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Updated: Jan 18, 2026

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Video-Assisted Instruction Versus Simulation-Based Mastery Learning for Lumbar Puncture Skill Development in

Archana Bhat1, Vijay Sundarsingh2, Manoj Kumar2

  • 1Department of Internal Medicine, Father Muller Medical College, Mangalore, IND.

Cureus
|January 16, 2026
PubMed
Summary

Video-assisted instruction quickly improves lumbar puncture (LP) skills, but simulation-based mastery learning (SBML) offers better long-term retention for medical students. Combining both methods enhances procedural competency.

Keywords:
lumbar puncture trainingmedical educationobjective structured assessment of technical skills (osats)procedural skill retentionsimulation-based mastery learningtechnical skills assessmentundergraduate medical studentsvideo-assisted instruction

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Area of Science:

  • Medical Education
  • Surgical Skills Training
  • Procedural Competency Assessment

Background:

  • Lumbar puncture (LP) is a critical but challenging medical procedure.
  • Undergraduate medical training offers limited opportunities for practicing LP.
  • Video-assisted instruction and simulation-based mastery learning (SBML) are potential training solutions.

Purpose of the Study:

  • To compare the effectiveness of video-assisted instruction versus SBML for undergraduate lumbar puncture training.
  • To assess immediate and long-term retention of procedural skills and knowledge acquisition.

Main Methods:

  • A randomized study involving 30 final-year MBBS students comparing video-assisted instruction and SBML.
  • Knowledge assessed via questionnaire; procedural skills evaluated using Objective Structured Assessment of Technical Skills (OSATS) at immediate and 2-week follow-up.
  • Data analyzed using mixed-design ANOVA and paired t-tests.

Main Results:

  • Video-assisted instruction yielded higher immediate OSATS scores (p=.004).
  • SBML showed improved scores at 2-week follow-up with superior retention (114% vs 91%).
  • Both groups demonstrated significant knowledge gains (p=0.017).

Conclusions:

  • Video-assisted instruction enhances initial lumbar puncture skill acquisition.
  • SBML promotes better long-term retention of procedural skills.
  • Integrating both methods into curricula may optimize student competency and patient care.