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Acad Med. 2010 Oct;85(10 Suppl):S9-12. doi: 10.1097/ACM.0b013e3181ed436c.

Long-term retention of central venous catheter insertion skills after simulation-based mastery learning.

Author information

1
Northwestern University Feinberg School of Medicine, Division of Hospital Medicine, Chicago, IL 60611, USA. jbarsuk@nmh.org

Abstract

BACKGROUND:

Simulation-based mastery learning (SBML) of central venous catheter (CVC) insertion improves trainee skill and patient care. How long skills are retained is unknown.

METHOD:

This is a prospective cohort study. Subjects completed SBML and were required to meet or exceed a minimum passing score (MPS) for CVC insertion on a posttest. Skills were retested 6 and 12 months later and compared with posttest results to assess skill retention.

RESULTS:

Forty-nine of 61 (80.3%) subjects completed follow-up testing. Although performance declined from posttest where 100% met the MPS for CVC insertion, 82.4% to 87.1% of trainees passed the exam and maintained their high performance up to one year after training.

CONCLUSIONS:

Skills acquired from SBML were substantially retained during one year. Individual performance cannot be predicted, so programs should use periodic testing and refresher training to ensure competence.

PMID:
20881713
DOI:
10.1097/ACM.0b013e3181ed436c
[Indexed for MEDLINE]

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