1. Neonatal resuscitation experience curves: simulation based mastery learning booster sessions and skill decay patterns among pediatric residents.
- Author
-
Matterson, Heideh H., Szyld, Demian, Green, Brad R., Howell, Heather B., Mally, Pradeep V., Pusic, Martin V., and Bailey, Sean M.
- Subjects
CLINICAL competence ,ABILITY ,ACADEMIC medical centers ,LEARNING strategies ,LONGITUDINAL method ,MEMORY ,CONTINUING education of nurses ,RESUSCITATION ,STATISTICAL sampling ,T-test (Statistics) ,TIME ,RANDOMIZED controlled trials ,DATA analysis software ,NEONATAL nursing - Abstract
Background: Following neonatal resuscitation program (NRP) training, decay in clinical skills can occur. Simulation-based deliberate practice (SBDP) has been shown to maintain NRP skills to a variable extent. Our study objectives were (a) to determine whether a single 30 min simulation-based intervention that incorporates SBDP and mastery learning (ML) can effectively restore skills and prevent skill decay and (b) to compare different timing options. Methods: Following NRP certification, pediatric residents were randomly assigned to receive a video-recorded baseline assessment plus SBDP-ML refresher education at between 6 and 9 months (early) or between 9 and 12 months (late). One year following initial certification, participants had repeat skill retention videotaped evaluations. Participants were scored by blinded NRP instructors using validated criteria scoring tools and assigned a global performance rating score (GRS). Results: Twenty-seven participants were included. Residents in both early and late groups showed significant skill decay 7 and 10 months after initial NRP. SBDP-ML booster sessions significantly improved participants' immediate NRP performance scores (p<0.001), which persisted for 2 months, but were again lower 4 months later. Conclusions: NRP skills may be boosted to mastery levels after a short SBDP-ML intervention and do not appear to significantly decline after 2 months. Brief booster training could potentially serve as a useful supplement to traditional NRP training for pediatric residents. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF