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Area of Science:

  • Emergency Medicine
  • Medical Simulation
  • Cardiovascular Imaging

Background:

  • Transesophageal echocardiography (TEE) is an emerging resuscitation tool in emergency departments.
  • TEE aids in diagnosing and managing critically ill patients.

Purpose of the Study:

  • To evaluate a simulation-based curriculum for teaching emergency medicine residents a five-view TEE protocol.
  • Assess the effectiveness of simulation in TEE training.

Main Methods:

  • Emergency medicine residents with prior ultrasound experience participated.
  • A 1-hour training included didactic lecture and simulator practice.
  • Performance was assessed pre-training, post-training, and via transfer testing.

Main Results:

  • Successful TEE views increased from 44.5% at baseline to 98.6% post-training (p < 0.001).
  • Transfer test results showed sustained proficiency at 86.8% (p < 0.001).

Conclusions:

  • Simulation-based training is effective for teaching the five-view resuscitative TEE protocol to residents.
  • Further research is needed to optimize long-term skill retention.