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Skill Acquisition and Retention Following Simulation-Based Training in Pavlik Harness Application
Joel Moktar1, Catharine S Bradley1, Alexandra Maxwell1
1Division of Orthopaedic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada.
Summary
A new simulation module effectively trains healthcare professionals in applying the Pavlik harness for developmental dysplasia of the hip. Skills were retained for one month, demonstrating the module's value in surgical education.
Area of Science:
- Medical Education
- Orthopaedic Surgery
- Simulation-Based Learning
Background:
- Developmental dysplasia of the hip is common in infants.
- The Pavlik harness is the standard treatment for infants under six months.
- No formal training curriculum exists for Pavlik harness application.
Purpose of the Study:
- To develop and evaluate a simulation-based learning module for Pavlik harness application.
- To assess the effectiveness of the module in improving novice skills.
- To determine skill retention after the intervention.
Main Methods:
- A video and model-based simulation module was created.
- Novice groups (residents, allied health professionals) and a control group were studied.
- Objective Structured Assessment of Technical Skills (OSATS) and global rating scales (GRS) were used for evaluation.
Main Results:
- The simulation module significantly improved Pavlik harness application skills (p < 0.05).
- Trained novices achieved competency levels comparable to expert clinicians.
- Skills were retained one month post-intervention, unlike the control group.
Conclusions:
- Simulation-based learning is effective for teaching Pavlik harness application.
- The developed module provides retainable skills for healthcare professionals.
- This module can be foundational for formal training in Pavlik harness use for hip dysplasia.
