420: Impact of an amniocentesis simulation curriculum for training in MFM fellowship program

Khurshid, Nauman; Trampe, Barbara; Heiser, Timothy; Birkeland, Laura E.; Duris, Elizabeth; Stewart, Katharina; Shah, Dinesh; Iruretagoyena, J. Igor

doi:10.1016/j.ajog.2013.10.453

Cited by 5 publications

(6 citation statements)

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“…El entrenamiento debe adquirirse en el ámbito de centros avalados por las instituciones sanitarias. Para subsanar el impacto de la reducción de las técnicas invasivas, las instituciones deben plantearse la sustitución del modelo tradicional basado en el volumen, que se hará progresivamente insostenible, por soluciones novedosas basadas en la simulación o en la centralización de los procedimientos [44][45][46][47] que han demostrado mejorar el aprendizaje y disminuir el número de intentos necesarios para completar el entrenamiento [48,49].…”

Section: Formato De Entrega De Los Resultadosunclassified

Cribado y diagnóstico prenatal de anomalías genéticas: recomendaciones de consenso SEGO, SEQC^ML, AEDP

Prieto

Adiego²,

Suela

et al. 2020

Advances in Laboratory Medicine / Avances en Medicina De Laboratorio

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ResumenEl objetivo de este trabajo es difundir las recomendaciones del consenso entre las sociedades científicas SEGO, SEQCML y AEDP sobre cribado y diagnóstico prenatal de anomalías genéticas, así como una propuesta de indicadores de evaluación, desde una perspectiva de mejora de cada uno de los procesos que constituyen el campo de aplicación de las estrategias actuales de cribado: bioquímico, ecográfico y genético. Asimismo, se recogen recomendaciones relacionadas con los procesos invasivos de diagnóstico prenatal, incluyendo tanto las técnicas de recogida de muestra como las aplicables a su posterior análisis genético. Perspectiva: Se propone unificar criterios e indicadores a nivel nacional, con evaluaciones periódicas. Asimismo, sería muy recomendable establecer una estrategia de cribado prenatal a nivel nacional, dotada con recursos que aseguren la auditoría periódica de dichos indicadores y de los procedimientos diagnósticos, con supervisión por las administraciones sanitarias. Los protocolos deberían ser revisados periódicamente para adaptarse a nuevas tecnologías coste-efectivas.

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Section: Formato De Entrega De Los Resultadosunclassified

Cribado y diagnóstico prenatal de anomalías genéticas: recomendaciones de consenso SEGO, SEQC^ML, AEDP

Prieto

Adiego²,

Suela

et al. 2020

Advances in Laboratory Medicine / Avances en Medicina De Laboratorio

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“…Although fellows do not perform amniocentesis during the first phase, they practice the essential technical skills by using an ultrasound simulation model developed in our own center (data published in abstract form). 12 At the end of phase I, after adequate competency is demonstrated, the fellow may advance to phase II. At this point, the RDMS educator has first-hand knowledge of the individual fellow's status, and continued guidance and targeted skill development is provided during the subsequent phases of training.…”

Section: Methodsmentioning

confidence: 99%

“…A full description of our amniocentesis training and the simulation models for amniocentesis and chorionic villus sampling developed at our center are available elsewhere. 12 14 …”

Section: Methodsmentioning

confidence: 99%

Structured Training for Fetal Diagnostic Skills in a Maternal-Fetal Medicine Fellowship

