Long-term retention of central venous catheter insertion skills after simulation-based mastery learning

Research output: Contribution to journalArticle

101 Citations (Scopus)

Abstract

BACKGROUND: Simulation-based mastery learning (SBML) of central venous catheter (CVC) insertion improves trainee skill and patient care. How long skills are retained is unknown. METHOD: This is a prospective cohort study. Subjects completed SBML and were required to meet or exceed a minimum passing score (MPS) for CVC insertion on a posttest. Skills were retested 6 and 12 months later and compared with posttest results to assess skill retention. RESULTS: Forty-nine of 61 (80.3%) subjects completed follow-up testing. Although performance declined from posttest where 100% met the MPS for CVC insertion, 82.4% to 87.1% of trainees passed the exam and maintained their high performance up to one year after training. CONCLUSIONS: Skills acquired from SBML were substantially retained during one year. Individual performance cannot be predicted, so programs should use periodic testing and refresher training to ensure competence.

Original languageEnglish (US)
Pages (from-to)S9-S12
JournalAcademic Medicine
Volume85
Issue number10 SUPPL.
DOIs
StatePublished - Oct 2010

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Central Venous Catheters
Learning
trainee
simulation
learning
performance
patient care
Mental Competency
Patient Care
Cohort Studies
Prospective Studies

ASJC Scopus subject areas

  • Education

Cite this

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title = "Long-term retention of central venous catheter insertion skills after simulation-based mastery learning",
abstract = "BACKGROUND: Simulation-based mastery learning (SBML) of central venous catheter (CVC) insertion improves trainee skill and patient care. How long skills are retained is unknown. METHOD: This is a prospective cohort study. Subjects completed SBML and were required to meet or exceed a minimum passing score (MPS) for CVC insertion on a posttest. Skills were retested 6 and 12 months later and compared with posttest results to assess skill retention. RESULTS: Forty-nine of 61 (80.3{\%}) subjects completed follow-up testing. Although performance declined from posttest where 100{\%} met the MPS for CVC insertion, 82.4{\%} to 87.1{\%} of trainees passed the exam and maintained their high performance up to one year after training. CONCLUSIONS: Skills acquired from SBML were substantially retained during one year. Individual performance cannot be predicted, so programs should use periodic testing and refresher training to ensure competence.",
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Long-term retention of central venous catheter insertion skills after simulation-based mastery learning. / Barsuk, Jeffrey H.; Cohen, Elaine R.; McGaghie, William C.; Wayne, Diane B.

In: Academic Medicine, Vol. 85, No. 10 SUPPL., 10.2010, p. S9-S12.

Research output: Contribution to journalArticle

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AB - BACKGROUND: Simulation-based mastery learning (SBML) of central venous catheter (CVC) insertion improves trainee skill and patient care. How long skills are retained is unknown. METHOD: This is a prospective cohort study. Subjects completed SBML and were required to meet or exceed a minimum passing score (MPS) for CVC insertion on a posttest. Skills were retested 6 and 12 months later and compared with posttest results to assess skill retention. RESULTS: Forty-nine of 61 (80.3%) subjects completed follow-up testing. Although performance declined from posttest where 100% met the MPS for CVC insertion, 82.4% to 87.1% of trainees passed the exam and maintained their high performance up to one year after training. CONCLUSIONS: Skills acquired from SBML were substantially retained during one year. Individual performance cannot be predicted, so programs should use periodic testing and refresher training to ensure competence.

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