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Intern Performance No Better With Simulation-Based Training

Findings among a multicenter sample of pediatric interns undergoing procedure training

TUESDAY, Feb. 26 (HealthDay News) -- A single simulation-based medical education (SBME) training session is not sufficient to improve interns' clinical procedural performance in infant lumbar puncture (ILP) and child intravenous line placement (CIV), according to a study published online Feb. 25 in Pediatrics.

David O. Kessler, M.D., from Columbia University in New York City, and colleagues surveyed interns at 10 academic medical centers regarding knowledge of ILP and CIV. Interns watched audiovisual expert modeling of both procedures. Participants were then randomly allocated to SBME mastery learning for either ILP (104 interns) or CIV (96 interns) and served as controls for the procedure for which they did not receive the intervention. Clinical performance for both procedures was reported for the following six months.

The researchers found that of the 409 reported procedures, the ILP success rates were 34 percent for interns who received ILP mastery learning and 34 percent for controls. For CIV, among interns who received CIV mastery learning the success rate was 54 percent compared with 50 percent for controls.

"Despite training, interns were not adequately prepared for either procedure in the clinical setting as measured by low success rates," write the authors. "Although mastery learning may be a necessary component of skills education, it was not sufficient to affect clinical success rates."

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