Adaptive simulation training using cumulative sum: a randomized prospective trial.
Am J Surg
; 211(2): 377-83, 2016 Feb.
Article
em En
| MEDLINE
| ID: mdl-26548851
ABSTRACT
BACKGROUND:
Cumulative sum (Cusum) is a novel tool that can facilitate adaptive, individualized training curricula. The purpose of this study was to use Cusum to streamline simulation-based training.METHODS:
Preclinical medical students were randomized to Cusum or control arms and practiced suturing, intubation, and central venous catheterization in simulation. Control participants practiced between 8 and 9 hours each. Cusum participants practiced until Cusum proficient in all tasks. Group comparisons of blinded post-test evaluations were performed using Wilcoxon rank sum.RESULTS:
Forty-eight participants completed the study. Average post-test composite score was 92.1% for Cusum and 93.5% for control (P = .71). Cusum participants practiced 19% fewer hours than control group participants (7.12 vs 8.75 hours, P < .001). Cusum detected proficiency relapses during practice among 7 (29%) participants for suturing and 10 (40%) for intubation.CONCLUSIONS:
In this comparison between adaptive and volume-based curricula in surgical training, Cusum promoted more efficient time utilization while maintaining excellent results.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Cateterismo Venoso Central
/
Técnicas de Sutura
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Educação Baseada em Competências
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Educação Médica
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Treinamento por Simulação
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Intubação Intratraqueal
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article