Related Experiment Video
Updated: Jan 11, 2026

Author Spotlight: Evaluating Clinicians' Adoption of Ultrasound-Guided Vascular Cannulation Through Simulation Training
Published on: August 9, 2024
Effectiveness of Rapid Cycle Deliberate Practice (RCDP) on Technical and Non-Technical Skills in Chest Tube Insertion
Killen H Briones-Zamora1, Melani Chávez Vega2, Anahí D Briones-Zamora2
1Universidad de Especialidades Espíritu Santo (UEES), Samborondón, Ecuador.
Objective:
To evaluate the effectiveness of Rapid Cycle Deliberate Practice (RCDP) compared to traditional simulation and Peyton's Four-Step Approach in improving technical and non-technical skills, during chest tube insertion and fixation in medical students.
Design:
Pilot quasi-experimental study conducted in 3 instructional cohorts. Each cohort received training through a different educational methodology: traditional simulation (control), RCDP, or Peyton's Four-Step Approach. All participants completed 2 standardized training sessions, followed by an individual simulation-based assessment. Technical performance was evaluated using the Objective Structured Assessment of Technical Skills (OSATS), patient communication skills were assessed with the CoMeD-OSCE scale, and non-technical skills such as leadership and teamwork were measured using the Non-Technical Skills for Surgeons (NOTSS) framework.
Setting:
The study was conducted between August 2024 and May 2025 at a teaching simulation center in Ecuador.
Results:
A total of 55 third-year medical students completed the study. The RCDP group achieved significantly higher scores in technical performance (OSATS mean 41.11, SD 8.32, p < 0.001), patient communication (CoMeD-OSCE mean 15.27, SD 3.93, p < 0.001), and non-technical skills (NOTSS mean 39.05, SD 4.97, p < 0.001) compared to the control and Peyton groups. Strong positive correlations were observed between technical and non-technical performance (OSATS and NOTSS r = 0.84; OSATS and CoMeD r = 0.61; both p < 0.001). Female students scored significantly higher in communication (p = 0.008) but not in leadership (p = 0.254).
Conclusions:
RCDP is an effective educational method for enhancing both technical and non-technical competencies in chest tube insertion and fixation among medical students. The integration of RCDP into simulation-based curricula may foster comprehensive clinical skill development. Future studies with randomized designs and larger sample sizes are recommended to assess long-term retention and generalizability across diverse clinical scenarios.
Related Concept Videos
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Cardiopulmonary Resuscitation II: ACLS Airway Management
Chest Physiotherapy
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...

