Development and evaluation of a simulation-based mastery learning maintenance of certification course

Sara Bradley*, Lee A. Lindquist, Emily M. Jones, Theresa A. Rowe, Katherine T. O’Brien, Dwayne Dobschuetz, Angela C. Argento, Debi L. Mitra, Craig Leonard, Elaine R. Cohen, Diane B. Wayne, Jeffrey H. Barsuk

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background/Objectives: To develop and evaluate a post-acute care simulation-based mastery learning (SBML) continuing medical education (CME)/maintenance of certification (MOC) procedure course. Design: Pretest-posttest study of the SBML intervention. Setting: A 2-day post-acute care procedures course. Participants: Sixteen practicing clinicians (5 physicians,11 advanced practice providers). Participants engaged in a skills pretest on knee aspiration/injection, gastrostomy tube removal/replacement, tracheostomy tube exchange, and basic suturing using a checklist created for each procedure. Participants received a didactic on each procedure followed by deliberate practice with feedback. Using the same checklists, participants completed a skills posttest and were required to meet a minimum passing standard (MPS) to obtain CME/MOC credit. Measurements: The MPS for each skills checklist was determined by a multidisciplinary panel of 11 experts. Participants completed surveys on procedure self-confidence and a course evaluation. Results: There was statistically significant improvement between pre- and posttests for all four procedures (p < .001). All participants were able to meet or exceed the MPS for each skill during the 2-day course. Participants’ self-confidence regarding each procedure improved significantly (p < .001). Conclusion: An SBML training course granting CME/MOC credit for post-acute care providers significantly improves performance of knee aspiration/injection, gastrostomy tube removal/replacement, tracheostomy tube exchange, and basic suturing.

Original languageEnglish (US)
JournalGerontology and Geriatrics Education
DOIs
StateAccepted/In press - 2021

Keywords

  • Simulation
  • continuing Medical Education (CME)
  • gastrostomy tube
  • maintenance of Certification (MOC)
  • mastery learning

ASJC Scopus subject areas

  • Education
  • Geriatrics and Gerontology

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