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Sequeira C, Oliveira-Santos M, Borges Rosa J, Silva Marques J, Oliveira Santos E, Norte G, Gonçalves L. Three-dimensional simulation for interventional cardiology procedures: Face and content validity. Rev Port Cardiol 2024; 43:389-396. [PMID: 38401705 DOI: 10.1016/j.repc.2023.11.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 11/29/2023] [Indexed: 02/26/2024] Open
Abstract
INTRODUCTION AND OBJECTIVES Three-dimensional (3D) model simulation provides the opportunity to manipulate real devices and learn intervention skills in a realistic, controlled, and safe environment. To ensure that simulators provide a realistic surrogate to real procedures they must undergo scientific validation. We aimed to evaluate the 3D-printed simulator SimulHeart® for face and content validity to demonstrate its value as a training tool in interventional cardiology (IC). METHODS Health professionals were recruited from sixteen Portuguese IC units. All participants received a 30-minute theoretical introduction, 10-minute demonstration of each task and then performed the intervention on a 3D-printed simulator (SimulHeart®). Finally, a post-training questionnaire focusing on the appearance of the simulation, simulation content, and satisfaction/self-efficacy was administered. RESULTS We included 56 participants: 16 "experts" (general and interventional cardiologists), 26 "novices" (cardiology residents), and 14 nurses and allied professionals. On a five-point Likert scale, the overall mean score of face validity was 4.38±0.35 and the overall mean score of content validity was 4.69±0.32. There was no statistically significant difference in the scores provided by "experts" and "novices". Participants reported a high level of satisfaction/self-efficacy with 60.7% considering it strongly improved their skills. The majority (82.1%) "agreed" or "strongly agreed" that after the simulation they felt confident to perform the procedure on a patient. CONCLUSION The 3D-printed simulator (SimulHeart®) showed excellent face and content validity. 3D simulation may play an important role in future IC training programs. Further research is required to correlate simulator performance with clinical performance in real patients.
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Affiliation(s)
| | - Manuel Oliveira-Santos
- Faculty of Medicine, University of Coimbra, Portugal; Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal; 3D CardioSolutions, Coimbra, Portugal
| | - João Borges Rosa
- Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - João Silva Marques
- 3D CardioSolutions, Coimbra, Portugal; Serviço de Cardiologia, CHULN Hospital de Santa Maria, Lisboa, Portugal; Structural and Coronary Heart Disease Unit, Centro Cardiovascular da Universidade de Lisboa (CCUL@RISE), Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | | | - Gustavo Norte
- Centro Hospitalar de Trás-Os-Montes e Alto Douro, Vila Real, Portugal
| | - Lino Gonçalves
- Faculty of Medicine, University of Coimbra, Portugal; Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
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2
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Pezel T, Coisne A. What other than simulation for the future of echocardiography training? Arch Cardiovasc Dis 2023; 116:298-299. [PMID: 37268492 DOI: 10.1016/j.acvd.2023.05.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2023] [Revised: 05/15/2023] [Accepted: 05/16/2023] [Indexed: 06/04/2023]
Affiliation(s)
- Théo Pezel
- Service de cardiologie, hôpital universitaire Lariboisière - AP-HP, université Paris-Cité, 75010 Paris, France; Centre de simulation de l'université Paris-Cité, centre Ilumens, université de Paris, 75006 Paris, France; Inserm UMRS 942, cardiovascular MArkers in Stressed COndiTions (MASCOT), 75010 Paris, France; French Commission of Simulation Teaching (commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France.
