Use of Simulation-Based Mastery Learning for Thoracentesis to Improve Outcomes
| Status: | Completed |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 7/15/2017 |
| Start Date: | December 2012 |
| End Date: | May 2016 |
Use of Simulation-Based Mastery Learning for Resident Thoracentesis Training to Improve Patient Outcomes
The goal of the proposed research is to investigate the use a medical simulation and mastery
learning (where all learners must reach a high standard before completion of training)
curriculum to improve internal medicine residents' skills when performing thoracentesis
procedures (remove fluid from around the lung) on patients. Additionally, we will evaluate
how these skills affect patient outcomes by comparing thoracenteses performed by
simulator-trained residents to those who have "traditional" training. This project will
evaluate these overall hypotheses: simulation-based training using the mastery learning
approach improves medicine resident's thoracentesis skills and improves patient outcomes and
satisfaction.
learning (where all learners must reach a high standard before completion of training)
curriculum to improve internal medicine residents' skills when performing thoracentesis
procedures (remove fluid from around the lung) on patients. Additionally, we will evaluate
how these skills affect patient outcomes by comparing thoracenteses performed by
simulator-trained residents to those who have "traditional" training. This project will
evaluate these overall hypotheses: simulation-based training using the mastery learning
approach improves medicine resident's thoracentesis skills and improves patient outcomes and
satisfaction.
Given medical procedures are the second most common cause of the complications that afflict
3% of hospitalized patients, simulation-based mastery learning should be applied to
procedures done in all medical centers. In academic hospitals, bedside procedures such as
thoracentesis procedures are often performed by unsupervised medical trainees. Traditionally,
medical trainees learn procedures relying on the historic "see one, do one, teach one"
mentality. Unfortunately, this approach subjects patients to procedures before trainees are
competent.
Through the use of medical simulation, medical educators can increase the essential knowledge
and skills of trainees while assuring procedural competence and reducing patient exposure to
undue risk. Medical simulation training using the mastery learning model improves clinical
skills and reduces the risk of procedure-associated injury. Our research group pioneered the
use of this evidence-based approach for teaching medical trainees. Mastery learning requires
that all trainees demonstrate a uniformly high level of skill before training completion.
This ensures competence on a medical simulator before actual patient encounters.
3% of hospitalized patients, simulation-based mastery learning should be applied to
procedures done in all medical centers. In academic hospitals, bedside procedures such as
thoracentesis procedures are often performed by unsupervised medical trainees. Traditionally,
medical trainees learn procedures relying on the historic "see one, do one, teach one"
mentality. Unfortunately, this approach subjects patients to procedures before trainees are
competent.
Through the use of medical simulation, medical educators can increase the essential knowledge
and skills of trainees while assuring procedural competence and reducing patient exposure to
undue risk. Medical simulation training using the mastery learning model improves clinical
skills and reduces the risk of procedure-associated injury. Our research group pioneered the
use of this evidence-based approach for teaching medical trainees. Mastery learning requires
that all trainees demonstrate a uniformly high level of skill before training completion.
This ensures competence on a medical simulator before actual patient encounters.
Inclusion Criteria:
- Patients:
- undergoing a thoracentesis procedure
- on internal medicine or hospitalist ward service
- English or Spanish Speaking
- 2nd and 3rd year internal medicine residents
Exclusion Criteria:
- Cognitive impairment
We found this trial at
1
site
303 East Superior Street
Chicago, Illinois 60611
Chicago, Illinois 60611
Principal Investigator: Jeffrey H. Barsuk, MD, MS
Phone: 312-926-3680
Click here to add this to my saved trials
