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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
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Debriefer cognitive load during Traditional Reflective Debriefing vs. Rapid Cycle Deliberate Practice
Susan Wiltrakis1, Ruth Hwu2, Sherita Holmes2
1Division of Emergency Medicine, Department of Pediatrics, Washington University in St. Louis, 660 S. Euclid Ave, St. Louis, MO, 63110, USA. susanwiltrakis@wustl.edu.
Advances in Simulation (London, England)
|June 4, 2024
Summary
Rapid Cycle Deliberate Practice (RCDP) reduced debriefer cognitive load and frustration compared to Traditional Reflective Debriefing (TRD). RCDP enhanced perceived performance success, making it a potentially less demanding method for simulation-based team training.
Area of Science:
- Medical Education
- Simulation-Based Training
- Cognitive Psychology
Background:
- Cognitive load significantly impacts performance in simulation-based training (SbTT).
- Limited research exists on debriefer cognitive load during SbTT.
- This study addresses the need to compare cognitive load between RCDP and TRD debriefing methods.
Purpose of the Study:
- To compare debriefer cognitive load between Rapid Cycle Deliberate Practice (RCDP) and Traditional Reflective Debriefing (TRD).
- To test the hypothesis that RCDP results in lower cognitive load for debriefers compared to TRD.
Main Methods:
- A quasi-randomized study involving 164 learners and 8 debriefers in pediatric emergency medicine SbTT.
- Cognitive load was measured using the NASA Task Load Index (TLX) before and after RCDP or TRD debriefing.
- ANOVA tests compared pre- and post-intervention TLX scores between RCDP and TRD groups.
Main Results:
- Both RCDP and TRD reduced frustration and physical demands for debriefers.
- RCDP showed a greater increase in perceived performance success compared to TRD (3.6 vs. 2.4).
- Main facilitators reported lower effort and mental demand with RCDP.
Conclusions:
- RCDP demonstrated greater perceived success for debriefers than TRD.
- RCDP may be a less mentally demanding debriefing approach for facilitators, especially in large-scale training or for less experienced debriefers.
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