| | - Augustin Coisne
- French Commission of Simulation Teaching (commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Université de Lille, Inserm, CHU de Lille, institut Pasteur de Lille, U1011- EGID, 59000 Lille, France; Centre de simulation en santé PRESAGE, faculté de médecine, université de Lille, 59045 Lille, France
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3
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Hashemi D, Doeblin P, Weiss KJ, Schneider-Reigbert M, Beyer RE, Else C, Faragli A, Stehning C, Stawowy P, Petersen SE, Bucciarelli-Ducci C, Hays AG, Frey N, Thiele H, Portmann A, Fleck E, Kelle S. Virtual cardiovascular magnetic resonance training proves feasible and effective: survey data from international participants of the CMR Academy Berlin, Germany. EUROPEAN HEART JOURNAL. IMAGING METHODS AND PRACTICE 2023; 1:qyad015. [PMID: 39044796 PMCID: PMC11240162 DOI: 10.1093/ehjimp/qyad015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 07/11/2023] [Indexed: 07/25/2024]
Abstract
Aims This study aims to evaluate the success of the cardiovascular magnetic resonance (CMR) imaging Academy Berlin's transition from in-person to online CMR imaging training during the global pandemic 2020 and to gather recommendations for future courses. Methods and results We conducted an online survey targeting CMR course participants from both the pre-pandemic, in-person era and the pandemic, online era of the CMR Academy Berlin. The survey primarily used Likert-type questions to assess participants' experiences and preferences.A total of 61 out of 158 invited participants (38.61%) completed the survey, with 31 (50.82%) being in-person alumni and 30 (49.18%) being online alumni. Both in-person [83.87% (26/31)] and online [83.33% (25/30)] participants rated the course as either 'very good' or 'excellent', and both groups found the course either 'extremely helpful' or 'very helpful'. However, a higher percentage of in-person participants [96.77% (30/31)] felt comfortable asking questions compared to online participants [83.33% (25/30); P = 0.025]. The majority in both groups preferred a written exam [total: 75.41% (46/61); in-person alumni: 77.42% (24/31); online alumni 73.33% (22/30)]. In terms of course format preferences, in-person courses were preferred by both in-person alumni [38.71% (12/31)] and online alumni [60% (18/30)], almost as much as a hybrid format combining in-person and online elements [in-person alumni: 41.94% (13/31), online alumni: 30% (9/30)]. Conclusion The transition from in-person to online CMR training at the CMR Academy Berlin was successful in maintaining overall satisfaction. However, there is room for improvement in terms of increased interaction, particularly for online participants. Future CMR- and potentially also cardiac computer tomography-courses should consider adopting a hybrid format to accommodate participants' preferences and enhance their learning experience, especially to gain level II competency, whereas level I virtual only might be sufficient.
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Affiliation(s)
- Djawid Hashemi
- Deutsches Herzzentrum der Charité—Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin 13353, Germany
- Charité—Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), Berlin, Berlin, Germany
- Berlin Institute of Health at Charité—Universitätsmedizin Berlin, BIH Biomedical Innovation Academy, BIH Charité Digital Clinician Scientist Program, Charitéplatz 1, 10117 Berlin, Germany
| | - Patrick Doeblin
- Deutsches Herzzentrum der Charité—Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin 13353, Germany
- Charité—Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), Berlin, Berlin, Germany
| | - Karl Jakob Weiss
- Deutsches Herzzentrum der Charité—Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin 13353, Germany
- Charité—Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), Berlin, Berlin, Germany
| | - Matthias Schneider-Reigbert
- Deutsches Herzzentrum der Charité—Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin 13353, Germany
- Charité—Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), Berlin, Berlin, Germany
| | - Rebecca Elisabeth Beyer
- Deutsches Herzzentrum der Charité—Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin 13353, Germany
- Charité—Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), Berlin, Berlin, Germany
