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

doi:10.1080/02701960.2021.1891417

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 journal › Article › peer-review

1 Scopus citations

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 language	English (US)
Pages (from-to)	397-406
Number of pages	10
Journal	Gerontology and Geriatrics Education
Volume	43
Issue number	3
DOIs	https://doi.org/10.1080/02701960.2021.1891417
State	Published - 2022

Keywords

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

ASJC Scopus subject areas

Geriatrics and Gerontology
Education

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10.1080/02701960.2021.1891417

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Bradley, S., Lindquist, L. A., Jones, E. M., Rowe, T. A., O’Brien, K. T., Dobschuetz, D., Argento, A. C., Mitra, D. L., Leonard, C., Cohen, E. R., Wayne, D. B., & Barsuk, J. H. (2022). Development and evaluation of a simulation-based mastery learning maintenance of certification course. Gerontology and Geriatrics Education, 43(3), 397-406. https://doi.org/10.1080/02701960.2021.1891417

@article{9f7b50bcb4794b08912f0e481a96c695,

title = "Development and evaluation of a simulation-based mastery learning maintenance of certification course",

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{\textquoteright} 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.",

keywords = "Simulation, continuing Medical Education (CME), gastrostomy tube, maintenance of Certification (MOC), mastery learning",

author = "Sara Bradley and Lindquist, {Lee A.} and Jones, {Emily M.} and Rowe, {Theresa A.} and O{\textquoteright}Brien, {Katherine T.} and Dwayne Dobschuetz and Argento, {Angela C.} and Mitra, {Debi L.} and Craig Leonard and Cohen, {Elaine R.} and Wayne, {Diane B.} and Barsuk, {Jeffrey H.}",

note = "Funding Information: Conflict of Interest: Northwestern University received monetary gifts from Simulab Co. to support Dr. Barsuk{\textquoteright}s research. Simulators from Simulab used in our study were purchased. No other conflicts are reported. Author Contributions: All authors contributed to study concept and design, acquisition of subjects and/or data, and preparation of manuscript. Sponsor{\textquoteright}s Role: none Publisher Copyright: {\textcopyright} 2021 Taylor & Francis Group, LLC.",

year = "2022",

doi = "10.1080/02701960.2021.1891417",

language = "English (US)",

volume = "43",

pages = "397--406",

journal = "Gerontology and Geriatrics Education",

issn = "0270-1960",

publisher = "Routledge",

number = "3",

}

Bradley, S , Lindquist, LA, Jones, EM, Rowe, TA, O’Brien, KT, Dobschuetz, D, Argento, AC, Mitra, DL, Leonard, C, Cohen, ER, Wayne, DB & Barsuk, JH 2022, 'Development and evaluation of a simulation-based mastery learning maintenance of certification course', Gerontology and Geriatrics Education, vol. 43, no. 3, pp. 397-406. https://doi.org/10.1080/02701960.2021.1891417

TY - JOUR

T1 - Development and evaluation of a simulation-based mastery learning maintenance of certification course

AU - Bradley, Sara

AU - Lindquist, Lee A.

AU - Jones, Emily M.

AU - Rowe, Theresa A.

AU - O’Brien, Katherine T.

AU - Dobschuetz, Dwayne

AU - Argento, Angela C.

AU - Mitra, Debi L.

AU - Leonard, Craig

AU - Cohen, Elaine R.

AU - Wayne, Diane B.

AU - Barsuk, Jeffrey H.

N1 - Funding Information: Conflict of Interest: Northwestern University received monetary gifts from Simulab Co. to support Dr. Barsuk’s research. Simulators from Simulab used in our study were purchased. No other conflicts are reported. Author Contributions: All authors contributed to study concept and design, acquisition of subjects and/or data, and preparation of manuscript. Sponsor’s Role: none Publisher Copyright: © 2021 Taylor & Francis Group, LLC.

PY - 2022

Y1 - 2022

N2 - 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.

AB - 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.

KW - Simulation

KW - continuing Medical Education (CME)

KW - gastrostomy tube

KW - maintenance of Certification (MOC)

KW - mastery learning

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

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Keywords

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