Massed Training is Logistically Superior to Distributed Training in Acquiring Basic Endovascular Skills

Area of Science:

• Medical Education
• Surgical Training
• Endovascular Procedures

Background:

• The PROficiency based StePwise Endovascular Curricular Training (PROSPECT) program enhances endovascular skills but faces low adherence in real-world settings.
• This study compares the original distributed training format with a new massed training format to improve adherence and evaluate long-term skill retention.

Purpose of the Study:

• To compare the effectiveness and long-term skill retention of a distributed versus a massed training format for PROSPECT.
• To identify optimal training formats for standardized endovascular skill acquisition in surgical curricula.

Main Methods:

• A multicentre prospective study comparing distributed D-PROSPECT with massed C-PROSPECT formats.
• Cognitive skills assessed via MCQ; technical skills evaluated using Global Rating Scale (GRS), examiner's checklist, and simulator metrics.
• Data collected pre- and post-training, with follow-ups at 3, 6, and 12 months.

Main Results:

• C-PROSPECT had a 0% dropout rate versus 41% for D-PROSPECT, with similar numbers of participants (21 vs. 22).
• Both formats significantly improved MCQ, GRS, checklist, and simulation scores (p < .001).
• No significant differences in performance or retention were observed between the massed and distributed groups.

Conclusions:

• PROSPECT, in either massed or distributed format, significantly enhances simulated endovascular performance.
• The massed training format may be preferable for reducing dropout rates in standardized endovascular skills training.
• Both formats ensure comparable long-term skill retention for basic endovascular competencies.