Collecting Validity Evidence for the Assessment of Mastery Learning in Simulation-Based Ultrasound Training

L. Dyre, L. N. Nørgaard, A. Tabor, M. E. Madsen, J. L. Sørensen, C. Ringsted, M. Tolsgaard

ScanTrainer | The purpose of this study was to collect validity evidence for the assessment of mastery learning on a virtual reality transabdominal ultrasound simulator. This study found that validity evidence for the assessment of mastery learning in simulation-based ultrasound training can be demonstrated and that ultrasound novices can attain mastery learning levels with less than 5 hours of training…

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Assessment of performance measures and learning curves for use of a virtual-reality ultrasound simulator in transvaginal ultrasound examination

M. E. Madsen, L. Konge, L. N. Nørgaard, A. Tabor, C. Ringsted, A. K. Klemmensen, B. Ottesen and M. G. Tolsgaard

ScanTrainer Gynaecological ultrasound competence can be assessed in a valid and reliable way using virtual reality simulation. The novices’ performances improved with practice and their learning curves plateaued at the level of expert performance, which corresponded to between three to four hours of simulator training…

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Can interactive educational technologies support the link between ultrasound theory and practice via feedback mechanisms?

Diane Dickson, Psychology, Social Work and Allied Health Sciences, Glasgow Caledonian University, Glasgow, Scotland

ScanTrainer |  There is a growing body of evidence to promote simulated learning activities, particularly in ultrasound education and that student confidence is enhanced through the simulated learning environment. All students found the ScanTrainer easy to use and full consensus with highest agreement was that it was an interesting, relevant, useful session, which provided feedback supporting the link between theory and practice…

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Collecting Validity Evidence for Simulation-Based Assessment of Point-of-Care Ultrasound Skills

Jesper Kørup Jensen, MD, Liv Dyre, MB, Mattis Enggaard Jørgensen, MD, Lisbeth Anita Andreasen, MD, Martin Grønnebæk Tolsgaard, MD, PhD

ScanTrainer |  The aim of this study was to examine the validity of a simulator test designed to evaluate focused assessment with sonography for trauma (FAST) skills. This study concluded that the performance of FAST examinations can be assessed in a simulated setting using defensible performance standards, which have both good reliability and validity…

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Transvaginal Ultrasound Simulation and its Effect on Trainee Confidence Levels: A Replacement for Initial Clinical Training?

C J Williams, J C Edie, B Mulloy, D M Flinton, G Harrisont

ScanTrainer |  All participants thought that prior practise on the ScanTrainer could improve the patient’s experience of having a TVUS performed by a trainee and that there is a role for simulation training in US education. It was thought that the increased confidence felt by trainees following simulation training would enable them to perform better when attempting to scan a real patient and reduce the scan duration. Patient comfort was also thought to be increased as a result of prior practise at handling the probe on the ScanTrainer…

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The role of ultrasound simulators in education: An investigation into sonography student experiences and clinical mentor perceptions.

Dr. V. Gibbs, Faculty of Health and Applied Sciences, University of the West of England

ScanTrainer |  Simulation was positively evaluated by the majority of the students and mentors in this study. The findings confirm that ultrasound simulators provide positive learning opportunities in a risk- free environment, which reduces stress for the student, and potential harm to patients. Confidence levels were increased, thereby improving future clinical scanning experiences for both the student and their patients.

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Sustained effect of simulation-based ultrasound training on clinical performance: A randomized trial

Martin G. Tolsgaard, Charlotte Ringsted, Eva Dreisler, Lone N. Nørgaard, Jørgen H. Petersen, Mette E. Madsen, Nina L.C. Freiesleben, Jette L. Sørensen, Ann Tabor

ScanTrainer |  The objective was to study the effect of initial simulation-based transvaginal ultrasound training compared to only clinical training on the clinical performances of residents in Obstetrics and Gynecology (OB-GYN) measured at two months into the residency. Whereas the efficacy of technical skills training using simulation has been well-documented, there has until now been limited evidence of the effectiveness in terms of transfer of skills to clinical settings. This study adds to this evidence by demonstrating that simulation-based ultrasound training during the initial part of residency followed by clinical training compared to only clinical training of new residents in OB-GYN had a sustained impact on clinical performance on patients measured at two months into the residency….

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The impact of internet and simulation-based training on transoesophageal echocardiography learning in anaesthetic trainees: a prospective randomised study

V. Sharma, C. Chamos, O. Valencia, M. Meineri and S. N. Fletcher

HeartWorks |  We conclude that an internet-based TOE learning resource improves understanding and teaching of TOE basic views and cardiac anatomy compared with traditional methods, and that simulation-based learning is as an effective supplement to both methods…

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Transesophageal Echocardiography Simulator: A New Learning Tool

Ruma Bose, MD, Robina Matyal, MD, Peter Panzica, MD, Swaminathan Karthik, MD, Balachundar Subramaniam, MD, John Pawlowski, MD, PhD, John Mitchell, MD, and Feroze Mahmood, MD

HeartWorks |  In summary, the TEE simulator is a revolutionary advancement in the field of echocardiography with an enormous potential to simplify this complex process. It is going to enormously impact the way students are taught echocardiographic anatomy. The ability to visualize the intracardiac anatomy with such high resolution may expand its use beyond teaching echocardiography (eg, cardiac surgical anatomy and surgical planning)…