Antony

Khurshid

Trampe

et al. 2018

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Objective The American Institute of Ultrasound in Medicine has described what constitutes a detailed fetal anatomic examination but what comprises an appropriate physician training program has not been described. The purpose of this paper is to describe a highly-structured program developed by our center to train maternal-fetal medicine fellows in a systematic approach to fetal diagnostic imaging. Study Design We describe this approach in three phases. Phase I: Development of Skills as a Perinatal Sonographer, Phase II: Mentored Evolution to a Perinatal Sonologist and Phase III: Supervised Independent Practice as Consultant-in-training. Results This curriculum was implemented in 2006. Of the eight maternal-fetal medicine fellows who completed this program, 100% were capable of following this curriculum and 100% felt comfortable performing and interpreting detailed sonograms including sonograms with significant and uncommon anomalies. Qualitative feedback was also positive. Finally, this structured approach resulted in an increase in the average total number of sonograms interpreted. Conclusion Our curriculum, by following the explicit guidelines and expectations set out by the American Institute of Ultrasound in Medicine and the American Board of Obstetrics and Gynecology for practicing maternal-fetal medicine fellowship graduates, provides an opportunity to explore national standardization for this component of training.

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“…To reduce the impact of the decreasing number of invasive procedures, healthcare institutions should consider changing the traditional training model based on the volume of procedures for a novel simulation-based training model, or on the centralization of invasive testing [44][45][46][47]. These new training models have proven to improve skills and reduce the number of procedures required to complete training [48,49] A specific number of supervised procedures cannot be required for an optimization of results, and the range of the procedures required published in the literature is notably wide, between 45 and 300 amniocenteses (AC). However, skills are not expected to improve beyond 100 procedures performed independently [50,51].…”

Section: Part II Invasive Prenatal Diagnosis Of Genetic Abnormalitiesmentioning

confidence: 99%

Prenatal screening and diagnosis of genetic abnormalities: SEGO, SEQC^ML, AEDP consensus recommendations

Prieto

Adiego

Suela³

et al. 2020

Advances in Laboratory Medicine / Avances en Medicina De Laboratorio

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In this paper, the scientific societies SEGO, SEQCML and AEDP provide a series of consensus-based recommendations for prenatal screening and diagnosis of genetic abnormalities. A set of evaluation indicators are also proposed as a means to improve the quality of the biochemical, ultrasound, and genetic processes involved in prenatal screening and diagnosis of genetic anomalies. Some recommendations are also proposed in relation to invasive prenatal diagnostic procedures, more specifically regarding sample collection and genetic testing. The purpose of this proposal is to unify performance criteria and quality indicators at national level, with audits performed on a regular basis. It is strongly recommended that a national prenatal screening strategy be established and provided with the resources necessary to evaluate the performance of quality indicators and diagnostic procedures under the supervision of health authorities. Protocols should be revised on a regular basis to consider the incorporation of new cost-effective technologies.

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420: Impact of an amniocentesis simulation curriculum for training in MFM fellowship program

Cited by 5 publications

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Cribado y diagnóstico prenatal de anomalías genéticas: recomendaciones de consenso SEGO, SEQC^ML, AEDP

Cribado y diagnóstico prenatal de anomalías genéticas: recomendaciones de consenso SEGO, SEQC^ML, AEDP

Structured Training for Fetal Diagnostic Skills in a Maternal-Fetal Medicine Fellowship

Prenatal screening and diagnosis of genetic abnormalities: SEGO, SEQC^ML, AEDP consensus recommendations

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420: Impact of an amniocentesis simulation curriculum for training in MFM fellowship program

Cited by 5 publications

References 0 publications

Cribado y diagnóstico prenatal de anomalías genéticas: recomendaciones de consenso SEGO, SEQCML, AEDP

Cribado y diagnóstico prenatal de anomalías genéticas: recomendaciones de consenso SEGO, SEQCML, AEDP

Structured Training for Fetal Diagnostic Skills in a Maternal-Fetal Medicine Fellowship

Prenatal screening and diagnosis of genetic abnormalities: SEGO, SEQCML, AEDP consensus recommendations

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Cribado y diagnóstico prenatal de anomalías genéticas: recomendaciones de consenso SEGO, SEQC^ML, AEDP

Cribado y diagnóstico prenatal de anomalías genéticas: recomendaciones de consenso SEGO, SEQC^ML, AEDP

Prenatal screening and diagnosis of genetic abnormalities: SEGO, SEQC^ML, AEDP consensus recommendations