| | - Corinna Else
- Deutsches Herzzentrum der Charité—Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin 13353, Germany
- Charité—Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - Alessandro Faragli
- Charité—Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | | | - Philipp Stawowy
- Deutsches Herzzentrum der Charité—Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin 13353, Germany
- Charité—Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), Berlin, Berlin, Germany
| | - Steffen E Petersen
- William Harvey Research Institute, NIHR Barts Biomedical Research Centre, Queen Mary University of London, Charterhouse Square, London EC1M 6BQ, UK
- Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust, West Smithfield, London EC1A 7BE, UK
| | - Chiara Bucciarelli-Ducci
- Royal Brompton and Harefield Hospitals, Guys’ and St Thomas NHS Foundation Trust, London SW3 6NP, UK
- School of Biomedical Engineering and Imaging Sciences, Faculty of Life Sciences and Medicine, Kings College London, London SE1 7EH, UK
| | - Allison G Hays
- Department of Medicine, Division of Cardiology, Johns Hopkins University, Baltimore, MD, USA
| | - Norbert Frey
- Department of Cardiology, Angiology and Pneumology, University Hospital Heidelberg, Heidelberg, Germany
| | - Holger Thiele
- Heart Center Leipzig, Department of Internal Medicine and Cardiology, University of Leipzig, Leipzig, Germany
| | - Andreas Portmann
- Stiftung Deutsches Herzzentrum Berlin, Augustenburger Pl. 1, 13353 Berlin, Germany
| | - Eckart Fleck
- Charité—Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
| | - Sebastian Kelle
- Deutsches Herzzentrum der Charité—Medical Heart Center of Charité and German Heart Institute Berlin, Department of Cardiology, Angiology and Intensive Care Medicine, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin 13353, Germany
- Charité—Universitätsmedizin Berlin, Freie Universität Berlin and Humboldt Universität zu Berlin, Charitéplatz 1, 10117 Berlin, Germany
- DZHK (German Centre for Cardiovascular Research), Berlin, Berlin, Germany
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Pezel T, Coisne A, Michalski B, Soliman H, Ajmone N, Nijveldt R, Stankovic I, Donal E, van der Maaten J, Papadopoulos C, Edvardsen T, Muraru D, Petersen SE, Cosyns B, Bäck M, Bertrand PB, Haugaa KH, Keenan N, Donal E, Cosyns B. EACVI SIMULATOR-online study: evaluation of transoesophageal echocardiography knowledge and skills of young cardiologists. Eur Heart J Cardiovasc Imaging 2023; 24:285-292. [PMID: 36151868 DOI: 10.1093/ehjci/jeac195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 08/20/2022] [Indexed: 11/13/2022] Open
Abstract
AIMS To assess the level of transesophageal echocardiography (TOE) knowledge and skills of young cardiologists. METHODS AND RESULTS A European Association of Cardiovascular Imaging (EACVI) online study using the first fully virtual simulation-based software was conducted in two periods (9-12 December 2021 and 10-13 April 2022). All young cardiologists eligible to participate (<40 years) across the world were invited to participate. After a short survey, each participant completed two tests: a theoretical test to assess TOE knowledge and a practical test using an online TOE simulator to investigate TOE skills. Among 716 young cardiologists from 81 countries, the mean theoretical test score was 56.8 ± 20.9 points, and the mean practical test score was 47.4 ± 7.2 points (/100 points max each), including 18.4 ± 8.7 points for the acquisition test score and 29.0 ± 6.7 points for the anatomy test score (/50 points max each). Acquisition test scores were higher for four-chamber (2.3 ± 1.5 points), two-chamber (2.2 ± 1.4 points) and three-chamber views (2.3 ± 1.4 points) than for other views (all P < 0.001). Prior participation to a TOE simulation-based training session, a higher number of TOE exams performed per week, and EACVI certification for TOE were independently associated with a higher global score (all P < 0.001). CONCLUSION Online evaluation of young cardiologists around the world showed a relatively low level of TOE skills and knowledge. Prior participation to a TOE simulation-based training session, a higher number of TOE exams performed per week, and the EACVI certification for TOE were independently associated with a higher global score.
