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Decay in blood loss estimation skills after web-based didactic training
Paloma Toledo1, Stanley T Eosakul, Kristopher Goetz
1Department of Anesthesiology, Institute for Healthcare Studies, Northwestern Memorial Hospital, Chicago, IL, USA. p-toledo@md.northwestern.edu
Summary
Blood loss estimation skills improve after training but decline significantly within 9 months. This study evaluated skill retention, finding a notable worsening of accuracy over time.
Area of Science:
- Medical Education
- Surgical Skills Training
Background:
- Didactic training enhances immediate blood loss estimation accuracy.
- Web-based training is a common method for medical education.
Purpose of the Study:
- To assess the long-term retention of blood loss estimation skills.
- To evaluate skill decay 9 months after web-based didactic training.
Main Methods:
- 44 participants who completed initial training were retested.
- Blood loss estimation accuracy was measured using simulated blood loss images.
- The primary outcome was the percent error in estimation at 9 months versus immediately posttraining.
Main Results:
- The median estimation error at 9 months was -34.6%.
- This 9-month error was significantly worse than the immediate posttraining error (-13.5%).
- However, the 9-month error remained better than pretraining error (-47.8%).
Conclusions:
- Didactic training for blood loss estimation shows skill decay by 9 months.
- Retention of surgical skills requires ongoing reinforcement.
- Further research is needed on effective methods for long-term skill maintenance.
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