CardiacNCT04024982
TEE Training for Anaesthesiologists
A study testing Sequence of teaching (Lecture first followed by Simulation) and Sequence of teaching (Simulation first followed by Lecture) in people with Cardiac, run by National University of Singapore at 1 site in Singapore.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 21 years and olderHealthy volunteers can take part
- Conditions the study is for
- Cardiac
- What is being tested?
- Sequence of teaching (Lecture first followed by Simulation) and Sequence of teaching (Simulation first followed by Lecture)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 43 participants
- Where
- 1 siteSingapore
- Study dates
- 22 Feb 2018to 17 Nov 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- All anaesthesia doctors in Singapore with no prior experience in TEE.
Who cannot join
- All anaesthesia doctors in Singapore with prior experience in TEE.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: The Ideal Sequence of Didactic Lectures and Simulation in Teaching Transoesophageal Echocardiography (TEE) Among Anaesthesiologists
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.
Read the detailed description
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
- Cardiac
- Being tested
- Sequence of teaching (Lecture first followed by Simulation), Sequence of teaching (Simulation first followed by Lecture)
- Keywords
- Transoesophageal Echocardiography (TEE), Learning
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Sequence of teaching (Lecture first followed by Simulation)Other
Sequence of teaching (whether lecture or simulation session first) can help to achieve the maximum skill acquisition in TEE.
Sequence of teaching (Simulation first followed by Lecture)Other
Sequence of teaching (whether lecture or simulation session first) can help to achieve the maximum skill acquisition in TEE.
| Study group | Role | What they receive |
|---|---|---|
| Lecture followed by Simulation | Other | Subjects will undergo the lecture on TEE first followed by the simulation session. Receives: Other: Sequence of teaching (Lecture first followed by Simulation) |
| Simulation followed by Lecture | Other | Subjects will undergo the TEE simulation first followed by the lecture. Receives: Other: Sequence of teaching (Simulation first followed by Lecture) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Knowledge and skill increment between both groups
After the end of both lecture and simulation session, participants will be asked to demonstrate skill of acquisition of 11 basic views on TEE simulator within stipulated time, and will be scored by 2 independent raters.
Measured: Within an hour of completion of both lecture and simulation sessions.
Secondary outcomes (1)
Demographic variations in knowledge and skill acquisition
Identify and compare whether there are demographic variations in knowledge and skill acquisition in TEE among anaesthesiologists within each sequence of teaching and learning (i.e. lecture followed by simulation training and simulation training followed by lecture). This will be done through the administration of 30-question MCQ relating to TEE safety, probe manipulation and basic views in TEE, and a technical skill test.
Measured: Within an hour of completion of both lecture and simulation sessions.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jul 2019
- Study start22 Feb 2018
- Primary completion17 Nov 2018
- Study completion17 Nov 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for CardiacStudies of the same condition, open and under way.
- More trials run by National University of SingaporeThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- 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.
- Masking
- None (open label)
- Enrolment
- 43 participants (actual)
Sponsor and investigators
- Lead sponsor
- National University of Singapore
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, NUS Anaesthesia, National University of Singapore
- Investigators
- Swapna Thampi, Principal investigator, National University Health System
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04024982
- Sponsor's protocol ID
- NUS IRB S-17-347
- Status last verified
- Jul 2019
- First submitted
- 15 Jul 2019
- Last updated
- 18 Jul 2019
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Jul 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Ideal Sequence of Didactic Lectures and Simulation in Teaching Transoesophageal Echocardiography (TEE) Among Anaesthesiologists
- ClinicalTrials.gov ID
- NCT04024982
- Acronym / sponsor ID
- NUS IRB S-17-347
- Conditions
- Cardiac
- Keywords
- Transoesophageal Echocardiography (TEE), Learning
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 43 participants (actual)
- Lead sponsor
- National University of SingaporeUniversity, hospital or other
- Study start
- 22 Feb 2018 (actual)
- Primary completion
- 17 Nov 2018 (actual)
- Study completion
- 17 Nov 2018 (actual)
- First posted
- 18 Jul 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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
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.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- 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.
| Arm | Type | Receives |
|---|---|---|
| Lecture followed by Simulation | Other | Other: Sequence of teaching (Lecture first followed by Simulation)Subjects will undergo the lecture on TEE first followed by the simulation session. |
| Simulation followed by Lecture | Other | Other: Sequence of teaching (Simulation first followed by Lecture)Subjects will undergo the TEE simulation first followed by the lecture. |
Who may qualify
- Ages
- 21 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- All anaesthesia doctors in Singapore with no prior experience in TEE.
Key exclusion criteria (1 listed)
- All anaesthesia doctors in Singapore with prior experience in TEE.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| 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. | Other | Lecture followed by Simulation |
| 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. | Other | Simulation followed by Lecture |
Primary outcome
Knowledge and skill increment between both groups
Time frame: Within an hour of completion of both lecture and simulation sessions.
After the end of both lecture and simulation session, participants will be asked to demonstrate skill of acquisition of 11 basic views on TEE simulator within stipulated time, and will be scored by 2 independent raters.
1 secondary outcome
Demographic variations in knowledge and skill acquisition
Time frame: Within an hour of completion of both lecture and simulation sessions.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jul 2019.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Swapna Thampi principal investigator
National University Health System
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Sequence of teaching (Lecture first followed by Simulation) and Sequence of teaching (Simulation first followed by Lecture) in people with Cardiac, run by National University of Singapore at 1 site in Singapore.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 18 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Singapore. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Knowledge and skill increment between both groups (time frame: Within an hour of completion of both lecture and simulation sessions.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jul 2019.