An Echocardiography Training Program for Improving the Left Ventricular Function Interpretation in Emergency Department; a Brief Report

Introduction: Focused training in transthoracic echocardiography enables emergency physicians (EPs) to accurately estimate the left ventricular function. This study aimed to evaluate the efficacy of a brief training program utilizing standardized echocardiography video clips in this regard. Methods...

Full description

Bibliographic Details
Main Authors: Mary S. Jacob, Hamid Shokoohi, Fabith Moideen, Amelia Pousson, Keith S Boniface
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2017-06-01
Series:Emergency
Subjects:
Online Access:http://journals.sbmu.ac.ir/emergency/article/view/16654
_version_ 1819065943321477120
author Mary S. Jacob
Hamid Shokoohi
Fabith Moideen
Amelia Pousson
Keith S Boniface
author_facet Mary S. Jacob
Hamid Shokoohi
Fabith Moideen
Amelia Pousson
Keith S Boniface
author_sort Mary S. Jacob
collection DOAJ
description Introduction: Focused training in transthoracic echocardiography enables emergency physicians (EPs) to accurately estimate the left ventricular function. This study aimed to evaluate the efficacy of a brief training program utilizing standardized echocardiography video clips in this regard. Methods: A before and after design was used to determine the efficacy of a 1 hour echocardiography training program using PowerPoint presentation and standardized echocardiography video clips illustrating normal and abnormal left ventricular ejection fraction (LVEF) as well as video clips emphasizing the measurement of mitral valve E-point septal separation (EPSS). Pre- and post-test evaluation used unique video clips and asked trainees to estimate LVEF and EPSS based on the viewed video clips. Results: 21 EPs with no prior experience with the echocardiographic technical methods completed this study. The EPs had very limited prior echocardiographic training. The mean score on the categorization of LVEF estimation improved from 4.9 (95% CI: 4.1-5.6) to 7.6 (95%CI: 7-8.3) out of a possible 10 score (p<0.0001). Categorization of EPSS improved from 4.1 (95% CI: 3.1-5.1) to 8.1 (95% CI: 7.6- 8.7) after education (p<0.0001). Conclusions: The results of this study demonstrate a statistically significant improvement of EPs’ ability to categorize left ventricular function as normal or depressed, after a short lecture utilizing a commercially available DVD of standardized echocardiography clips.
first_indexed 2024-12-21T15:54:29Z
format Article
id doaj.art-01e06ee8f3b34475b5da6d36f762b67b
institution Directory Open Access Journal
issn 2345-4563
2345-4571
language English
last_indexed 2024-12-21T15:54:29Z
publishDate 2017-06-01
publisher Shahid Beheshti University of Medical Sciences
record_format Article
series Emergency
spelling doaj.art-01e06ee8f3b34475b5da6d36f762b67b2022-12-21T18:58:07ZengShahid Beheshti University of Medical SciencesEmergency2345-45632345-45712017-06-0151e70e7010.22037/emergency.v5i1.166548999An Echocardiography Training Program for Improving the Left Ventricular Function Interpretation in Emergency Department; a Brief ReportMary S. Jacob0Hamid Shokoohi1Fabith Moideen2Amelia Pousson3Keith S Boniface4Department of Emergency Medicine, George Washington University, Washington DC. USA.Department of Emergency Medicine, George Washington University, Washington DC. USA.Department of Emergency Medicine, Baby Memorial Hospital, Calicut, Kerala, India.Department of Emergency Medicine, George Washington University, Washington DC. USA.Department of Emergency Medicine, George Washington University, Washington DC. USA.Introduction: Focused training in transthoracic echocardiography enables emergency physicians (EPs) to accurately estimate the left ventricular function. This study aimed to evaluate the efficacy of a brief training program utilizing standardized echocardiography video clips in this regard. Methods: A before and after design was used to determine the efficacy of a 1 hour echocardiography training program using PowerPoint presentation and standardized echocardiography video clips illustrating normal and abnormal left ventricular ejection fraction (LVEF) as well as video clips emphasizing the measurement of mitral valve E-point septal separation (EPSS). Pre- and post-test evaluation used unique video clips and asked trainees to estimate LVEF and EPSS based on the viewed video clips. Results: 21 EPs with no prior experience with the echocardiographic technical methods completed this study. The EPs had very limited prior echocardiographic training. The mean score on the categorization of LVEF estimation improved from 4.9 (95% CI: 4.1-5.6) to 7.6 (95%CI: 7-8.3) out of a possible 10 score (p<0.0001). Categorization of EPSS improved from 4.1 (95% CI: 3.1-5.1) to 8.1 (95% CI: 7.6- 8.7) after education (p<0.0001). Conclusions: The results of this study demonstrate a statistically significant improvement of EPs’ ability to categorize left ventricular function as normal or depressed, after a short lecture utilizing a commercially available DVD of standardized echocardiography clips.http://journals.sbmu.ac.ir/emergency/article/view/16654Echocardiographyultrasonographyventricular Function, Lefteducational techniques
spellingShingle Mary S. Jacob
Hamid Shokoohi
Fabith Moideen
Amelia Pousson
Keith S Boniface
An Echocardiography Training Program for Improving the Left Ventricular Function Interpretation in Emergency Department; a Brief Report
Emergency
Echocardiography
ultrasonography
ventricular Function, Left
educational techniques
title An Echocardiography Training Program for Improving the Left Ventricular Function Interpretation in Emergency Department; a Brief Report
title_full An Echocardiography Training Program for Improving the Left Ventricular Function Interpretation in Emergency Department; a Brief Report
title_fullStr An Echocardiography Training Program for Improving the Left Ventricular Function Interpretation in Emergency Department; a Brief Report
title_full_unstemmed An Echocardiography Training Program for Improving the Left Ventricular Function Interpretation in Emergency Department; a Brief Report
title_short An Echocardiography Training Program for Improving the Left Ventricular Function Interpretation in Emergency Department; a Brief Report
title_sort echocardiography training program for improving the left ventricular function interpretation in emergency department a brief report
topic Echocardiography
ultrasonography
ventricular Function, Left
educational techniques
url http://journals.sbmu.ac.ir/emergency/article/view/16654
work_keys_str_mv AT marysjacob anechocardiographytrainingprogramforimprovingtheleftventricularfunctioninterpretationinemergencydepartmentabriefreport
AT hamidshokoohi anechocardiographytrainingprogramforimprovingtheleftventricularfunctioninterpretationinemergencydepartmentabriefreport
AT fabithmoideen anechocardiographytrainingprogramforimprovingtheleftventricularfunctioninterpretationinemergencydepartmentabriefreport
AT ameliapousson anechocardiographytrainingprogramforimprovingtheleftventricularfunctioninterpretationinemergencydepartmentabriefreport
AT keithsboniface anechocardiographytrainingprogramforimprovingtheleftventricularfunctioninterpretationinemergencydepartmentabriefreport
AT marysjacob echocardiographytrainingprogramforimprovingtheleftventricularfunctioninterpretationinemergencydepartmentabriefreport
AT hamidshokoohi echocardiographytrainingprogramforimprovingtheleftventricularfunctioninterpretationinemergencydepartmentabriefreport
AT fabithmoideen echocardiographytrainingprogramforimprovingtheleftventricularfunctioninterpretationinemergencydepartmentabriefreport
AT ameliapousson echocardiographytrainingprogramforimprovingtheleftventricularfunctioninterpretationinemergencydepartmentabriefreport
AT keithsboniface echocardiographytrainingprogramforimprovingtheleftventricularfunctioninterpretationinemergencydepartmentabriefreport