Curva de aprendizaje en ecocardioscopia. Utilidad de un programa docente interespecialidad

Educacion Medica

article

Leopoldo Pérez de Isla¹  Adriana Saltijeral²  Jesus Millán Nuñez-Cortes³  José Angel García Saez⁴  Fernando Moreno⁴  Joaquín Millan-Perez⁵  Rocío Toro⁶ 

[1] Departamento de Cardiología, Hospital Clínico San Carlos, IDISSC, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España;Sección de Cardiología, Hospital del Tajo, Facultad de Medicina, Universidad Alfonso X el Sabio, Aranjuez, Madrid, España;Servicio de Medicina Interna, Hospital General Universitario Gregorio Marañón, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España;Departamento de Oncología, Hospital Clínico San Carlos, IDISSC, Madrid, España;Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España;Departamento de Medicina, Facultad de Medicina, Universidad de Cádiz, Cádiz, España

关键词: Portable echocardiography;    Oncology;    Chemotherapy;    Cardiotoxicity;    Training;   

DOI  :  10.1016/j.edumed.2016.11.008

学科分类：社会科学、人文和艺术（综合）

来源: Fundacion Educacion Medica

【 摘 要 】

Objective To assess the results of a training to perform echocardioscopic studies to oncologists by cardiologists, and to study the variability in measurements, as well as the clinical significance of this variability. Methods Participant oncologists received basic training in echocardioscopy by cardiologists specialised in cardiovascular imaging. Consecutive patients attending the oncology outpatient clinic were included in the study. Every patient underwent an echocardioscopic study performed by an oncologist with a portable device and an echocardiogram performed by a cardiologist using high-end equipment. Results The study included 101 patients, with a mean age of 56.03   ±   16.88 years, and 31.7% were males. The results showed a clear learning curve over time, with a good similarity in ventricular diameters measurements between oncologists and cardiologist being reached in two months, but it took 4 months to reach the same similarity for left ventricular ejection fraction (LVEF) measurements. Likewise, there was a significant reduction in clinically significant differences in LVEF after the fourth month. Conclusions A brief training in echocardioscopy for oncologists, led by cardiology experts in cardiovascular imaging, allows the oncologist to obtain the necessary skills to accurately assess left ventricular ejection fraction and diameters. The training time proposed is a week of intensive theoretical and practical training, followed by four months of completion of echocardioscopic examinations closely monitored by the cardiologist.

【 授权许可】

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