TEE Training for Anaesthesiologists

NCT ID: NCT04024982

Last Updated: 2019-07-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

43 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-22

Study Completion Date

2018-11-17

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Cardiac

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

The TEE session will consist of a 1-hour lecture and a 2-hour simulation session. Participants for the TEE session are divided into 2 groups. Trainee participants are randomly divided into groups A and B. The specialists are also randomly divided into groups C and D. Groups A and C undergo lecture first then simulation, whereas B and D undergo simulation first then lecture.

Prior to the teaching session (lecture or simulation), the participants will take a MCQ pre-test with 30 questions relating to TEE safety, probe manipulation and basic views in TEE. There is no pre-test on technical skill, as all of them are novices to TEE (i.e. with no skill on TEE). A post-test consisting of 30 MCQs (same as pre-test but in a different sequence) and a technical skill test is held at the completion of both lecture and simulation sessions.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Lecture followed by Simulation

Subjects will undergo the lecture on TEE first followed by the simulation session.

Group Type OTHER

Sequence of teaching (Lecture first followed by Simulation)

Intervention Type OTHER

Sequence of teaching (whether lecture or simulation session first) can help to achieve the maximum skill acquisition in TEE.

Simulation followed by Lecture

Subjects will undergo the TEE simulation first followed by the lecture.

Group Type OTHER

Sequence of teaching (Simulation first followed by Lecture)

Intervention Type OTHER

Sequence of teaching (whether lecture or simulation session first) can help to achieve the maximum skill acquisition in TEE.

Interventions

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Sequence of teaching (Lecture first followed by Simulation)

Sequence of teaching (whether lecture or simulation session first) can help to achieve the maximum skill acquisition in TEE.

Intervention Type OTHER

Sequence of teaching (Simulation first followed by Lecture)

Sequence of teaching (whether lecture or simulation session first) can help to achieve the maximum skill acquisition in TEE.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All anaesthesia doctors in Singapore with no prior experience in TEE.

Exclusion Criteria

* All anaesthesia doctors in Singapore with prior experience in TEE.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National University of Singapore

OTHER

Sponsor Role lead

Responsible Party

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NUS Anaesthesia

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Swapna Thampi

Role: PRINCIPAL_INVESTIGATOR

National University Health System

Locations

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National University Health System

Singapore, , Singapore

Site Status

Countries

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Singapore

Other Identifiers

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NUS IRB S-17-347

Identifier Type: -

Identifier Source: org_study_id

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