Rapid cycle deliberate practice approach on resuscitation training: A systematic review

Area of Science:

• Medical Education
• Emergency Medicine
• Clinical Skills Training

Background:

• Resuscitation training is critical for patient outcomes.
• Traditional methods may not be optimal for skill acquisition.
• Rapid Cycle Deliberate Practice (RCDP) is an alternative instructional design.

Purpose of the Study:

• To evaluate the effectiveness of RCDP versus traditional instruction in resuscitation training.
• To assess RCDP's impact on clinical and patient-related outcomes.

Main Methods:

• Systematic review and meta-analysis of studies from Medline, Embase, and Cochrane databases (inception to Feb 2024).
• Risk of bias assessment using established tools (ROBINS-I, Cochrane RoB 2).
• GRADE approach to evaluate certainty of evidence.

Main Results:

• Nine simulated studies met inclusion criteria.
• Meta-analysis of three outcomes: RCDP showed significantly shorter time to defibrillation and epinephrine administration.
• Overall certainty of evidence was very low due to bias, inconsistency, indirectness, and imprecision.

Conclusions:

• RCDP may be a valuable instructional feature for basic and advanced life support training.
• Significant variations exist in RCDP delivery, lacking uniformity.
• Further research is required on medium/long-term effects and diverse target groups.