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Affiliation(s)
- Théo Pezel
- Université de Paris Cité, Service de Cardiologie, Hôpital universitaire Lariboisière - APHP, 2 rue Ambroise Paré, 75010 Paris, France.,Centre de simulation de l'Université de Paris Cité, Centre Ilumens, Université de Paris Cité, 20 rue du Département 75018 Paris, France.,INSERM UMRS 942, 2 rue Ambroise Pare, 75010 Paris, France
| | - Augustin Coisne
- Université. Lille, Inserm, CHU Lille, Institut Pasteur de Lille, U1011- EGID, 1 Place de Verdun, 59000 Lille, France.,Centre de simulation en santé PRESAGE, Faculté de médecine, Université de Lille, 1 Place de Verdun, 59000 Lille, France
| | - Błażej Michalski
- Department of Cardiology, Medical University of Lodz, al. Tadeusza Kosciuszki 4, 90-419 Lodz, Poland
| | - Hatem Soliman
- Department of Anaesthetics and Critical Care, Harefield Hospital, Royal Brompton and Harefield Hospitals, Hill End Road, Harefield UB69 6JH, UK
| | - Nina Ajmone
- Department of Cardiology, Leiden University Medical Center, Albinusdreef 2, 2300 RC Leiden, The Netherlands
| | - Robin Nijveldt
- Department of Cardiology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525 GA Nijmegen, The Netherlands
| | - Ivan Stankovic
- Department of Cardiology, Clinical Hospital Centre Zemun, University of Belgrade, Faculty of Medicine, Vukova 9, 11080 Belgrade, Serbia
| | - Erwan Donal
- Université RENNES-1, Service de Cardiologie, Centre hospitalo-universitaire (CHU), 2 rue Henri Le Guilloux, 35000 Rennes, France
| | - Joost van der Maaten
- Department of Anesthesiology, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands
| | - Constantinos Papadopoulos
- Department of Cardiology, Korgialenio-Benakio Red Cross Hospital, Athanasakis 11, Athens 11526, Greece
| | - Thor Edvardsen
- Department of Cardiology, Oslo University Hospital, P.O. Box 4950 Nydalen, N-0424 Oslo, Norway
| | - Denisa Muraru
- Department of Medicine and Surgery, University of Milano-Bicocca, Piazza dell'Ateneo Nuovo, 1, 20126 Milano, MI, Italy
| | - Steffen E Petersen
- William Harvey Research Institute, NIHR Barts Biomedical Research Centre, Queen Mary University, Mile End Road, Bethnal Green, London E1 4NS, UK.,William Harvey Research Institute, NIHR Barts Biomedical Research Centre, Queen Mary University, Charterhouse Square, London EC1M 6BQ, UK.,Barts Heart Centre, St Bartholomew's Hospital, Barts Health NHS Trust, West Smithfield, London EC1A 7BE, UK
| | - Bernard Cosyns
- Cardiology, Centrum voor hart en vaatziekten (CHVZ), Universitair Ziekenhuis Brussel (UZB), Vrij Universiteit Brussel (VUB), 101 laarbeeklaan, 1090 Brussels, Belgium
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5
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Edvardsen T, Donal E, Marsan NA, Maurovich-Horvat P, Dweck MR, Maurer G, Petersen SE, Cosyns B. The year 2020 in the European Heart Journal - Cardiovascular Imaging: part I. Eur Heart J Cardiovasc Imaging 2021; 22:1219-1227. [PMID: 34463734 DOI: 10.1093/ehjci/jeab148] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 07/24/2021] [Indexed: 12/22/2022] Open
Abstract
The European Heart Journal - Cardiovascular Imaging was launched in 2012 and has during these 9 years become one of the leading multimodality cardiovascular imaging journals. The journal is currently ranked as number 20 among all cardiovascular journals. Our journal is well established as one of the top cardiovascular journals and is the most important cardiovascular imaging journal in Europe. The most important studies published in our Journal in 2020 will be highlighted in two reports. Part I of the review will focus on studies about myocardial function and risk prediction, myocardial ischaemia, and emerging techniques in cardiovascular imaging, while Part II will focus on valvular heart disease, heart failure, cardiomyopathies, and congenital heart disease.
