Simulator training in focus assessed transthoracic echocardiography (FATE) for undergraduate medical students: results from the FateSim randomized controlled trial
2025

Simulator Training for Medical Students in Echocardiography

Sample size: 128 publication 10 minutes Evidence: moderate

Author Information

Author(s): Weimer Johannes Matthias, Sprengart Franziska Marietta, Vieth Thomas, Göbel Sebastian, Dionysopoulou Anna, Krüger Rebecca, Beer Jan, Weimer Andreas Michael, Buggenhagen Holger, Kloeckner Roman, Pillong Lukas, Helfrich Johanna, Waezsada Elias, Wand Philipp, Weinmann-Menke Julia

Primary Institution: University Medical Center of the Johannes Gutenberg University Mainz

Hypothesis

Students’ ability to apply their training to real patients differs depending on whether they were trained using simulators or live subjects.

Conclusion

Both simulator- and human-based training effectively developed theoretical and practical skills in FATE, but the simulator group performed significantly worse in real-life applications.

Supporting Evidence

  • Both groups showed increased competency from pre- to post-training assessments.
  • The control group performed significantly better in practical tests on human subjects.
  • Participants rated their overall learning experience and realism of training lower in the simulator group.
  • Both groups agreed that simulators should supplement, not replace, human training.

Takeaway

This study shows that while using simulators can help students learn, they still need real-life practice to be good at echocardiography.

Methodology

A single-centre, prospective, randomized controlled study comparing simulator-based training to human-based training for third-year medical students.

Potential Biases

Potential bias due to voluntary nature of participation and the sequence of tests.

Limitations

Voluntary participation, no control group without training, reliance on one simulator model, and lack of assessment on patient safety impact.

Participant Demographics

Participants were mainly female, average age 24-25 years, with most having no prior experience with ultrasound simulators.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1186/s12909-024-06564-y

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