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Impact of Simulation-based Mastery Learning on Management of Massive Hemoptysis
Timothy J Rowe1, Kaitlyn M Vitale1, Elizabeth S Malsin2
1Department of Medicine and.
ATS Scholar
|July 26, 2024
Summary
Simulation-based mastery learning effectively trained pulmonary and critical care medicine fellows in managing massive hemoptysis, improving skills significantly compared to traditional methods.
Area of Science:
- Medical Education
- Simulation-based Training
- Pulmonary Medicine
Background:
- Massive hemoptysis management is a high-risk procedure with high mortality rates.
- Pulmonary and Critical Care Medicine (PCCM) fellows often lack adequate training in this area.
- Simulation-based mastery learning (SBML) has not been previously applied to massive hemoptysis management.
Purpose of the Study:
- To develop a high-fidelity simulator for massive hemoptysis.
- To implement an SBML curriculum for PCCM fellows.
- To evaluate the impact of SBML on the management skills of PCCM fellows.
Main Methods:
- A high-fidelity simulator was modified to simulate bleeding from segmental airways.
- An SBML curriculum, a validated 26-item checklist, and a minimum passing standard (MPS) were developed.
- PCCM fellows underwent pretesting, SBML training with deliberate practice, and posttesting until mastery (MPS of 88%) was achieved, with comparisons to traditionally trained providers.
Main Results:
- SBML participants' mean checklist scores improved from 67.7% (pretest) to 92.3% (mastery posttest).
- Traditionally trained providers scored an average of 60.6%.
- The SBML training demonstrated a significant improvement in massive hemoptysis management skills.
Conclusions:
- Developing and implementing a massive hemoptysis simulator and SBML curriculum is feasible.
- This approach can effectively address the training gaps in massive hemoptysis management for PCCM fellows.
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