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Published in: Archives of Gynecology and Obstetrics 6/2024

Open Access 16-07-2023 | Ultrasound | Maternal-Fetal Medicine

Controlled prospective study on ultrasound simulation training in fetal echocardiography: FESIM II

Authors: Paul Janzing, Nasenien Nourkami-Tutdibi, Erol Tutdibi, Paula Freundt, Thomas von Ostrowski, Martin Langer, Michael Zemlin, Johannes Steinhard

Published in: Archives of Gynecology and Obstetrics | Issue 6/2024

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Abstract

Purpose

To analyze the learning curves of ultrasound novices in fetal echocardiography during structured simulation-based ultrasound training (SIM-UT) including a virtual, randomly moving fetus.

Methods

11 medical students with minimal (< 10 h) prior obstetric ultrasound experience underwent 12 h of structured fetal echocardiography SIM-UT in individual hands-on sessions during a 6-week training program. Their learning progress was assessed with standardized tests after 2, 4, and 6 weeks of SIM-UT. Participants were asked to obtain 11 fetal echocardiography standard planes (in accordance with ISUOG and AHA guidelines) as quickly as possible. All tests were carried out under real life, examination-like conditions on a healthy, randomly moving fetus. Subsequently, we analyzed the rate of correctly obtained images and the total time to completion (TTC). As reference groups, 10 Ob/Gyn physicians (median of 750 previously performed Ob/Gyn scans) and 10 fetal echocardiography experts (median of 15,000 previously performed Ob/Gyn scans) were examined with the same standardized tests.

Results

The students showed a consistent and steady improvement of their ultrasound performance during the training program. After 2 weeks, they were able to obtain > 95% of the standard planes correctly. After 6 weeks, they were significantly faster than the physician group (p < 0.001) and no longer significantly slower than the expert group (p = 0.944).

Conclusion

SIM-UT is highly effective to learn fetal echocardiography. Regarding the acquisition of the AHA/ISUOG fetal echocardiography standard planes, the students were able to reach the same skill level as the expert group within 6 weeks.
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Metadata
Title
Controlled prospective study on ultrasound simulation training in fetal echocardiography: FESIM II
Authors
Paul Janzing
Nasenien Nourkami-Tutdibi
Erol Tutdibi
Paula Freundt
Thomas von Ostrowski
Martin Langer
Michael Zemlin
Johannes Steinhard
Publication date
16-07-2023
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 6/2024
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-023-07133-2

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