Welcome TO THE EchoSIM LAB

Simulator Based TEE/TTE Training A Private One-On-One Experience

The most effective and time efficient way to advance your transesophageal and transthoracic echocardiography skills.

Attend The Laboratory in Scottsdale, Arizona

RECENT VISITORS

Srikanth Krishnan, MD MSc

Thank you so much! It was an amazing experience. Dr. Green’s course is nothing short of transformative. He has assembled a world class simulation session, integrating high yield cases for clinical practice and board preparation. Additionally, he has real cases on Philips QLab to practice 3D multiplanar reconstruction and quantification. However, the true value of this course is actually Dr. Green himself. He is one of the most knowledgeable echo experts I have had the pleasure of learning from, and my three days with him have been a massive catalyst for my career.

Srikanth Krishnan, MD MSc

UCLA Cardiology Fellow

Harbor UCLA Advanced Imaging Fellow

Private Instruction by a M.D. Fellow of the American Society of Echocardiography

Postgraduate Skill Development

While echocardiography has become incorporated into most postgraduate training programs, instruction for practicing physicians remains problematic. Over the past ten years we have optimized our training program so practicing physicians can rapidly advance their knowledge base and skill sets to match their particular clinical demands.

Recreates the Fellowship Experience

A TEE Simulator combined with continuous oversight by a dedicated National Board of Echocardiography Diplomate and Fellow of the American Society of Echocardiography instructor, recreates the fellowship training experience in an accelerated manner. The efficiency of private training surpasses virtually all transesophageal echocardiography group learning experiences.

The Problem

Although Echocardiography is an invaluable asset, various obstacles make image interpretation and probe manipulation challenging skills to acquire. Instruction in image interpretation is not effectively achieved in group courses. Inevitable group disparities in knowledge and learning styles diminishes the learning experience for the individual participant. Probe manipulation skills cannot be acquired merely by observation or limited periods of probe operation in small group courses. Obtaining instruction from skilled colleagues or inter-departmental staff members is usually sporadic or not feasible.

Solution

Free of the usual distractions found in an acute care setting, the private atmosphere in the simulation laboratory allows the trainee to acquire probe manipulation and image interpretation skills at their own pace. Limiting attendance to a single participant allows continuous instructor-trainee interaction and maximizes hands-on probe manipulation time appropriate to your current skill level. Private mentoring combined with high fidelity simulation creates knowledge acquisition rates and probe manipulation skills which actually supersede the clinical setting.

Donald Voelker, MD, FACC

I am an interventional cardiac and peripheral vascular specialist. I am a founding member of the society of cardiac computed angiographic tomography, as well as an adjunct clinical professoar at the Univeristy of Arkansas in Little Rock.

I have been searching for the very best update in TEE I could possibly find. After three days with Dr. Neil Green, I was "blown-away" by his one-on-one in depth hands on state-of-the-art TEE training simulation course in addition to his encyclopedic knowlege of TEE.

Dr. Green is the very best TEE instructor I have ever seen. As a board certified anesthesiologist, Dr. Green is an expert in teaching TEE to physicians as well as corporate clinical specialists.

I highly recommend the Echo Sim experience to anyone who wishes to learn TEE or have an in-depth update

Sincerely

Donald J. Voelker

COURSE CONTENTS

Simulation

Esophageal Intubation

The Heartworks Simulator has the detail, accuracy, and feel of a real exam. The probe has the complete constellation of controls as found on real probes. The simulator creates highly realistic 2D and 3D echocardiography ultrasound images along with the simultaneous corresponding 3D virtual-anatomy model. It elegantly models both normal and pathological blood flow characteristics, allowing the application of extremely realistic PW Doppler, CW Doppler, and Color Doppler analysis.

Esophageal Intubation

For instruction in esophageal intubation, we use an extremely accurate pharyngeal model which has the texture, fragility, resistance, and challenge of a real adult airway. Combined with a dedicated Philips X7-2t TEE probe and ultrasound gel, the participant can practice the proper technique of esophageal intubation, while observing on an implanted nasophargeal video camera. This allows the acquisition of efficient and atraumatic passage skills.

Measurements

Esophageal Intubation

3D/MPR Simulation Training

The simulator measurement package allows the attendee to practice the full array of 2D, spectral Doppler, and Color Doppler measurements in both normal and pathological states. These skills are then applied to real images from our collection of acquired images using both the Philips Q-lab and GE Echo Pac platforms at the laboratory work station . Advanced training in Strain Analysis, TAVR Sizing, Mitral Valve Quantification, Watchman Measurement, and 3D image manipulation are fully available.