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Impact of Simulator-Based Training in Focused Transesophageal Echocardiography: A Randomized Controlled Trial

Andreas Bloch, MD, Robert von Arx, MD, Reto Etter, MD, David Berger, MD, Heiko Kaiser, MD, Armando Lenz, PhD and Tobias M. Merz, MD

HeartWorks |  Simulation-based TEE training improves the ability of novice operators to perform a focused critical care TEE in comparison to lecture-based education only. After 8 hours of simulator and lecture-based training, the majority of TEEs of novices are of sufficient quality for clinical use. Furthermore, a substantial skill level in correct quantification and interpretation of imaging is achieved…

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Echocardiography Simulation – A Powerful Educational Tool

Dr Nick Fletcher MBBS FRCA FFICM, Consultant in Anaesthesia and Cardiac Critical Care, St. Georges Healthcare NHS Trust, London UK

HeartWorks |  HeartWorks has been utilized in many high profile international courses. In Europe, these include the Echotrainer courses at St Georges in London, the postgraduate cardiac ultrasound course at the European Society of Intensive Care and the echocardiography courses at the European Society of Anesthesia. All have been credited with high participant satisfaction scores. Similarly in the USA, the HeartWorks system is utilized in both TEE and TTE hands-on courses run by the American Society of Echocardiography (ASE) and American Society of Anesthesiologists (ASA). International cardiology societies have also adopted echocardiography simulators as part of their teaching programs…

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Transthoracic Echocardiography Simulation is an Efficient Method to Train Anesthesiologists in Basic Transthoracic Echocardiography Skills

Jacques Neelankavil, MD, Kimberly Howard-Quijano, MD, Tyken C. Hsieh, MD, Davinder Ramsingh, MD, Jennifer C. Scovotti, MA, Jason H. Chua, MD, Jonathan K. Ho, MD, and Aman Mahajan, MD, PhD

HeartWorks |  This prospective randomized study demonstrated that anesthesiology residents trained with simulation acquired better skills in TTE image acquisition and anatomy identification on volunteer subjects. The educational benefit of simulation persisted even with introduction of hands-on instruction with volunteer subjects in both groups..

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Utility of a transesophageal echocardiographic simulator as a teaching tool

Bose RR, Matyal R, Warraich HJ, Summers J, Subramaniam B, Mitchell J, Panzica PJ, Shahul S, Mahmood F

HeartWorks |   The simulator-based teaching model for transesophageal echocardiography is a better method of teaching the basic concepts of transesophageal echocardiography like anatomic correlation, structure identification, and image acquisition…

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Expert evaluation of a novel transoesophageal echocardiography simulator

L.A. Smith, A. Bhan, M. Paul, M.J. Monaghan, Kings College Hospital NHS Foundation Trust, London, UK

HeartWorks |  Expert evaluation of a novel TOE simulator has demonstrated excellent face and content validity, as well as exciting potential as a training tool, particularly with respect to the understanding of  probe handling and spatial relationships…

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Evaluating the ORSIM simulator for assessment of anaesthetists’ skills in flexible bronchoscopy: aspects of validity and reliability

Baker PA, Weller JM, Baker MJ, Hounsell GL, Scott J, Gardiner PJ, et al.

OrSim |  Results provide initial evidence on the validity and reliability of the ORSIM bronchoscopy simulator, supporting its potential value in training and assessment.

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The effect of virtual reality bronchoscopy simulator training on performance of bronchoscopic-guided intubation in patients: A randomised controlled trial

Wong DT, Mehta A, Singh KP, Leong SM, Ooi A, Niazi A, et al

OrSim |  Post training performance of FOB intubation, as measured by intubation time and GRS, improved in Group SIM, while it was unchanged in the Group CON. The ORSIM simulator may be a useful adjunct in acquiring FOB intubation skills.

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Training on a new, portable, simple simulator transfers to performance of complex bronchoscopy procedures

Krogh CL, Konge L, Bjurstrom J, Ringsted C

OrSim |Virtual-reality (VR) simulation provides a safe and effective learning environment prior to practicing on patients. The effect of a brief, self-directed training session using a portable, simple simulator was substantial and transferred to performance of more complex skills.

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Fibreoptic airway endoscopy training: Comparison of three different trainer models

Vaidyanath C, Sharma M, Mendonca C

OrSim  The participants agreed that the ORSIM improved hand-eye coordination, which is an essential component of fibreoptic endoscopy training. This study demonstrated that when fibreoptic endoscopic training is provided using these models, the advantages of the dynamic component become more evident.

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Fibreoptic tracheal intubation training using bronchoscopy simulation

Badiger S, Fearnley A, Ahmad I

OrSim  With the results of the questionnaire and feedback from trainees, we feel that simulation is a valuable addition to our existing training methods and the advantages of ORSIM specifically are its portability, ease of use and its high definition graphics in a range of difficult airway scenarios.

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Randomised Comparison of ORSIM™ Bronchoscopy Simulator and Dexter® Endoscopy Trainer in Improving Fibreoptic Endoscopy Skills of Anaesthetic Trainees

Ungureanu N, Vaidyanah C, Mendonca C

OrSim |  ORSIM® bronchoscopy simulator offered an advantage in terms of time taken to complete the endoscopy on patients…

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