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Can simulation-based education and precision teaching improve paediatric trainees' behavioural fluency in performing
Sinéad Lydon1,2, Bronwyn Reid McDermott3,4, Ethel Ryan5
1School of Medicine, National University of Ireland Galway, Co. Galway, Ireland. sinead.lydon@nuigalway.ie.
BMC Medical Education
|May 12, 2019
Summary
Simulation-based education using frequency building and precision teaching effectively trained paediatric trainees in lumbar puncture procedures, achieving behavioural fluency and retention. This method improved performance to levels comparable to senior paediatricians.
Area of Science:
- Medical Education
- Procedural Skills Training
- Paediatric Medicine
Background:
- Paediatric trainees exhibit low success rates in performing lumbar punctures.
- Simulation-based education is explored as a method to improve procedural competency.
Purpose of the Study:
- To assess the efficacy of simulation-based education incorporating frequency building and precision teaching for lumbar puncture training.
- To achieve behavioural fluency in performing lumbar punctures among paediatric trainees.
Main Methods:
- An intervention group of paediatric senior house officers underwent simulation-based training.
- Performance was assessed at baseline, post-intervention, during distraction, and at follow-up.
- A retrospective chart audit compared intervention group performance to senior colleagues in clinical settings.
Main Results:
- Intervention participants achieved fluency in a mean of 5 trials.
- The intervention group demonstrated significantly higher performance accuracy than the comparator group.
- Learned skills were retained at follow-up and during distraction; clinical performance was comparable to senior physicians.
Conclusions:
- Simulation-based education with frequency building and precision teaching effectively induces behavioural fluency in lumbar puncture for paediatric trainees.
- Trainee performance post-intervention matched or exceeded that of senior paediatricians.
- Further research is recommended on simulation-based training for procedural skills and patient outcomes.