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Competency-Based Simulation Training for Procedural Skills: A Systematic Review and Meta-analysis

Julia H Vermylen1, Elaine R Cohen, David A Cook

  • 1Northwestern University (J.H.V., E.R.C., W.C.M., J.A., H.B., C.M., T.M.T., F.Y.), Feinberg School of Medicine, Cook County, IL; Mayo Clinic College of Medicine and Science (D.A.C.), Rochester, Minnesota; University of Miami School of Medicine (S.B.I.), Miami, FL; Neonatal Intensive Care Unit (NICU) (M.B.), Women's Wellness and Research Center (WWRC), Hamad Medical Corporation (HMC), Doha, Qatar; Galter Health Sciences Library and Learning Center (M.B.), Northwestern University, Feinberg School of Medicine, Cook County, IL; Department of Medicine (R.B.), University of Pennsylvania, Philadelphia, PA; Texas Tech University Health Sciences Center (S.C.), Foster School of Medicine, Lubbock, TX; Advocate Christ Medical Center (N.E.), Chicago, IL; University of Miami School of Medicine (A.M.), Miami, FL; Curtin Medical School (H.W.), Faculty of Health Sciences, Curtin University, Perth, Australia; and Columbia University Vagelos College of Physicians and Surgeons (D.O.K.), New York, NY.

Simulation in Healthcare : Journal of the Society for Simulation in Healthcare
|November 11, 2025
PubMed
Summary

Competency-based simulation training significantly improves medical procedural skills compared to non-competency-based methods. While practice behaviors and patient outcomes show smaller benefits, further research is needed to optimize simulation effectiveness.

Keywords:
Simulationcompetencydeliberate practicemastery learningproficiencyproficiency-based trainingpsychomotor skills

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