADE examinations. Performance increased from 45 ± 13% accuracy in the first session to 89 ± 9% accuracy in the fourth session (p < 0.001 between all sessions). Accuracy at central venous pressure prediction reached 88...Continue Reading

References

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Citations

Aug 28, 2018·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Christina L LuongTeresa S M Tsang
Jun 1, 2018·The International Journal of Cardiovascular Imaging·Dominika Filipiak-StrzeckaPiotr Lipiec
Mar 3, 2020·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Andre KumarJohn Kugler
Dec 7, 2018·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Cecil A RambaratDavid E Winchester
Nov 15, 2019·Journal of Community Hospital Internal Medicine Perspectives·Sireesha UpadhrastaRicardo A S Conti
Mar 9, 2021·Journal of Graduate Medical Education·Jessica BuesingAndre Kumar
Sep 11, 2020·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Michael J KochanRose M Viscardi

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