Camille Legoux1, Richard Gerein2,3,4, Kathy Boutis5, Nicholas Barrowman2,3, Amy Plint2,3,4. 1. Harvard Medical School Boston MA USA. 2. the Children's Hospital of Eastern Ontario (CHEO) University of Ottawa Ottawa Ontario Canada. 3. and the Department of Pediatrics University of Ottawa Ottawa Ontario Canada. 4. and the Department of Emergency Medicine University of Ottawa Ottawa Ontario Canada. 5. and The Hospital for Sick Children and Department of Pediatrics University of Toronto Toronto Ontario Canada.
Abstract
OBJECTIVE: While short-term gains in performance of critical emergency procedures are demonstrated after simulation, long-term retention is relatively uncertain. Our objective was to determine whether simulation of critical emergency procedures promotes long-term retention of skills in nonsurgical physicians. METHODS: We searched multiple electronic databases using a peer-reviewed strategy. Eligible studies 1) were observational cohorts, quasi-experimental or randomized controlled trials; 2) assessed intubation, cricothyrotomy, pericardiocentesis, tube thoracostomy, or central line placement performance by nonsurgical physicians; 3) utilized any form of simulation; and 4) assessed skill performance immediately after and at ≥ 3 months after simulation. The primary outcome was skill performance at or above a preset performance benchmark at ≥ 3 months after simulation. Secondary outcomes included procedural skill performance at 3, 6, and ≥ 12 months after simulation. RESULTS: We identified 1,712 citations, with 10 being eligible for inclusion. Methodologic quality was moderate with undefined primary outcomes; inadequate sample sizes; and use of nonstandardized, unvalidated tools. Three studies assessed performance to a specific performance benchmark. Two demonstrated maintenance of the minimum performance benchmark while two demonstrated significant skill decay. A significant decline in the mean performance scores from immediately after simulation to 3, 6, and ≥ 12 months after simulation was observed in four of four, three of four, and two of five studies, respectively. Scores remained significantly above baseline at 3, 6, and ≥ 12 months after simulation in three of four, three of four, and four of four studies, respectively. CONCLUSION: There were a limited number of studies examining the retention of critical skills after simulation training. While there was some evidence of skill retention after simulation, overall most studies demonstrated skill decline over time.
OBJECTIVE: While short-term gains in performance of critical emergency procedures are demonstrated after simulation, long-term retention is relatively uncertain. Our objective was to determine whether simulation of critical emergency procedures promotes long-term retention of skills in nonsurgical physicians. METHODS: We searched multiple electronic databases using a peer-reviewed strategy. Eligible studies 1) were observational cohorts, quasi-experimental or randomized controlled trials; 2) assessed intubation, cricothyrotomy, pericardiocentesis, tube thoracostomy, or central line placement performance by nonsurgical physicians; 3) utilized any form of simulation; and 4) assessed skill performance immediately after and at ≥ 3 months after simulation. The primary outcome was skill performance at or above a preset performance benchmark at ≥ 3 months after simulation. Secondary outcomes included procedural skill performance at 3, 6, and ≥ 12 months after simulation. RESULTS: We identified 1,712 citations, with 10 being eligible for inclusion. Methodologic quality was moderate with undefined primary outcomes; inadequate sample sizes; and use of nonstandardized, unvalidated tools. Three studies assessed performance to a specific performance benchmark. Two demonstrated maintenance of the minimum performance benchmark while two demonstrated significant skill decay. A significant decline in the mean performance scores from immediately after simulation to 3, 6, and ≥ 12 months after simulation was observed in four of four, three of four, and two of five studies, respectively. Scores remained significantly above baseline at 3, 6, and ≥ 12 months after simulation in three of four, three of four, and four of four studies, respectively. CONCLUSION: There were a limited number of studies examining the retention of critical skills after simulation training. While there was some evidence of skill retention after simulation, overall most studies demonstrated skill decline over time.
Authors: Caroline Park; Jennifer Grant; Ryan P Dumas; Linda Dultz; Thomas H Shoultz; Daniel J Scott; Stephen Luk; Kareem R Abdelfattah; Michael W Cripps Journal: J Trauma Acute Care Surg Date: 2020-02 Impact factor: 3.313
Authors: Anne Herrmann-Werner; Christoph Nikendei; Katharina Keifenheim; Hans Martin Bosse; Frederike Lund; Robert Wagner; Nora Celebi; Stephan Zipfel; Peter Weyrich Journal: PLoS One Date: 2013-09-25 Impact factor: 3.240
Authors: Rami A Ahmed; Dylan Cooper; Chassity L Mays; Chris M Weidman; Julie A Poore; Anna M Bona; Lauren E Falvo; Malia J Moore; Sally A Mitchell; Tanna J Boyer; S Scott Atkinson; Johnny F Cartwright Journal: Adv Simul (Lond) Date: 2022-08-09