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- Title
Neonatal resuscitation experience curves: simulation based mastery learning booster sessions and skill decay patterns among pediatric residents.
- Authors
Matterson, Heideh H.; Szyld, Demian; Green, Brad R.; Howell, Heather B.; Mally, Pradeep V.; Pusic, Martin V.; Bailey, Sean M.
- 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.
- Subjects
UNITED States; 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
- Publication
Journal of Perinatal Medicine, 2018, Vol 46, Issue 8, p934
- ISSN
0300-5577
- Publication type
Article
- DOI
10.1515/jpm-2017-0330