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- Title
Learning and Retention Rates after Training in Posterior Epistaxis Management.
- Authors
Lammers, Richard L.
- Abstract
Objectives: The objective of the study was to compare the learning and retention rates of resident physicians trained in posterior epistaxis management with nasal gauze packing on a simulation model following two training methods. Methods: This was a prospective, repeated-measures study. An objective, criterion-referenced performance standard, consisting of the number of major steps completed in the proper sequence, and the number of minor steps completed within a specified time, was used by an evaluator to assess performances. Subjects underwent two pretraining assessments 1 week prior to and the day of training and then were randomized to one of two training methods: the traditional “observation” method or a “pause-and-perfect” method. After training, both groups repeated the procedure until meeting the performance standard. Subjects were retested 1 and 3 months after training. Results: Twenty-eight subjects participated. Baseline performance measures were similar between groups and did not change prior to training. During performance testing, experimental subjects completed a greater percentage of major steps (84%) and minor steps (86%) in less time (25 minutes) than the controls (65 and 68%, in 35 minutes) during the first attempt. All subjects met the standard within three attempts. There were no differences in major and minor steps completed between the two groups at either 1 week or 3 months after training, but performance times were shorter in the experimental group. After 3 months, 13% of control and none of experimental subjects met the performance standard. Conclusions: The pause-and-perfect training method produced more rapid progress toward a performance standard during the initial attempt and better performance times after 3 months than the traditional, observational training method. Without further practice, this skill deteriorated after 3 months with both methods of training.
- Subjects
SIMULATION methods in medical education; CONTINUING medical education; EMERGENCY medicine; CORE competencies; PHYSICIAN training
- Publication
Academic Emergency Medicine, 2008, Vol 15, Issue 11, p1181
- ISSN
1069-6563
- Publication type
Article
- DOI
10.1111/j.1553-2712.2008.00220.x