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Learning and Implementing FATE protocol

  Education is crucial. To get the most out of FATE, all physicians in a given department should be able to perform a FATE examination on their own. It is of much lower value if the FATE-protocol can only be applied if/when certain persons are present. A FATE examination should be available every 24 hours a day as many times as needed.

  So all (almost all) physians in the department should join a FATE course or a similar training program (Basic ultrasound theory, FATE demonstration and hands-on, FATE used for hemodynamic optimization and common clinical cases).

  In our institutional certification all FATE novices had to perform 10 FATE examinations in the daily clinic and be supervised by an experienced echo user. And here we have a limiting factor: how to get supervisors in a department that just wants to get started? We do not have the exact answer, but we can highly recommend collaboration with the cardiologists, together with study tours to dedicated departments. It is very important to support and facilitate “institutional enthusiasts” – you almost always someone like that in a department.