Simulation-Based Mastery Learning to Teach Distal Radius Fracture Reduction
| Autor: | William Dixon, Michael A. Gisondi, Nathaniel M Miller, Raffi S Avedian, Georgia G. Toal, Stefanie S Sebok-Syer |
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| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare. 16:e176-e180 |
| ISSN: | 1559-713X 1559-2332 |
| Popis: | INTRODUCTION Distal radius fractures are common orthopedic injuries managed in emergency departments. Simulation-based mastery learning is widely recognized to improve provider competence for bedside procedures but has not been studied to teach fracture management. This study evaluated the effectiveness of a simulation-based mastery learning curriculum to teach distal radius fracture reduction to novice orthopedic surgery and emergency medicine residents. METHODS We created a novel mastery learning checklist using the Mastery Angoff method of standard setting, paired with a new simulation model designed for this project, to teach orthopedic surgery and emergency medicine interns (N = 22) at the study site. Orthopedic surgery and emergency medicine faculty members participated in checklist development, curriculum design, and implementation. Training included just-in-time asynchronous education with a readiness assessment test, in-classroom expert demonstration, and deliberate practice with feedback. Residents completed a pretest/posttest skills examination and a presurvey/postsurvey assessing procedural confidence. RESULTS Standard setting resulted in a 41-item checklist with minimum passing score of 37/41 items. All participants met or surpassed the minimum passing score on postexamination. Postsurvey confidence levels were significantly higher than presurvey in all aspects of the distal radius fracture procedure (P < 0.05). CONCLUSIONS This study demonstrated that a simulation-based mastery learning curriculum improved skills and confidence performing distal radius fracture reductions for orthopedic surgery and emergency medicine interns. Future planned studies include curriculum testing across additional institutions, examination of clinical impact, and application of mastery learning for other orthopedic procedures. |
| Databáze: | OpenAIRE |
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