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Perfecting practice: a protocol for assessing simulation-based mastery learning and deliberate practice versus
Andrew Petrosoniak1,2, Marissa Lu3, Sara Gray4,5,6
1Department of Emergency Medicine, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario, M5B 1W8, Canada. petro82@gmail.com.
Mastery learning with deliberate practice may enhance rare procedural skill acquisition in medical residents. This study compares it to self-guided practice for bougie-assisted cricothyroidotomy to assess performance and retention.
Area of Science:
- Medical Education
- Surgical Skills Training
- Simulation-Based Medical Education
Background:
- Simulation-based medical education (SBME) is crucial for procedural skill development in residency.
- Mastery learning, incorporating deliberate practice, is key for expert performance in routine skills.
- The value of structured practice for rare, life-saving procedures like bougie-assisted cricothyroidotomy (BAC) requires evaluation.
Purpose of the Study:
- To compare a modified mastery learning approach with deliberate practice against self-guided practice for BAC technical skill acquisition.
- To assess the impact of different practice strategies on skill performance and retention.
Main Methods:
- A multi-center randomized study involving 160 residents across Canadian and American programs.
- Participants were assigned to either mastery learning with deliberate practice (ML+DP) or self-guided practice for BAC.
- Skill performance was assessed using a global rating scale at baseline, immediately post-practice, and at 6 months.
Main Results:
- This section is to be filled after the study's completion.
Conclusions:
- Mastery learning with deliberate practice offers structured feedback for skill acquisition but is resource-intensive.
- This study will yield generalizable data on the effectiveness of structured practice for rare, critical procedures in postgraduate medical education.
- Findings will inform optimal training strategies for both short-term and long-term performance.
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