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Experience informed procedural skills training.

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This summary is machine-generated.

Individualized training using real-time performance data improves paediatric critical care fellows' procedural skills. This novel approach enhances competency and is preferred by trainees over traditional methods.

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Area of Science:

  • Medical Education
  • Paediatric Critical Care
  • Simulation Training

Background:

  • Paediatric critical care (PCC) physicians require independent procedural competency within a 3-year fellowship.
  • Skill acquisition in PCC is variable, highlighting the need for individualized training.
  • Personalized training may enhance competency by adapting to unique trainee needs.

Purpose of the Study:

  • To evaluate an individualized, longitudinal critical procedure course for PCC fellows.
  • To assess the feasibility and trainee preference of a novel training methodology.
  • To determine the impact of real-time performance data on procedural skill development.

Main Methods:

  • Implemented an individualized, longitudinal critical procedure course for 5 PCC fellows.
  • Utilized procedural performance profiles (P3) from real-time clinical assessments in the PICU.
  • Course phases included: Simulation Bootcamp, Quarterly Structured Booster Sessions (QSBS) with deliberate practice, and Annual Refresher Training.

Main Results:

  • 92% of bedside procedures received real-time feedback, informing longitudinal P3 modification.
  • 89% of respondents positively reflected on the course's impact on procedural understanding.
  • The course was perceived as more effective than traditional methods, excluding direct bedside training.

Conclusions:

  • A spaced repetition, deliberate practice course informed by real-life performance data is feasible and preferred by trainees.
  • This educational model can be applied to various clinical skills.
  • The approach offers a precision medicine strategy for medical training.