Training Program for Cardiology Residents to Perform Focused Cardiac Ultrasound Examination with Portable Device.
Echocardiography
; 32(10): 1455-62, 2015 Oct.
Article
en En
| MEDLINE
| ID: mdl-25604804
ABSTRACT
INTRODUCTION:
Training requirements for general cardiologists without echocardiographic expertise to perform focused cardiac ultrasound (FCU) with portable devices have not yet been defined. The objective of this study was to evaluate a training program to instruct cardiology residents to perform FCU with a hand-carried device (HCD) in different clinical settings.METHODS:
Twelve cardiology residents were subjected to a 50-question test, 4 lectures on basic echocardiography and imaging interpretation, the supervised interpretation of 50 echocardiograms and performance of 30 exams using HCD. After this period, they repeated the written test and were administered a practical test comprising 30 exams each (360 patients) in different clinical settings. They reported on 15 parameters and a final diagnosis; their findings were compared to the HCD exam of a specialist in echocardiography.RESULTS:
The proportion of correct answers on the theoretical test was higher after training (86%) than before (51%; P = 0.001). The agreement was substantial among the 15 parameters analyzed (kappa ranging from 0.615 to 0.891; P < 0.001). The percentage of correct interpretation was lower for abnormal (75%) than normal (95%) items, for valve abnormalities (85%) compared to other items (92%) and for graded scale (87%) than for dichotomous (95%) items (P < 0.0001, for all). For the final diagnoses, the kappa value was higher than 0.941 (P < 0.001; 95% CI [0.914, 0.955]).CONCLUSION:
The training proposed enabled residents to perform FCU with HCD, and their findings were in good agreement with those of a cardiologist specialized in echocardiography.Palabras clave
Texto completo:
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Banco de datos:
MEDLINE
Asunto principal:
Ecocardiografía
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Cardiología
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Sistemas de Atención de Punto
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Educación de Postgrado en Medicina
Tipo de estudio:
Evaluation_studies
Límite:
Female
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2015
Tipo del documento:
Article