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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

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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 P 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 Type: | Article |
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Authors/Creators: | Canty, D and Barth, J and Yang, Y and Peters, N and Palmer, A and Royse, A and Royse, C |
Keywords: | education, focused cardiac ultrasound, simulation, transthoracic echocardiography |
Journal or Publication Title: | Journal of Critical Care |
Publisher: | W B Saunders Co |
ISSN: | 0883-9441 |
DOI / ID Number: | 10.1016/j.jcrc.2018.10.006 |
Copyright Information: | Copyright 2018 Elsevier Inc. |
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