The impact of a perceptual and adaptive learning module on transoesophageal echocardiography interpretation by anaesthesiology residents.

Background: The role of transoesophageal echocardiography (TOE) in anaesthetic practice is expanding. We evaluated the effect of a TOE perceptual and adaptive learning module (PALM) on first-yr anaesthesiology residents' performance, in diagnosing cardiac pathology by TOE.Methods: First-yr residents...

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Publicado en:BJA: The British Journal of Anaesthesia Vol. 117; no. 4; pp. 477 - 482
Autores principales: Romito, B. T., Krasne, S., Kellman, P. J., Dhillon, A.
Formato: research tables/charts Journal Article
Publicado: Elsevier B.V. Oct2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2016
      vid: 117
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1093/bja/aew295
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        atl: The impact of a perceptual and adaptive learning module on transoesophageal echocardiography interpretation by anaesthesiology residents.
      aug:
        au:
          Romito, B. T.
          Krasne, S.
          Kellman, P. J.
          Dhillon, A.
        affil: Department of Anesthesiology and Pain Management, The University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9068, USA
      sug:
        subj:
          Echocardiography, Transesophageal
          Anesthesiology Education
          Learning
          Internship and Residency
          Education, Medical
          Pilot Studies
          Human
      ab: Background: The role of transoesophageal echocardiography (TOE) in anaesthetic practice is expanding. We evaluated the effect of a TOE perceptual and adaptive learning module (PALM) on first-yr anaesthesiology residents' performance, in diagnosing cardiac pathology by TOE.Methods: First-yr residents were assigned to a group (n = 12) that used a TOE PALM or a control group that did not (n = 12). Both groups received a TOE pretest that measured their accuracy and response times. The PALM group completed the PALM and a posttest within 30 min and a delayed test six months later. The control group received a delayed test six months after their pretest. Accuracy and fluency (accurate responses within 10 s) were measured.Results: The PALM group had statistically significant improvements for both accuracy and fluency (P < 0.0001) in diagnosing cardiac pathology by TOE. After six months, the PALM group's performance remained significantly higher than their pretest values for accuracy (P = 0.0002, d = 2.7) and fluency (P < 0.0001, d = 2.3).Conclusions: In this pilot study, exposure to a PALM significantly improved accuracy and fluency in diagnosing TOE cardiac pathology, in a group of first-year anaesthesiology residents. PALMs can significantly improve learning and pattern recognition in medical education.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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