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Development and evaluation of a simulation-based mastery learning maintenance of certification course
Sara Bradley1,2, Lee A Lindquist1, Emily M Jones3
1Department of Medicine, Northwestern University Feinberg School of Medicine , Division of General Internal Medicine and Geriatrics.
Simulation-based mastery learning (SBML) effectively trains clinicians in post-acute care procedures. This continuing medical education (CME) course significantly improved skills and confidence for essential procedures.
Area of Science:
- Medical Education
- Procedural Skills Training
- Post-Acute Care
Background:
- Developing effective continuing medical education (CME) and maintenance of certification (MOC) courses for post-acute care procedures is crucial.
- Simulation-based mastery learning (SBML) offers a structured approach to skill acquisition.
Purpose of the Study:
- To develop and evaluate a 2-day SBML course for post-acute care procedures.
- To assess the impact of SBML on procedural performance and clinician self-confidence.
Main Methods:
- A pretest-posttest design was used with 16 practicing clinicians.
- Participants underwent skills testing, didactic instruction, deliberate practice with feedback, and post-testing on four procedures.
- A minimum passing standard (MPS) was established for CME/MOC credit.
Main Results:
- Statistically significant improvements in performance were observed for all four procedures (p < .001).
- All participants met or exceeded the MPS for each skill.
- Clinician self-confidence in performing the procedures significantly increased (p < .001).
Conclusions:
- An SBML course granting CME/MOC credit can significantly enhance post-acute care procedural skills.
- This training model is effective for improving performance in knee aspiration/injection, gastrostomy tube management, tracheostomy tube exchange, and suturing.
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