Effect of Simulation Training on Cognitive Performance Using Transesophageal Echocardiography

Area of Science:

• Medical Education
• Anesthesiology
• Cardiovascular Imaging

Background:

• Didactic learning in anesthesia training requires reinforcement.
• Transesophageal echocardiography (TEE) is a critical skill for nurse anesthetists.
• Traditional TEE training methods may be supplemented with advanced simulation techniques.

Purpose of the Study:

• To compare the effectiveness of simulator-based TEE training versus web-based TEE learning.
• To evaluate knowledge acquisition of cardiac structures, views, and pathologies.
• To determine the optimal modality for TEE skill development in student registered nurse anesthetists.

Main Methods:

• 71 student registered nurse anesthetists were randomized into web-based or simulator-based TEE training groups.
• Both groups identified 12 cardiac structures using 11 views and 15 cardiac abnormalities.
• Knowledge and skill acquisition were assessed using a standardized video-based examination (ExamSoft).

Main Results:

• Both training modalities led to significant improvements in TEE knowledge.
• The simulator-based group achieved higher scores (69.4) than the web-based group (42.3) (P < .01).
• Simulator training demonstrated superior efficacy in improving TEE knowledge and recognition skills.

Conclusions:

• Simulator-based training is a more effective method for TEE knowledge acquisition compared to web-based learning.
• Both simulator and web-based TEE training can supplement conventional didactic anesthesia education.
• Further integration of simulation technologies is recommended for advanced TEE skill development.