Accreditation in transoesophageal echocardiography

Wright, Susan; Barnard, Matthew; Smith, Andrew J.; Martin, Bruce; Aveling, W; Anderson, Stuart; Broomhead, Christopher; Rathwell, Claire; Crerar-Gilbert, A.; Quinton, P

doi:10.1093/bja/aeh526

Cited by 5 publications

(2 citation statements)

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“…The caseload required was reduced from 150 to make the process more feasible within the time-frame. 15 The specified case-mix ensures a broad exposure to TOE including in the perioperative environment. Ten randomly selected reports are judged, using a set checklist and scoring sheet, for clarity, presence of minimum data sets, and Doppler data to support findings.…”

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confidence: 99%

II. Accreditation in transoesophageal echocardiography in the UK: the initial experience

Skinner

Morgan‐Hughes

Swanevelder

et al. 2012

British Journal of Anaesthesia

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UK accreditation in transoesophageal echocardiography (TOE) commenced as a joint venture between the Association of Cardiothoracic Anaesthetists (ACTA) and the British Society of Echocardiography (BSE) to advance safe practice and set standards. 1 The 10th examination is hosted later this year and we describe in this editorial how accreditation has become established among TOE practitioners. Miller 2 promoted the idea that assessing a clinical skill requires more than the mere test of knowledge and this is particularly relevant with a complex skill like TOE. He argued that acquisition of (in this case echocardiographic) information, the analyses and interpretation of (echocardiographic and clinical) data, and translating the information into a diagnosis (writing a report) are integral to skill assessment. Formulating a management plan remains the domain of clinicians, and not necessarily the echocardiographer, hence this is not assessed. Competency in TOE is inferred by the practitioner demonstrating sufficient knowledge, skill, and judgement to acquire accreditation. Accredited practitioners should be able to competently perform and report a comprehensive TOE in different clinical settings, as opposed to a basic or focused examination. Accreditation requires passing both the written examination and a practical competency assessment and there is no concept of partial accreditation. To date, 339 out of 468 (78.9%) candidates have passed the examination. The base speciality of candidates was anaesthesia (42%), cardiology (40%), echocardiography (8%), and other/unknown (10%). More than 200 logbooks have been submitted and 150 candidates are accredited in TOE. Approximately 15% of ACTA members are UK TOE accredited, but some members have pursued accreditation through European or other bodies instead and not all ACTA members perform TOE in their practice. In a recent survey of ACTA members, just under 30% of cardiac anaesthetists indicated that they were TOE accredited (personal communication, June 2012). The growth in the number of

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confidence: 99%

II. Accreditation in transoesophageal echocardiography in the UK: the initial experience

Skinner

Morgan‐Hughes

Swanevelder

et al. 2012

British Journal of Anaesthesia

View full text Add to dashboard Cite

show abstract

“…1 A similar accreditation process for performance of transoesophageal echocardiography (TOE) was developed by successful collaboration between the British Society of Echocardiography (BSE) and the Association of Cardiothoracic Anaesthetists (ACTA). 2 Despite initial criticism, 3 this is now well established, with a similar process resulting in the development of a European TOE accreditation. 4 There is a general perception that existing accreditation does not adequately reflect the requirements of the critical care setting.…”

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confidence: 99%