Tips for Running local TEE Review Sessions?

[jope]

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I was wondering how your centers structure your TEE review rounds. At my community hospital, I am trying to bring in a monthly TEE review session with our CV anesthesia group, surgeons, and interested cardiologists to review 4-5 interesting studies from that month. It has never been done here before, but I was hoping to get some suggestions from those of you that work at place with establish TEE review sessions to see how I should structure them.

My plan is to take an hour before the OR starts once a month and describe some brief patient details for 4 cases and then go through their studies and highlight pertinent things on them. My plan was to bring up and refresh echo knowledge such as quizzing the audience on the cutoffs for the RV dimensions or valvular gradients as I go.

The rounds that I had during fellowship were more basic level and we went around describing the views and structures initially but that is likely too simplistic for an attending level audience.

 

[vector2]

There's no CT anesthesia or surgery fellowship where I'm at so I go to cardiology imaging rounds when I get a chance. Keep in mind, at the attending level the most interesting TEE's / cardiac CT / MRI are based around either two things- the first being zebras (infiltrative diseases, tumors, congenital), and second being studies where the pathology leads to interesting branch points in decision making, I.e. young pt s/p difficult AV/MVR for endocarditis, now with a couple crazy fistulous tracts- cath lab or back to surgery?, or pt with moderate AI, normal EF a couple years ago, AI now meets some severe criteria, development of interim 3VD and moderate ischemic MR, and EF is now reduced. What surgical interventions should the pt have when they go to CABG?

It would be great if you can get echo rounds together, but no one is gonna get excited just to review some basic guideline stuff.



Unless there's coffee and donuts there. 🙂

 

[T-burglar]

As an attending in a private practice with about 9 member CV group, I would love meetings to go over either QA to continually improve our average group study quality, and go over any cases that present interesting disease or complicated diagnostic dilemmas.

Some of us in the group periodically mention we might like to do it but we are busy and it’s always on the back burner

 

[jope]

Thanks for the suggestions. We managed to get some money from our hospital to run these sessions - so we could definitely have coffee and donuts, but taking turns hosting these at our homes with pizza and beer could also work!

In regards to aiming to QA and improve group study quality, have you guys come across any simple criteria or checklists we can base grading studies on? It would be good to help bring awareness to deficiencies to improve our overall level.

 

[sevoflurane]

We have 7 CT Anesthesiologists in our group. I think that echo review is important and fun at the same time.

We have an ongoing thread that we have had going on for years. In that thread we present interesting cases with clips attached. They are tons of fun and a great learning experience. They go right to your phone, so it's easy to interact. This is by far the most useful.
In addition to that, we have about 4 CT anesthesia meetings a year which we go over best practices, interesting cases, recruitment, etc.
We have TAVR/MItral Clip meetings once a week.
We have also given lectures to our CT Surgeons, Cardiologists and CT anesthesiologists. I presented last and had about 100 clips to look at... all captured in house from interesting cases with a focus on 3D echo.

At the very least, the pictures are pretty. 🙂

I think one of these days I'm going to blow up a series of 3 pics (before and after) and put them in my office. I do find them to be nice art pieces for a physician office.

 

[sevoflurane]

We also do informal review of cases in the reading room on the fly if there are interesting cases/diagnostic dilemmas. If one of our partners is there and we have an interesting case, we'll show ea. other our echo study and discuss it. Very informal, but educational nonetheless.

 

[Ronin786]

We have 7 CT Anesthesiologists in our group. I think that echo review is important and fun at the same time.

We have an ongoing thread that we have had going on for years. In that thread we present interesting cases with clips attached. They are tons of fun and a great learning experience. They go right to your phone, so it's easy to interact. This is by far the most useful.
In addition to that, we have about 4 CT anesthesia meetings a year which we go over best practices, interesting cases, recruitment, etc.
We have TAVR/MItral Clip meetings once a week.
We have also given lectures to our CT Surgeons, Cardiologists and CT anesthesiologists. I presented last and had about 100 clips to look at... all captured in house from interesting cases with a focus on 3D echo.

At the very least, the pictures are pretty. 🙂

I think one of these days I'm going to blow up a series of 3 pics (before and after) and put them in my office. I do find them to be nice art pieces for a physician office.

Or purchase a 3d printer and make a model out of them.