Original Article| Volume 36, ISSUE 1, P155-162, January 2022

Basic Transesophageal Echocardiography Education for Senior Anesthesiology Residents—Institutional Experience

Published:August 13, 2021DOI:


      The use of basic transesophageal echocardiography (TEE) in critically ill and older surgical patients can change patient management and improve outcomes after noncardiac surgery. The authors hypothesized that educating the future generation on basic TEE skills by an intense two-month rotation will help them achieve basic TEE certification by the National Board of Echocardiography (NBE) and facilitate good use of their skills for patient care during their practice.


      This is a descriptive report of graduating anesthesiology residents who completed two months basic TEE rotation at the authors’ residency program between 2013 and 2019. The authors report the clinical training goals, NBE testamur and certification status, and a survey report on the use of basic TEE skills in their practice


      University medical center.


      Residents who completed two months basic TEE rotation during their Clinical Anesthesia (CA)-3 year.



      Measurements and Main Results

      Of a total of 115 residents, 67 (58%) elected basic TEE rotation. The NBE basic TEE certification and testamur status were achieved by 12 (21%) and 14 (24%) eligible residents, respectively. Residents (n = 43) personally performed 73 ± 21 (mean ± standard deviation) and reviewed 72 ± 28 (mean ± standard deviation basic TEE studies before graduation. The survey indicated that 63.4% of residents trained in basic TEE did not use their skills in their practice.


      Two months’ basic TEE rotation was able to fulfill its educational goals (testamur status and clinical training) but fell short on achieving NBE certification rate and its ultimate impact on practice and patient care.

      Key Words

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      Linked Article

      • An Unsentimental Education: How Should We Be Teaching Perioperative Echocardiography?
        Journal of Cardiothoracic and Vascular AnesthesiaVol. 36Issue 1
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          Perioperative transesophageal echocardiography has become a mainstay in the world of cardiac surgery as cardiac anesthesiologists have embraced their dual role as anesthesia providers and echocardiographers, working in concert with cardiac surgeons to deliver high-quality care, much of which is predicated upon transesophageal echocardiography (TEE) findings obtained during the perioperative period. Given the virtually universal adoption of intraoperative TEE during cardiac surgery and its role in patient care, there has been understandable interest in expanding the role of perioperative TEE in the noncardiac surgical area.
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