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Does high-variation training facilitate transfer of training in paediatric transthoracic echocardiography?

Published online by Cambridge University Press:  10 December 2020

Colin J. McMahon Open the ORCID record for Colin J. McMahon [Opens in a new window] ,
Sarah Gallagher ,
Adam James ,
Aoife Deery ,
Mark Rhodes  and
Jeroen J. G. van Merriënboer
Colin J. McMahon*
Affiliation:
Department of Paediatric Cardiology, Children’s Health Ireland, Crumlin, Dublin 12, Ireland
Sarah Gallagher
Affiliation:
Department of Paediatric Cardiology, Children’s Health Ireland, Crumlin, Dublin 12, Ireland
Adam James
Affiliation:
Department of Paediatric Cardiology, Children’s Health Ireland, Crumlin, Dublin 12, Ireland
Aoife Deery
Affiliation:
Department of Paediatric Cardiology, Children’s Health Ireland, Crumlin, Dublin 12, Ireland
Mark Rhodes
Affiliation:
Department of Economics, Leeds Beckett University, Leeds, England
Jeroen J. G. van Merriënboer
Affiliation:
Maastricht School of Health Professions Education, Maastricht University, Maastricht, the Netherlands
*
Author for correspondence: Dr. Colin McMahon, Department of Paediatric Cardiology, Children’s Health Ireland, Crumlin, Dublin 12, Ireland. Tel: 01-4096160; Fax: 01-4096181. E-mail: cmcmahon992004@yahoo.com
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Abstract

Background:

Factors that facilitate transfer of training in paediatric echocardiography remain poorly understood. This study assessed whether high-variation training facilitated successful transfer in paediatric echocardiography.

Methods:

A mixed-methods study of transfer of technical and interpretive skill application amongst postgraduate trainees. Trainees were randomised to a low or high-variation training group. After a period of 8 weeks intensive echocardiography training, we video-recorded how trainees completed an echocardiogram in a complex cardiac lesion not previously encountered. Blinded quantitative analysis and scoring of trainee performance (echocardiogram performance, report, and technical proficiency) were performed using a validated assessment tool by a blinded cardiologist and senior cardiac physiologist. Qualitative interviews of the trainees were recorded to ascertain trainee experiences during the training and transfer process.

Results:

Sixteen trainees were enrolled in the study. For the cumulative score for all three components tested (echocardiogram performance, report, and technical proficiency), χ2 = 8.223, p = .016, which showed the high-variation group outperformed the low-variation group. Two common themes which assisted in the transfer emerged from interviews are as follows: (1) use of strategies described in variation theory to describe abnormal hearts, (2) the use of formative live feedback from trainers during hands-on training.

Conclusion:

Training strategies exposing trainees to high-variation training may aid transfer of paediatric echocardiography skills.

Keywords

Echocardiographyeducationvariationskillstrainingtransfer
Type
Original Article
Information
Cardiology in the Young , Volume 31 , Issue 4 , April 2021 , pp. 602 - 608
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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Footnotes

This work was completed as part of a Masters of Health Professions Education at Maastricht University, the Netherlands.

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