Cardiac Clinical Trial
Official title:
The Ideal Sequence of Didactic Lectures and Simulation in Teaching Transoesophageal Echocardiography (TEE) Among Anaesthesiologists
This study aims to find out the best sequence of teaching and learning events (i.e. first lecture and then simulated training or first simulated training and then lecture) in the acquisition of knowledge on Transoesophageal Echocardiography among trainee and specialist anaesthesiologists.
Basic Transoesophageal Echocardiography (TEE) is an essential skill in the armamentarium of
an anaesthesiologist. Currently, majority of the TEE teaching is being done in the form of
didactic lectures with only a few teaching centres offering simulation. TEE skill acquisition
includes both technical and cognitive skills. Most of the studies done in TEE teaching have
concluded that TEE simulation is an essential part of TEE skill training. The study team
wanted to find out what is the best sequence of teaching to achieve the maximum skill
acquisition in TEE.
In National University Hospital, Singapore, the Cardiac subdivision of anaesthesia
specialists are accredited in TEE (American or European exams) and perform independent
decision making in cardiac surgical theatres while the surgery is on-goingto facilitate
dynamic decision making such as adequacy of valve repair, global LV function and emerging
complications if any. The study team realised that TEE skills are also required for decisions
beyond the cardiac surgical theaters where on the spot critical decisions making is required
eg: in polytrauma and sudden unexplained hypotension or hypoxia in non-cardiac or ICU
patients.
There are existing induction modules and prior teaching avenues in the department of
anaesthesia such as the Cardiac Anaesthesia Simulation Training (CAST) module targeted at
junior trainee's level. With initiative to equip every practicing anaesthesiologist with the
vital skill of TEE image acquisition, the department of anaesthesia is launching a teaching
program that is an in house training session. The study team aims to understand through this
study the ideal sequence of teaching intervention to facilitate optimal learning and
retention.
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