Simulation-Based Mastery Learning of Flexible Bronchoscopy: Deciding Factors for Completion

Cold, Kristoffer Mazanti; Konge, Lars; Clementsen, Paul Frost; Nayahangan, Leizl Joy

doi:10.1159/000493431

Cited by 9 publications

(4 citation statements)

References 29 publications

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“…Yet only 36 have participated in the introductory course, and 9 failed to train to the point of meeting the pass/fail criteria. Other specialties have reported comparable outcomes [24]. This phenomenon is likely attributable to multiple factors.…”

Section: Resultsmentioning

confidence: 75%

Setting proficiency standards for simulation-based mastery learning of short antegrade femoral nail osteosynthesis: a multicenter study

Gustafsson,

Rölfing,

Palm

et al. 2024

ActaO

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Background and purpose: Orthopedic trainees frequently perform short antegrade femoral nail osteosynthesis of trochanteric fractures, but virtual reality simulation-based training (SBT) with haptic feedback has been unavailable. We explored a novel simulator, with the aim of gathering validity evidence for an embedded test and setting a credible pass/fail standard allowing trainees to practice to proficiency.Patients and methods: The research, conducted from May to September 2020 across 3 Danish simulation centers, utilized the Swemac TraumaVision simulator for short antegrade femoral nail osteosynthesis. The validation process adhered to Messick’s framework, covering all 5 sources of validity evidence. Participants included novice groups, categorized by training to plateau (n = 14) or to mastery (n = 10), and experts (n = 9), focusing on their performance metrics and training duration.Results: The novices in the plateau group and experts had hands-on training for 77 (95% confidence interval [CI] 59–95) and 52 (CI 36–69) minutes while the plateau test score, defined as the average of the last 4 scores, was 75% (CI 65–86) and 96% (CI 94–98) respectively. The pass/fail standard was established at the average expert plateau test score of 96%. All novices in the mastery group could meet this standard and interestingly without increased hands-on training time (65 [CI 46–84] minutes).Conclusion: Our study provides supporting validity evidence from all sources of Messick’s framework for a simulation-based test in short antegrade nail osteosynthesis of intertrochanteric hip fracture and establishes a defensible pass/fail standard for mastery learning of SBT. Novices who practiced using mastery learning were able to reach the pre-defined pass/fail standard and outperformed novices without a set goal for external motivation.

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Section: Resultsmentioning

confidence: 75%

Setting proficiency standards for simulation-based mastery learning of short antegrade femoral nail osteosynthesis: a multicenter study

Gustafsson,

Rölfing,

Palm

et al. 2024

ActaO

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“…Time (especially protected time) is one of the main barriers to implementation of simulation-based training. [ 46 47 ] The concept of directed self-regulated learning is ideal as trainees tailor their training time accordingly. [ 42 ] Additionally, this approach to learning also addresses one of the challenges in simulation that is the need for substantial faculty staff time.…”

Section: Step 5 Implementation Wide Implementation Of the Simulation-...mentioning

confidence: 99%

Developing a simulation-based training curriculum in transesophageal ultrasound with the use of the endobronchial ultrasound-endoscope

Nayahangan

Clementsen

Doubleday

et al. 2022

Endoscopic Ultrasound

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There is an increasing need to focus on how best to train respiratory physicians to perform EUS with bronchoscope-guided fine-needle aspiration biopsy (EUS-B-FNA). At current, training is mostly performed in the clinical environment under expert supervision; however, the advent of simulation-based education now provides a low-risk setting for novice trainees to learn and practice basic endosonography skills from identifying and understanding normal anatomy as well as pathology, maneuvering of endoscope, interpretation of images, and mastering of sampling techniques. In this descriptive educational paper, we used a six-step approach as a framework to describe the development of a structured training program combining EUS-B-FNA with the already well-established certification training program in endobronchial ultrasound transbronchial needle aspiration. This comprehensive training curriculum includes a theoretical course to achieve foundational knowledge, followed by simulation-based training until mastery standards are met, and supervised clinical apprenticeship. All steps should end with an objective assessment to achieve certification. This systematic development will hopefully encourage endosonography leaders and educators to collaborate and implement an evidence-based comprehensive endosonography curriculum that aims to provide the trainee with the essential EUS-B competencies to ensure that lung cancer patients are diagnosed and staged correctly.

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“…[45] Time Time (especially protected time) is one of the main barriers to implementation of simulation-based training. [46,47] The concept of directed self-regulated learning is ideal as trainees tailor their training time accordingly. [42] Additionally, this approach to learning also addresses one of the challenges in simulation that is the need for substantial faculty staff time.…”

Section: Personnelmentioning

confidence: 99%

Developing a simulation-based training curriculum in transesophageal ultrasound with the use of the endobronchial ultrasound-endoscope

et al. 2022

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HIGHLIGHT ARTICLES• Diagnosis and staging of lung cancer using transesophageal ultrasound: Training and assessment • Defining medical simulators for simulation-based education in EUS: Theoretical approach and a narrative review • Developing a simulation-based training curriculum in transesophageal ultrasound with the use of the endobronchial ultrasound-endoscope • Design and validation of a therapeutic EUS training program using a live animal model: Taking training to the next level • A core curriculum for basic EUS skills: An international consensus using the Delphi methodology 3.323 5.628

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Simulation-Based Mastery Learning of Flexible Bronchoscopy: Deciding Factors for Completion

Cited by 9 publications

References 29 publications

Setting proficiency standards for simulation-based mastery learning of short antegrade femoral nail osteosynthesis: a multicenter study

Setting proficiency standards for simulation-based mastery learning of short antegrade femoral nail osteosynthesis: a multicenter study

Developing a simulation-based training curriculum in transesophageal ultrasound with the use of the endobronchial ultrasound-endoscope

Developing a simulation-based training curriculum in transesophageal ultrasound with the use of the endobronchial ultrasound-endoscope

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