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Affiliation(s)
- Thor Edvardsen
- Department of Cardiology, Oslo University Hospital, Rikshospitalet, Postbox 4950 Nydalen, Sognsvannsveien 20, NO-0424 Oslo, Norway.,Institute for clinical medicine, University of Oslo, Sognsvannsveien 20, NO-0424 Oslo, Norway
| | - Erwan Donal
- Department of Cardiology and CIC-IT1414, CHU Rennes, Inserm, LTSI-UMR 1099, University Rennes-1, Rennes F-35000, France
| | - Nina A Marsan
- Department of Cardiology, Leiden University Medical Center, Albinusdreef 2, 2300 RC Leiden, The Netherlands
| | - Pál Maurovich-Horvat
- MTA-SE Cardiovascular Imaging Research Group, Medical Imaging Centre, Semmelweis University, 2 Korányi u., 1083 Budapest, Hungary
| | - Marc R Dweck
- Centre for Cardiovascular Sciences, University of Edinburgh, Chancellors Building, Little France Crescent, Edinburgh EH16 4SB, UK
| | - Gerald Maurer
- Division of Cardiology, Department of Internal Medicine II, Medical University of Vienna, Wahringer Gurtel 18-20, 1090 Vienna, Austria
| | - Steffen E Petersen
- Barts Heart Centre, Barts Health NHS Trust, West Smithfield, London EC1A 7BE, UK.,William Harvey Research Institute, Queen Mary University of London, CharterhouseSquare, London EC1M 6BQ, UK
| | - Bernard Cosyns
- Cardiology, CHVZ (Centrum voor Hart en Vaatziekten), ICMI (In Vivo Cellular and Molecular Imaging) Laboratory, Universitair ziekenhuis Brussel, 109 Laarbeeklaan, Brussels 1090, Belgium
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6
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Pezel T, Bernard A, Lavie Badie Y, Dreyfus J, Audureau E, Bohbot Y, Fard D, Hubert A, Nguyen LS, Monteil C, Bière L, Le Ven F, Canu M, Ribeyrolles S, Mion B, Mouhat B, Bazire B, Fauvel C, Ternacle J, Cautela J, Cambet T, Le Tourneau T, Donal E, Lafitte S, Mansencal N, Coisne A. Rational and Design of the SIMULATOR Study: A Multicentre Randomized Study to Assess the Impact of SIMULation-bAsed Training on Transoesophageal echocardiOgraphy leaRning for Cardiology Residents. Front Cardiovasc Med 2021; 8:661355. [PMID: 34109225 PMCID: PMC8180582 DOI: 10.3389/fcvm.2021.661355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Accepted: 04/26/2021] [Indexed: 11/18/2022] Open
Abstract
Introduction: Simulation-based training in transesophageal echocardiography (TEE) seems promising. However, data are limited to non-randomized or single-center studies. To assess the impact of simulation-based vs. traditional teaching on TEE knowledge and performance for medical residents in cardiology. Materials and Methods: Nationwide prospective randomized multicenter study involving 43 centers throughout France allowing for the inclusion of >70% of all French cardiology residents. All cardiology residents naive from TEE will be included. Randomization with stratification by center will allocate residents to either a control group receiving theoretical knowledge by e-learning only, or to an intervention group receiving two simulation-based training sessions on a TEE simulator in addition. Results: All residents will undergo both a theoretical test (0-100 points) and a practical test on a TEE simulator (0-100 points) before and 3 months after the training. Satisfaction will be assessed by a 5-points Likert scale. The primary outcomes will be to compare the scores in the final theoretical and practical tests between the two groups, 3 months after the completion of the training. Conclusion: Data regarding simulation-based learning in TEE are limited to non-randomized or single-center studies. The randomized multicenter SIMULATOR study will assess the impact of simulation-based vs. traditional teaching on TEE knowledge and performance for medical residents in cardiology, and whether such an educational program should be proposed in first line for TEE teaching.
