Academic medicine : journal of the Association of American Medical Colleges · 2010
Long-term retention of central venous catheter insertion skills after simulation-based mastery learning.
СтатьяПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Barsuk Jeffrey H, Cohen Elaine R, McGaghie William C, Wayne Diane B
Аннотация
BACKGROUND: Simulation-based mastery learning (SBML) of central venous catheter (CVC) insertion improves trainee skill and patient care. How long skills are retained is unknown.
METHOD: This is a prospective cohort study. Subjects completed SBML and were required to meet or exceed a minimum passing score (MPS) for CVC insertion on a posttest. Skills were retested 6 and 12 months later and compared with posttest results to assess skill retention.
RESULTS: Forty-nine of 61 (80.3%) subjects completed follow-up testing. Although performance declined from posttest where 100% met the MPS for CVC insertion, 82.4% to 87.1% of trainees passed the exam and maintained their high performance up to one year after training.
CONCLUSIONS: Skills acquired from SBML were substantially retained during one year. Individual performance cannot be predicted, so programs should use periodic testing and refresher training to ensure competence.
METHOD: This is a prospective cohort study. Subjects completed SBML and were required to meet or exceed a minimum passing score (MPS) for CVC insertion on a posttest. Skills were retested 6 and 12 months later and compared with posttest results to assess skill retention.
RESULTS: Forty-nine of 61 (80.3%) subjects completed follow-up testing. Although performance declined from posttest where 100% met the MPS for CVC insertion, 82.4% to 87.1% of trainees passed the exam and maintained their high performance up to one year after training.
CONCLUSIONS: Skills acquired from SBML were substantially retained during one year. Individual performance cannot be predicted, so programs should use periodic testing and refresher training to ensure competence.
Предметные рубрики MeSH
AdultAnalysis of VarianceCatheterization, Central VenousClinical CompetenceComputer SimulationEducation, Medical, UndergraduateEducational MeasurementFemaleHumansIatrogenic DiseaseInternal MedicineJugular VeinsLongitudinal StudiesMaleProspective StudiesReproducibility of ResultsSubclavian VeinUltrasonography, Interventional