3D/MPR Simulation Training

For 3D and Live MPR training we use the Heartworks Surgical Science Simulator and Philips QLab in the relaxed environment of the work station. Topics include biplane imaging , secondary plane rotation, lateral tilt, horizontal tilt, narrow sector live 3D, zoom 3D, full volume 3D, color vena contracta, volume manipulation, and volume cropping.

Knobology

3D/MPR Simulation Training

Diagnostic Challenge

The simulator's touch screen interface recreates a real machine console. After demonstrating proficiency on the simulator, attendees will transition to the console of the Philips 2D/3D ultrasound machine. Instruction includes in-depth explanations of the entire array of machine functions, including measurement and analysis functions. Real machine operation skills are practiced using our Philips 2D/3D TEE and 2D TTE probes in conjunction with our CAE cardiac ultrasound phantom.

Diagnostic Challenge

3D/MPR Simulation Training

Diagnostic Challenge

Following familiarization with the normal exam sequence, the attendee is presented with a full series of unknowns, representing common pathological states as typically encountered in a usual adult practice. The attendee is guided through each comprehensive exam, ultimately making the correct diagnosis and grading the severity using quantitative criteria.

Standards

ED Resuscitative TEE

Evaluations

The current American Society of Echocardiography Guidelines serve as source material for instruction. Focus is placed on reviewing the content lists of the National Board of Echocardiography exams specific to your particular specialty. Attendees are strongly encouraged to complete the Basic PTeXAM, Advanced PTEeXAM, ASCeXAM, or the CCEeXAM.

Evaluations

ED Resuscitative TEE

Evaluations

Upon request, each attendee will receive a personalized letter describing the specific details of his or her training sessions. The letter will be signed by the physician director and emailed to you in PDF format. This evaluation will be suitable for presentation to your respective clinical and administrative departments.

ED Resuscitative TEE

We have performed departmental training for University of Arizona and University of California Emergency Department Staff for both focused and resucitative TEE exams. A three day in depth course includes comprehensive training in probe insertion and manipulation skills. There follows speed building for focused diagnotstic exams and limited resusitative TEE exams. Effectivenss of CPR and outflow tract obstruction are emphasized in addition to diagnosis of pulmonary embolism, tamponade, hemothorax, and aortic dissection. The target attendee are ACEP physicians.

Robert Messier MD, PhD Cardiothoracic Surgery

As a Cardiac Surgeon, I had long sensed the potential benefit of a fully-certified echocardiographic understanding, and what that might do to enhance my personal strategic management of today’s Open Heart Surgical Patient. I was fortunate to find Dr. Green, and after a rigorous, 5-day, one-on-one, hands-on stint, I look at the TEE in a much more sophisticated manner. This has evidenced itself clinically not only in the planning/assessment of valve cases, but also in virtually every sick coronary patient. I plan on taking the Testamur examination next year, and look forward to being one of the few Cardiac Surgeons in the country with this qualification. Dr. Green is a superb and patient teacher with multiple decades of experience. Time with him is a period of mentorship unequalled by any such training I have undertaken since my Fellowship at Emory. I plan on coming back for another week next spring. Don’t miss this opportunity !

Thanks Again

Robert Messier

Welcome TO THE EchoSIM LAB

Simulator Based TEE/TTE Training A Private One-On-One Experience

RECENT VISITORS

Srikanth Krishnan, MD MSc

Private Instruction by a M.D. Fellow of the American Society of Echocardiography

Postgraduate Skill Development

Recreates the Fellowship Experience

The Problem

Solution

Donald Voelker, MD, FACC

COURSE CONTENTS

Simulation

Esophageal Intubation

Esophageal Intubation

Esophageal Intubation

Esophageal Intubation

Esophageal Intubation

Measurements

Esophageal Intubation

3D/MPR Simulation Training

3D/MPR Simulation Training

3D/MPR Simulation Training

3D/MPR Simulation Training

Knobology

3D/MPR Simulation Training

Diagnostic Challenge

Diagnostic Challenge

3D/MPR Simulation Training

Diagnostic Challenge

Standards

ED Resuscitative TEE

Evaluations

Evaluations

ED Resuscitative TEE

Evaluations

ED Resuscitative TEE

ED Resuscitative TEE

ED Resuscitative TEE

Robert Messier MD, PhD Cardiothoracic Surgery

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