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Comparative-Effectiveness of Simulation-Based Deliberate Practice Versus Self-Guided Practice on Resident Anesthesiologists' Acquisition of Ultrasound-Guided Regional Anesthesia Skills.

Publication ,  Journal Article
Udani, AD; Harrison, TK; Mariano, ER; Derby, R; Kan, J; Ganaway, T; Shum, C; Gaba, DM; Tanaka, P; Kou, A; Howard, SK ...
Published in: Reg Anesth Pain Med
2016

BACKGROUND AND OBJECTIVES: Simulation-based education strategies to teach regional anesthesia have been described, but their efficacy largely has been assumed. We designed this study to determine whether residents trained using the simulation-based strategy of deliberate practice show greater improvement of ultrasound-guided regional anesthesia (UGRA) skills than residents trained using self-guided practice in simulation. METHODS: Anesthesiology residents new to UGRA were randomized to participate in either simulation-based deliberate practice (intervention) or self-guided practice (control). Participants were recorded and assessed while performing simulated peripheral nerve blocks at baseline, immediately after the experimental condition, and 3 months after enrollment. Subject performance was scored from video by 2 blinded reviewers using a composite tool. The amount of time each participant spent in deliberate or self-guided practice was recorded. RESULTS: Twenty-eight participants completed the study. Both groups showed within-group improvement from baseline scores immediately after the curriculum and 3 months following study enrollment. There was no difference between groups in changed composite scores immediately after the curriculum (P = 0.461) and 3 months following study enrollment (P = 0.927) from baseline. The average time in minutes that subjects spent in simulation practice was 6.8 minutes for the control group compared with 48.5 minutes for the intervention group (P < 0.001). CONCLUSIONS: In this comparative effectiveness study, there was no difference in acquisition and retention of skills in UGRA for novice residents taught by either simulation-based deliberate practice or self-guided practice. Both methods increased skill from baseline; however, self-guided practice required less time and faculty resources.

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Published In

Reg Anesth Pain Med

DOI

EISSN

1532-8651

Publication Date

2016

Volume

41

Issue

2

Start / End Page

151 / 157

Location

England

Related Subject Headings

  • Ultrasonography, Interventional
  • Single-Blind Method
  • Male
  • Internship and Residency
  • Humans
  • Female
  • Computer Simulation
  • Clinical Competence
  • Anesthesiology
  • Anesthesiology
 

Citation

APA
Chicago
ICMJE
MLA
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Udani, A. D., Harrison, T. K., Mariano, E. R., Derby, R., Kan, J., Ganaway, T., … ADAPT (Anesthesiology-Directed Advanced Procedural Training) Research Group, . (2016). Comparative-Effectiveness of Simulation-Based Deliberate Practice Versus Self-Guided Practice on Resident Anesthesiologists' Acquisition of Ultrasound-Guided Regional Anesthesia Skills. Reg Anesth Pain Med, 41(2), 151–157. https://doi.org/10.1097/AAP.0000000000000361
Udani, Ankeet Deepak, T Kyle Harrison, Edward R. Mariano, Ryan Derby, Jack Kan, Toni Ganaway, Cynthia Shum, et al. “Comparative-Effectiveness of Simulation-Based Deliberate Practice Versus Self-Guided Practice on Resident Anesthesiologists' Acquisition of Ultrasound-Guided Regional Anesthesia Skills.Reg Anesth Pain Med 41, no. 2 (2016): 151–57. https://doi.org/10.1097/AAP.0000000000000361.
Udani, Ankeet Deepak, et al. “Comparative-Effectiveness of Simulation-Based Deliberate Practice Versus Self-Guided Practice on Resident Anesthesiologists' Acquisition of Ultrasound-Guided Regional Anesthesia Skills.Reg Anesth Pain Med, vol. 41, no. 2, 2016, pp. 151–57. Pubmed, doi:10.1097/AAP.0000000000000361.
Udani AD, Harrison TK, Mariano ER, Derby R, Kan J, Ganaway T, Shum C, Gaba DM, Tanaka P, Kou A, Howard SK, ADAPT (Anesthesiology-Directed Advanced Procedural Training) Research Group. Comparative-Effectiveness of Simulation-Based Deliberate Practice Versus Self-Guided Practice on Resident Anesthesiologists' Acquisition of Ultrasound-Guided Regional Anesthesia Skills. Reg Anesth Pain Med. 2016;41(2):151–157.

Published In

Reg Anesth Pain Med

DOI

EISSN

1532-8651

Publication Date

2016

Volume

41

Issue

2

Start / End Page

151 / 157

Location

England

Related Subject Headings

  • Ultrasonography, Interventional
  • Single-Blind Method
  • Male
  • Internship and Residency
  • Humans
  • Female
  • Computer Simulation
  • Clinical Competence
  • Anesthesiology
  • Anesthesiology