Focused transthoracic echocardiography curriculum for advanced practice providers assures good concordance with intensivists at echocardiography
| Autor: | Angela Builes, Robert A. Ratzlaff, Ami Grek, José L. Díaz-Gómez, Carla Venegas-Borsellino, Andreea C. Chirila |
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| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Critical Illness Concordance Diagnostic concordance 030204 cardiovascular system & hematology Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Intensive care Humans Medicine Medical physics Longitudinal Studies Prospective Studies 030212 general & internal medicine Medical diagnosis Curriculum Critically ill business.industry Intensive Care Units Echocardiography Sonographer Education Medical Continuing Cardiology and Cardiovascular Medicine business |
| Zdroj: | Heart & Lung. 47:622-625 |
| ISSN: | 0147-9563 |
| DOI: | 10.1016/j.hrtlng.2018.05.017 |
| Popis: | To describe a focused transthoracic echocardiography (FoTE) curriculum for advanced practice providers (APPs) for echocardiography-driven diagnosis of shock in critically ill patients.Twelve APPs in 4 intensive care units at an academic medical center received didactic sessions on FoTE, including 1-on-1 proctorship with a registered cardiac sonographer. For a period of 6 months the trainees performed individual studies, then they performed FoTE examinations on critically ill patients; their diagnoses were compared with those of experienced intensivists for the same patients.After 6 months of multiple steps of training, APPs could acquire good echocardiographic views, achieving a good inter-rater agreement (Cohen's κ of 0.745 [95% CI, 0.385-1.0; P.01]) in the diagnosis of shock when compared to experienced intensivists.Structured FoTE curriculum enables APPs to have reasonably good diagnostic concordance with intensivists in an echocardiography-driven diagnosis of shock in critically ill patients. |
| Databáze: | OpenAIRE |
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