Key result
TEE simulator training markedly improves novice skill and knowledge scores compared to nonsimulator training.
Why the study?
The study aimed to assess the learning effects of novice transesophageal echocardiography simulator training and identify gaps in existing studies.
Does TEE simulator training improve skill and knowledge posttraining test scores in novice TEE trainees?
Meta-Analysis (n=268)
Does TEE simulator training improve skill and knowledge posttraining test scores in novice TEE trainees?
Effect estimate: SMD 0.81 for skill, 1.61 for knowledge
TEE simulator training for novices significantly improves skill and knowledge scores compared to non-simulator training, though current evidence is of low certainty.
Supports simulator integration into novice TEE curricula; extends prior trial data via pooled large effects.
SUMMARY STATEMENT: We aimed to assess the learning effects of novice transesophageal echocardiography (TEE) simulator training and to identify gaps in existing studies. We performed a systematic review and meta-analysis of randomized controlled trials (RCTs) comparing the learning effects of novice TEE training with versus without simulators, searching published articles and proceedings in 6 major databases in June 2019. We included 9 RCTs (268 participants). Compared with nonsimulator training, TEE simulator training resulted in higher skill and knowledge posttraining test scores with large effect sizes (standardized mean difference = 0.81 for skill, 1.61 for knowledge; low-certainty evidence) and higher training satisfaction with a small effect size (standardized mean difference = 0.36; very low-certainty evidence). No RCTs reported training budget or patient outcomes. Additional well-designed studies with low risk of bias and large sample sizes are needed to provide reliable and robust findings and develop more effective TEE simulation-based training curricula.
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Jujo et al. (2021) conducted a meta-analysis in Novice transesophageal echocardiography training (n=268). TEE simulator training vs. nonsimulator training was evaluated on skill and knowledge posttraining test scores (SMD 0.81 for skill, 1.61 for knowledge). TEE simulator training resulted in higher skill (SMD 0.81) and knowledge (SMD 1.61) posttraining test scores compared with nonsimulator training among novices.
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