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Affiliation(s)
- Théo Pezel
- University of Paris, Department of Cardiology, Lariboisiere Hospital—APHP, Paris, France
- INSERM UMRS 942, Paris, France
- Ilumens Healthcare Simulation Department, Paris University, Paris, France
- Division of Cardiology, Johns Hopkins University, Baltimore, MD, United States
| | - Anne Bernard
- Service de Cardiologie, CHRU de Tours, Toulouse, France
- EA4245, Loire Valley Cardiovascular Collaboration, Université de Tours, Tours, France
- Centre Régional d'Enseignement par la Simulation en Santé, Faculté de Médecine de Tours, Tours, France
| | - Yoan Lavie Badie
- Cardiac Imaging Center, Toulouse University Hospital, Toulouse, France
| | - Julien Dreyfus
- Cardiology Department, Centre Cardiologique du Nord, Saint-Denis, France
| | - Etienne Audureau
- Clinical Epidemiology and Ageing (CEPIA), IMRB U955, UPEC, Creteil, France
- CHU Henri Mondor, AP-HP, Creteil, France
| | - Yohann Bohbot
- Department of Cardiology, Amiens University Hospital, Amiens, France
- UR UPJV 7517, Jules Verne University of Picardie, Amiens, France
- Health Simulation Center SimUSanté®, Amiens University Hospital, Amiens, France
| | - Damien Fard
- Department of Cardiology, Cardiology Intensive Care Unit, Henri-Mondor University Hospital, AP-HP, INSERM U955, Université Paris-Est Créteil, Créteil, France
| | | | - Lee S. Nguyen
- Research and Innovation, RICAP, CMC Ambroise Paré, Neuilly-sur-Seine, France
| | - Cécile Monteil
- Ilumens Healthcare Simulation Department, Paris University, Paris, France
| | - Loïc Bière
- Department of Cardiology, Angers University Hospital, Angers, France
| | - Florent Le Ven
- Department of Cardiology, Brest University Hospital, CHRU de la Cavale Blanche, Brest, France
| | - Marjorie Canu
- Department of Cardiology, Grenoble University Hospital, Grenoble, France
| | | | - Baptiste Mion
- Department of Cardiology, Institut Mutualiste Montsouris, Paris, France
| | - Basile Mouhat
- Department of Cardiology, University Hospital, Besançon, France
| | - Baptiste Bazire
- University of Paris, Department of Cardiology, Bichat Hospital—APHP, Paris, France
| | - Charles Fauvel
- Department of Cardiology, CHU Rouen, FHU REMOD-VHF, Rouen, France
| | - Julien Ternacle
- Hôpital Cardiologique Haut-Lévêque, CHU de Bordeaux, Pessac, France
| | - Jennifer Cautela
- Aix-Marseille University, University Mediterranean Center of Cardio-Oncology, Unit of Heart Failure and Valvular Heart Diseases, Department of Cardiology, North Hospital, Assistance Publique—Hôpitaux de Marseille, Centre for CardioVascular and Nutrition Research (C2VN), Marseille, France
| | - Théo Cambet
- Explorations fonctionnelles cardiovasculaires, Louis Pradel Hospital, Hospices Civils de Lyon, Bron, France
| | - Thierry Le Tourneau
- Inserm UMR1087, Institut du thorax, Université de Nantes, CHU de Nantes, Nantes, France
| | - Erwan Donal
- Cardiologie, CHU de Rennes, LTSI, Rennes, France
| | - Stéphane Lafitte
- Hôpital Cardiologique Haut-Lévêque, CHU de Bordeaux, Pessac, France
| | - Nicolas Mansencal
- Department of Cardiology, Ambroise Paré Hospital, Assistance Publique-Hôpitaux de Paris (AP-HP), Centre de référence des cardiomyopathies et des troubles du rythme cardiaque héréditaires ou rares, Université de Versailles-Saint Quentin (UVSQ), Boulogne-Billancourt, France
- INSERM U-1018, CESP, Epidémiologie clinique, UVSQ, Université de Paris Saclay, Villejuif, France
| | - Augustin Coisne
- Department of Cardiovascular Explorations and Echocardiography—Heart Valve Clinic, CHU Lille, Lille, France
- University of Lille, Inserm, CHU Lille, Institut Pasteur de Lille, U1011-EGID, Lille, France
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7
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Pezel T, Coisne A, Bonnet G, Martins RP, Adjedj J, Bière L, Lattuca B, Turpeau S, Popovic B, Ivanes F, Lafitte S, Deharo JC, Bernard A. Simulation-based training in cardiology: State-of-the-art review from the French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology. Arch Cardiovasc Dis 2021; 114:73-84. [PMID: 33419690 DOI: 10.1016/j.acvd.2020.10.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 10/27/2020] [Accepted: 10/27/2020] [Indexed: 11/26/2022]
