Teaching focused echocardiography for rheumatic heart disease screening

Screening for rheumatic heart disease (RHD) requires workers skilled in echocardiography, which typically involves prolonged, specialized training. Task shifting echocardiographic screening to nonexpert health workers may be a solution in settings with limited human resources. An 8-week training pro...

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Main Authors:	Engelman, Daniel, Kado, Joseph H, Reményi, Bo, Colquhoun, Samantha M, Watson, Caroline, Rayasidamu, Sera C, Steer, Andrew C
Format:	Online
Language:	English
Published:	Medknow Publications & Media Pvt Ltd 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4453179/

id	pubmed-4453179
recordtype	oai_dc
spelling	pubmed-44531792015-06-17 Teaching focused echocardiography for rheumatic heart disease screening Engelman, Daniel Kado, Joseph H Reményi, Bo Colquhoun, Samantha M Watson, Caroline Rayasidamu, Sera C Steer, Andrew C Brief Communication Screening for rheumatic heart disease (RHD) requires workers skilled in echocardiography, which typically involves prolonged, specialized training. Task shifting echocardiographic screening to nonexpert health workers may be a solution in settings with limited human resources. An 8-week training program was designed to train health workers without any prior experience in focused echocardiography for RHD screening. Seven health workers participated. At the completion of training, the health workers performed unsupervised echocardiography on 16 volunteer children with known RHD status. A pediatric cardiologist assessed image quality. Participants provided qualitative feedback. The quality of echocardiograms were high at completion of training (55 of 56 were adequate for diagnosis) and all cases of RHD were identified. Feedback was strongly positive. Training health workers to perform focused echocardiography for RHD screening is feasible. After systematic testing for accuracy, this training program could be adapted in other settings seeking to expand echocardiographic capabilities. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4453179/ /pubmed/26085762 http://dx.doi.org/10.4103/0974-2069.157024 Text en Copyright: © Annals of Pediatric Cardiology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Engelman, Daniel Kado, Joseph H Reményi, Bo Colquhoun, Samantha M Watson, Caroline Rayasidamu, Sera C Steer, Andrew C
spellingShingle	Engelman, Daniel Kado, Joseph H Reményi, Bo Colquhoun, Samantha M Watson, Caroline Rayasidamu, Sera C Steer, Andrew C Teaching focused echocardiography for rheumatic heart disease screening
author_facet	Engelman, Daniel Kado, Joseph H Reményi, Bo Colquhoun, Samantha M Watson, Caroline Rayasidamu, Sera C Steer, Andrew C
author_sort	Engelman, Daniel
title	Teaching focused echocardiography for rheumatic heart disease screening
title_short	Teaching focused echocardiography for rheumatic heart disease screening
title_full	Teaching focused echocardiography for rheumatic heart disease screening
title_fullStr	Teaching focused echocardiography for rheumatic heart disease screening
title_full_unstemmed	Teaching focused echocardiography for rheumatic heart disease screening
title_sort	teaching focused echocardiography for rheumatic heart disease screening
description	Screening for rheumatic heart disease (RHD) requires workers skilled in echocardiography, which typically involves prolonged, specialized training. Task shifting echocardiographic screening to nonexpert health workers may be a solution in settings with limited human resources. An 8-week training program was designed to train health workers without any prior experience in focused echocardiography for RHD screening. Seven health workers participated. At the completion of training, the health workers performed unsupervised echocardiography on 16 volunteer children with known RHD status. A pediatric cardiologist assessed image quality. Participants provided qualitative feedback. The quality of echocardiograms were high at completion of training (55 of 56 were adequate for diagnosis) and all cases of RHD were identified. Feedback was strongly positive. Training health workers to perform focused echocardiography for RHD screening is feasible. After systematic testing for accuracy, this training program could be adapted in other settings seeking to expand echocardiographic capabilities.
publisher	Medknow Publications & Media Pvt Ltd
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4453179/
_version_	1613231013739102208

Teaching focused echocardiography for rheumatic heart disease screening

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