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Published on: August 9, 2024
Simulation-Based Training Program for Peripherally Inserted Central Catheter Placement: Randomized Comparative Study
Marcia A Corvetto1, Eduardo Kattan, Gaspar Ramírez
1From the División de Anestesiología (M.A.C., G.R., F.R.A.), Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Departamento de Medicina Intensiva (E.K.), Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; Departamento de Traumatología (P.B.), Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile; and Experimental Surgery and Simulation Center (M.A.C., E.A., E.Z., V.C.), Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Simulation training significantly improved peripherally inserted central catheter (PICC) placement skills for both synchronous direct feedback (SYNC) and asynchronous distance feedback (ASYNC) groups. No significant difference was found between the two feedback methods.
Area of Science:
- Medical Education
- Surgical Skills Training
- Simulation-Based Learning
Background:
- Deliberate practice in simulation training enhances procedural skills.
- Remote, asynchronous feedback offers a cost-efficient training alternative.
- This study compares synchronous direct feedback (SYNC) with asynchronous distance feedback (ASYNC) for simulation training.
Purpose of the Study:
- To compare the effectiveness of synchronous direct feedback versus asynchronous distance feedback for simulation training.
- To evaluate the impact of two feedback modalities on residents' procedural skills acquisition.
Main Methods:
- Forty residents underwent pretraining assessment (PRE) for peripherally inserted central catheter (PICC) placement.
- Residents were randomized to either SYNC or ASYNC training groups for four 1-hour sessions.
- Post-training evaluation (POST) assessments were videotaped and rated by blinded reviewers.
Main Results:
- Both SYNC and ASYNC groups showed significant improvement in global rating scale scores (P < 0.01).
- No significant differences in PRE or POST assessment scores were observed between the SYNC and ASYNC groups (P = 0.42 and P = 0.13, respectively).
Conclusions:
- Simulation-based training effectively improved residents' PICC placement skills regardless of feedback modality.
- This study did not demonstrate the superiority of synchronous feedback over asynchronous feedback.
- Asynchronous feedback presents an innovative approach for healthcare procedural skills training.
