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Development and evaluation of a simulation-based mastery learning maintenance of certification course
Gerontology & Geriatrics Education ( IF 0.8 ) Pub Date : 2021-02-25 , DOI: 10.1080/02701960.2021.1891417
Sara Bradley 1, 2 , Lee A Lindquist 1 , Emily M Jones 3 , Theresa A Rowe 1 , Katherine T O'Brien 1 , Dwayne Dobschuetz 1 , Angela C Argento 4 , Debi L Mitra 5 , Craig Leonard 6 , Elaine R Cohen 2 , Diane B Wayne 1, 2 , Jeffrey H Barsuk 2, 5
Affiliation  

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.



中文翻译:

基于模拟的掌握学习维护认证课程的开发与评价

摘要

背景/目标

开发和评估基于急性护理模拟的掌握学习 (SBML) 继续医学教育 (CME)/认证维护 (MOC) 程序课程。

设计

SBML干预的前测后测研究。

环境

为期 2 天的急性后护理程序课程。

参与者

16 名执业临床医生(5 名医师,11 名高级执业医师)。参与者使用为每个程序创建的清单进行膝关节抽吸/注射、胃造口管移除/更换、气管造口管更换和基本缝合的技能预测试。参与者接受了关于每个程序的教学,然后是经过深思熟虑的练习和反馈。使用相同的清单,参与者完成了技能后测,并被要求达到最低及格标准 (MPS) 以获得 CME/MOC 学分。

测量

每个技能清单的 MPS 由 11 位专家组成的多学科小组确定。参与者完成了关于程序自信和课程评估的调查。

结果

所有四个程序的前测和后测之间都有统计学上的显着改善(p < .001)。在为期 2 天的课程中,所有参与者都能够达到或超过每项技能的 MPS。参与者对每个程序的自信心显着提高(p < .001)。

结论

授予急性后护理提供者 CME/MOC 学分的 SBML 培训课程显着提高了膝关节抽吸/注射、胃造口管移除/更换、气管造口管更换和基本缝合的性能。

更新日期:2021-02-25
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