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Comparison of learning outcomes for teaching focused cardiac ultrasound to physicians: A supervised human model course versus an eLearning guided self- directed simulator course

Citation

Canty, D and Barth, J and Yang, Y and Peters, N and Palmer, A and Royse, A and Royse, C, Comparison of learning outcomes for teaching focused cardiac ultrasound to physicians: A supervised human model course versus an eLearning guided self- directed simulator course, Journal of Critical Care, 49 pp. 38-44. ISSN 0883-9441 (2019) [Refereed Article]

Copyright Statement

Copyright 2018 Elsevier Inc.

DOI: doi:10.1016/j.jcrc.2018.10.006

Abstract

Purpose: Focused cardiac ultrasound (FCU) training in critical care is restricted by availability of instructors. Supervised training may be substituted by self-directed learning with an ultrasound simulator guided by automated electronic learning, enabling scalability.

Materials and Methods: We prospectively compared learning outcomes in novice critical care physicians after completion of a supervised one-and-a-half-day workshop model with a self-guided course utilizing a simulator over four weeks. Both groups had identical pre-workshop on-line learning (20h). Image quality scores were compared using FCU performed on humans without pathology. Interpretive knowledge was compared using 20MCQ tests.

Results: Of 161 eligible, 145 participants consented. Total Image quality scores were higher in the Simulator group (95.2% vs. 66.0%, P < .001) and also higher for each view (all P < .001). Interpretive knowledge was not different before (78.6% vs. 79.0%) and after practical training (74.7% vs. 76.1%) and at 3 months (81.0% vs. 77.0%, all P > .1). Including purchase of the simulator and ultrasound equipment, the simulator course required lower direct costs (AUD$796 vs. $1724 per participant) and instructor time (0.5 vs.1.5 days) but similar participant time (2.8 vs. 3.0 days).

Conclusions: Self-directed learning with ultrasound simulators may be a scalable alternative to conventional supervised teaching with human models.

Item Details

Item Type:Refereed Article
Keywords:education, focused cardiac ultrasound, simulation, transthoracic echocardiography
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Health Information Systems (incl. Surveillance)
Objective Division:Health
Objective Group:Health and Support Services
Objective Field:Health Education and Promotion
UTAS Author:Palmer, A (Professor Andrew Palmer)
ID Code:132993
Year Published:2019
Web of Science® Times Cited:1
Deposited By:Menzies Institute for Medical Research
Deposited On:2019-05-30
Last Modified:2019-07-30
Downloads:0

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