An echocardiography training program for improving the left ventricular function interpretation in emergency department; a brief report

Mary Jacob, Hamid Shokoohi, Fabith Moideen, Amelia Pousson, Keith Boniface

Research output: Contribution to journalArticlepeer-review

Abstract

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). Conclusion: 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.

Original languageEnglish (US)
JournalArchives of Academic Emergency Medicine
Volume7
Issue number1
StatePublished - 2019
Externally publishedYes

Keywords

  • Echocardiography
  • Educational techniques
  • Left
  • Ultrasonography
  • Ventricular function

ASJC Scopus subject areas

  • Emergency Medicine

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