Mastery learning of advanced cardiac life support skills by internal medicine residents using simulation technology and deliberate practice.

Journal of General Internal Medicine
Diane B WayneWilliam C McGaghie

Abstract

Internal medicine residents must be competent in advanced cardiac life support (ACLS) for board certification. To use a medical simulator to assess postgraduate year 2 (PGY-2) residents' baseline proficiency in ACLS scenarios and evaluate the impact of an educational intervention grounded in deliberate practice on skill development to mastery standards. Pretest-posttest design without control group. After baseline evaluation, residents received 4, 2-hour ACLS education sessions using a medical simulator. Residents were then retested. Residents who did not achieve a research-derived minimum passing score (MPS) on each ACLS problem had more deliberate practice and were retested until the MPS was reached. Forty-one PGY-2 internal medicine residents in a university-affiliated program. Observational checklists based on American Heart Association (AHA) guidelines with interrater and internal consistency reliability estimates; deliberate practice time needed for residents to achieve minimum competency standards; demographics; United States Medical Licensing Examination Step 1 and Step 2 scores; and resident ratings of program quality and utility. Performance improved significantly after simulator training. All residents met or exceede...Continue Reading

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Citations

Sep 18, 2009·Advances in Health Sciences Education : Theory and Practice·J YeoC Price
Jan 26, 2011·Advances in Health Sciences Education : Theory and Practice·Jennifer L PlantPatricia S O'Sullivan
Jan 10, 2008·Journal of General Internal Medicine·Ross J ScaleseS Barry Issenberg
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Mar 27, 2010·Journal of General Internal Medicine·John ButterDiane B Wayne
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Apr 10, 2013·Journal of General Internal Medicine·Somnath MookherjeeCalvin L Chou
Sep 27, 2006·Academic Medicine : Journal of the Association of American Medical Colleges·Diane B WayneWilliam C McGaghie
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Oct 10, 2008·Academic Medicine : Journal of the Association of American Medical Colleges·Diane B WayneWilliam C McGaghie
Jan 27, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Diane B WayneWilliam C McGaghie
Oct 15, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·Jeffrey H BarsukDiane B Wayne
Nov 26, 2010·Academic Medicine : Journal of the Association of American Medical Colleges·William C McGaghieDiane B Wayne
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