Abstract
In our healthcare system, mindful of patient safety and the reduction of medical errors, simulation-based training has emerged as the cornerstone of medical education, allowing quality training in complete safety for patients. Initiated by anaesthesiologists, this teaching mode effectively allows a gradual transfer of learning, and has become an essential tool in cardiology teaching. Cardiologists are embracing simulation to master complex techniques in interventional cardiology, to manage crisis situations and unusual complications and to develop medical teamwork. Simulation methods in cardiology include high-fidelity simulators, clinical scenarios, serious games, hybrid simulation and virtual reality. Simulation involves all fields of cardiology: transoesophageal echocardiography, cardiac catheterization, coronary angioplasty and electrophysiology. Beyond purely technical issues, simulation can also enhance communication skills, by using standardized patients, and can improve the management of situations related to the announcement of serious diseases. In this review of recent literature, we present existing simulation modalities, their applications in different fields of cardiology and their advantages and limitations. Finally, we detail the growing role for simulation in the teaching of medical students following the recent legal obligation to use simulation to evaluate medical students in France.
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Affiliation(s)
- Théo Pezel
- Department of Cardiology, Lariboisiere Hospital, AP-HP, Inserm UMRS 942, University of Paris, 75010 Paris, France; Division of Cardiology, Johns Hopkins University, MD 21287-0409 Baltimore, USA; Ilumens Simulation Department, Paris Diderot University, 75010 Paris, France; French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France
| | - Augustin Coisne
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Department of Cardiovascular Explorations and Echocardiography-Heart Valve Clinic, CHU de Lille, 59000 Lille, France; Université de Lille, Inserm, CHU Lille, Institut Pasteur de Lille, U1011-EGID, 59000 Lille, France
| | - Guillaume Bonnet
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Université de Paris, PARCC, INSERM, 75015 Paris, France; Hôpital Européen Georges Pompidou, Université de Paris, 75015 Paris, France
| | - Raphael P Martins
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Université de Rennes, CHU de Rennes, INSERM, LTSI-UMR 1099, 35000 Rennes, France
| | - Julien Adjedj
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Cardiology Department, Arnault Tzanck Institute, 06700 Saint-Laurent-du-Var, France
| | - Loïc Bière
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Service de Cardiologie, CHU de Angers, Université Angers, 49100 Angers, France
| | - Benoit Lattuca
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Cardiology Department, Nîmes University Hospital, Montpellier University, 30029 Nîmes, France
| | - Stéphanie Turpeau
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Pôle Cardiologie, Angiologie, Néphrologie, Endocrinologie, Centre Hospitalier d'Avignon, 84000 Avignon, France
| | - Batric Popovic
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Department of Cardiology, CHRU de Nancy, Université de Lorraine, 54000 Nancy, France
| | - Fabrice Ivanes
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Tours University, 37000 Tours, France; Cardiology Department, Tours University Hospital, 37000 Tours, France
| | - Stéphane Lafitte
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Cardiology Department, Bordeaux University Hospital, 33000 Bordeaux, France
| | - Jean Claude Deharo
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Service de cardiologie, hôpital de la Timone, 33000 Marseille, France
| | - Anne Bernard
- French Commission of Simulation Teaching (Commission d'enseignement par simulation-COMSI) of the French Society of Cardiology, 75012 Paris, France; Tours University, 37000 Tours, France; Cardiology Department, Tours University Hospital, 37000 Tours, France.
