Development and evaluation of a simulation-based mastery learning maintenance of certification course. Issue 3 (3rd July 2022)

• Record Type: Journal Article
• Authors: Bradley, Sara; Lindquist, Lee A.; Jones, Emily M.; Rowe, Theresa A.; O'Brien, Katherine T.; Dobschuetz, Dwayne; Argento, Angela C.; Mitra, Debi L.; Leonard, Craig; Cohen, Elaine R.; Wayne, Diane B.; Barsuk, Jeffrey H.
• Is Part Of: Gerontology & geriatrics education. Volume 43:Issue 3(2022)
• Page Start: 397
• Page End: 406
• Publication Date: 2022-07-03
• Subjects: Simulation -- mastery learning -- continuing Medical Education (CME) -- maintenance of Certification (MOC) -- gastrostomy tube; Geriatrics -- Study and teaching -- Periodicals; Gerontology -- Study and teaching -- Periodicals; 362.6
• DOI: 10.1080/02701960.2021.1891417
• Languages: English
• ISSNs: 0270-1960

Abstract

ABSTRACT: Background/Objectives: To develop and evaluate a post-acute care simulation-based mastery learning (SBML) continuing medical education (CME)/maintenance of certification (MOC) procedure course. Design: Pretest-posttest study of the SBML intervention. Setting: A 2-day post-acute care procedures course. Participants: Sixteen practicing clinicians (5 physicians, 11 advanced practice providers). Participants engaged in a skills pretest on knee aspiration/injection, gastrostomy tube removal/replacement, tracheostomy tube exchange, and basic suturing using a checklist created for each procedure. Participants received a didactic on each procedure followed by deliberate practice with feedback. Using the same checklists, participants completed a skills posttest and were required to meet a minimum passing standard (MPS) to obtain CME/MOC credit. Measurements: The MPS for each skills checklist was determined by a multidisciplinary panel of 11 experts. Participants completed surveys on procedure self-confidence and a course evaluation. Results: There was statistically significant improvement between pre- and posttests for all four procedures ( p < .001). All participants were able to meet or exceed the MPS for each skill during the 2-day course. Participants' self-confidence regarding each procedure improved significantly ( p < .001). Conclusion: An SBML training course granting CME/MOC credit for post-acute care providers significantly improves performance of knee aspiration/injection, gastrostomy tube removal/replacement, tracheostomy tube exchange, and basic suturing.