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  4. Simulator training in focus assessed transthoracic echocardiography (FATE) for undergraduate medical students: results from the FateSim randomized controlled trial

Simulator training in focus assessed transthoracic echocardiography (FATE) for undergraduate medical students: results from the FateSim randomized controlled trial

BMC Medical Education, 2025 · DOI: https://doi.org/10.1186/s12909-024-06564-y · Published: December 18, 2024

Cardiovascular ScienceEducation

Simple Explanation

This study looks at the best way to teach medical students how to use ultrasound to examine the heart. It compares training on a simulator with training on real people to see which method helps students learn the skills better. The results showed that while both methods improved students' skills, those trained on simulators didn't perform as well when they had to examine real people. This suggests that simulators are helpful, but training on real patients is still essential. Students also felt that simulators could be a good addition to training on real people, but shouldn't replace it. The study suggests that the best approach may be a mix of both methods to give students the most realistic and effective learning experience.

Study Duration
Not specified
Participants
128 third-year medical students
Evidence Level
Level 1: Single-centre, prospective, randomised controlled study

Key Findings

  • 1
    Both simulator- and human-based training effectively developed theoretical and practical skills in FATE.
  • 2
    The simulator group demonstrated significantly poorer performance when applying their skills to human subjects.
  • 3
    Participants supported simulators as a supplement to, but not a replacement for, human training.

Research Summary

This study compares the effectiveness of simulator-based ultrasound training to traditional ultrasound training with human subjects for teaching theoretical and practical skills in Focused Assessed Transthoracic Echo. Our results demonstrate that both training approaches can lead to a significant increase in skills, but those trained on a simulator alone did not perform comparably well when performing examinations on real humans. The results provide important insights into the potential advantages, disadvantages, and challenges of using ultrasound simulators in medical education and offer a basis for future training strategies.

Practical Implications

Enhanced Ultrasound Training Programs

Future ultrasound training programs should integrate both simulator training and hands-on experience with human subjects to maximize skill transfer and competency development.

Realistic Simulation Development

Further research and development are needed to improve the realism of ultrasound simulators, particularly in replicating the nuances of human tissue and anatomical variations.

Curriculum Integration

Medical curricula should incorporate innovative teaching strategies such as blended learning, artificial intelligence, and virtual reality to facilitate multimodal ultrasound training.

Study Limitations

  • 1
    Voluntary nature of participation.
  • 2
    Absence of a control group that received no training.
  • 3
    Reliance on ultrasound simulator models from only one manufacturer.

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