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Singh K, Chandra A, Lonergan K, Bhatt A. Using Simulation to Assess Cardiology Fellow Performance of Transthoracic Echocardiography: Lessons for Training in the COVID-19 Pandemic. J Am Soc Echocardiogr 2020; 33:1421-1423. [PMID: 32828626 PMCID: PMC7437438 DOI: 10.1016/j.echo.2020.06.021] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 06/22/2020] [Accepted: 06/22/2020] [Indexed: 11/19/2022]
Affiliation(s)
- Kavisha Singh
- University of Texas Southwestern Medical Center, Dallas, Texas
| | - Alvin Chandra
- University of Texas Southwestern Medical Center, Dallas, Texas
| | - Katy Lonergan
- University of Texas Southwestern Medical Center, Dallas, Texas
| | - Anish Bhatt
- University of Texas Southwestern Medical Center, Dallas, Texas
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9
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Pezel T, Coisne A, Picard F, Gueret P. How simulation teaching is revolutionizing our relationship with cardiology. Arch Cardiovasc Dis 2020; 113:297-302. [PMID: 32291188 DOI: 10.1016/j.acvd.2020.03.010] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2019] [Revised: 03/10/2020] [Accepted: 03/11/2020] [Indexed: 12/26/2022]
Affiliation(s)
- Théo Pezel
- Inserm UMRS 942, Department of Cardiology, University of Paris, Lariboisière Hospital, Centre Hospitalo-Universitaire Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France; Division of Cardiology, Johns Hopkins University, 21287-0409 Baltimore, MD, USA; French Commission of Simulation Teaching (Commission d'enseignement par simulation [COMSI]) of the French Society of Cardiology, 75012 Paris, France.
| | - Augustin Coisne
- French Commission of Simulation Teaching (Commission d'enseignement par simulation [COMSI]) of the French Society of Cardiology, 75012 Paris, France; Department of Cardiovascular Explorations and Echocardiography, Heart Valve Clinic, CHU de Lille, 59000 Lille, France; Inserm UMR 1011, 59019 Lille, France; Institut Pasteur de Lille, 59000 Lille, France
| | - Fabien Picard
- French Commission of Simulation Teaching (Commission d'enseignement par simulation [COMSI]) of the French Society of Cardiology, 75012 Paris, France; Department of Cardiology, Cochin Hospital, hôpitaux universitaires Paris Centre, AP-HP, 75014 Paris, France; Inserm U970, Paris Cardiovascular Research Center (PARCC), Georges Pompidou European Hospital, 75015 Paris, France
| | - Pascal Gueret
- French Commission of Simulation Teaching (Commission d'enseignement par simulation [COMSI]) of the French Society of Cardiology, 75012 Paris, France; Department of Cardiology, Foch Hospital, 92150 Suresnes, France
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- Inserm UMRS 942, Department of Cardiology, University of Paris, Lariboisière Hospital, Centre Hospitalo-Universitaire Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France; Division of Cardiology, Johns Hopkins University, 21287-0409 Baltimore, MD, USA; French Commission of Simulation Teaching (Commission d'enseignement par simulation [COMSI]) of the French Society of Cardiology, 75012 Paris, France; Department of Cardiovascular Explorations and Echocardiography, Heart Valve Clinic, CHU de Lille, 59000 Lille, France; Inserm UMR 1011, 59019 Lille, France; Institut Pasteur de Lille, 59000 Lille, France; Department of Cardiology, Cochin Hospital, hôpitaux universitaires Paris Centre, AP-HP, 75014 Paris, France; Inserm U970, Paris Cardiovascular Research Center (PARCC), Georges Pompidou European Hospital, 75015 Paris, France; Department of Cardiology, Foch Hospital, 92150 Suresnes, France
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10
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Dreyfus J, Donal E, Pezel T. Moving Into a New Era for Echocardiography Education With Simulation and Workshop-Based Training. JACC Case Rep 2020; 2:505-507. [PMID: 34317277 PMCID: PMC8311600 DOI: 10.1016/j.jaccas.2019.12.023] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Julien Dreyfus
- Cardiology Department, Centre Cardiologique du Nord, Saint-Denis, France
| | - Erwan Donal
- University of Rennes, CHU Rennes, Inserm, LTSI-UMR 1099, Rennes, France
| | - Théo Pezel
- University of Paris, CHU Lariboisière, Inserm, UMRS 942, Paris, France
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