Abstract
Background: Several studies have shown the beneficial effects of mastery learning of a simulation-based course, but not all trainees complete it. Objectives: The purpose of this study was to find deciding factors for the completion of a simulation-based mastery learning course with distributive practice in flexible bronchoscopy. Methods: Seventy-seven trainees who signed up for the course were invited to a survey for deciding factors of completing the course. Sixty-two (81%) trainees answered the survey. Results: Male trainees were more likely to complete the course. The most important factor for completion was clinical relevance, and the most important factor for not completing the course was being “too busy.” Conclusion: Several deciding factors for completing the course were identified. Successful simulation-based mastery learning courses should be clinically relevant, and the trainees should be provided protected time to complete the training. The instructional design should also be adapted systematically for male and female trainees to achieve the necessary competencies.
References
1.
Ernst
A
, Silvestri
GA
, Johnstone
D
; American College of Chest Physicians
. Interventional pulmonary procedures: Guidelines from the American College of Chest Physicians
. Chest
. 2003
May
;123
(5
):1693
–717
.
[PubMed]
0012-36922.
Ouellette
DR
. The safety of bronchoscopy in a pulmonary fellowship program
. Chest
. 2006
Oct
;130
(4
):1185
–90
.
[PubMed]
0012-36923.
Knight
RK
, Clarke
SW
. An analysis of the first 300 fibreoptic bronchoscopies at the Brompton Hospital
. Br J Dis Chest
. 1979
Apr
;73
(2
):113
–20
.
[PubMed]
0007-09714.
Hsu
LH
, Liu
CC
, Ko
JS
. Education and experience improve the performance of transbronchial needle aspiration: a learning curve at a cancer center
. Chest
. 2004
Feb
;125
(2
):532
–40
.
[PubMed]
0012-36925.
Stather
DR
, MacEachern
P
, Chee
A
, Dumoulin
E
, Tremblay
A
. Trainee impact on procedural complications: an analysis of 967 consecutive flexible bronchoscopy procedures in an interventional pulmonology practice.
Respiration; international review of thoracic diseases. 2013
;85(5):422-8.6.
Ost
D
, DeRosiers
A
, Britt
EJ
, Fein
AM
, Lesser
ML
, Mehta
AC
. Assessment of a bronchoscopy simulator
. Am J Respir Crit Care Med
. 2001
Dec
;164
(12
):2248
–55
.
[PubMed]
1073-449X7.
Cook
DA
, Hatala
R
, Brydges
R
, Zendejas
B
, Szostek
JH
, Wang
AT
, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis
. JAMA
. 2011
Sep
;306
(9
):978
–88
.
[PubMed]
0098-74848.
Colt
HG
, Crawford
SW
, Galbraith
O
3rd. Virtual reality bronchoscopy simulation: a revolution in procedural training
. Chest
. 2001
Oct
;120
(4
):1333
–9
.
[PubMed]
0012-36929.
Barsuk
JH
, Cohen
ER
, Feinglass
J
, McGaghie
WC
, Wayne
DB
. Residents’ Procedural Experience Does Not Ensure Competence: A Research Synthesis
. J Grad Med Educ
. 2017
Apr
;9
(2
):201
–8
.
[PubMed]
1949-834910.
Siddaiah-Subramanya
M
, Smith
S
, Lonie
J
. Mastery learning: how is it helpful? An analytical review
. Adv Med Educ Pract
. 2017
Apr
;8
:269
–75
.
[PubMed]
1179-725811.
Cook
DA
, Hamstra
SJ
, Brydges
R
, Zendejas
B
, Szostek
JH
, Wang
AT
, et al. Comparative effectiveness of instructional design features in simulation-based education: systematic review and meta-analysis
. Med Teach
. 2013
;35
(1
):e867
–98
.
[PubMed]
0142-159X12.
Andersen
SA
, Konge
L
, Cayé-Thomasen
P
, Sørensen
MS
. Learning Curves of Virtual Mastoidectomy in Distributed and Massed Practice
. JAMA Otolaryngol Head Neck Surg
. 2015
Oct
;141
(10
):913
–8
.
[PubMed]
2168-618113.
Moulton
CA
, Dubrowski
A
, Macrae
H
, Graham
B
, Grober
E
, Reznick
R
. Teaching surgical skills: what kind of practice makes perfect?: a randomized, controlled trial
. Ann Surg
. 2006
Sep
;244
(3
):400
–9
.
[PubMed]
0003-493214.
Strandbygaard
J
, Bjerrum
F
, Maagaard
M
, Rifbjerg Larsen
C
, Ottesen
B
, Sorensen
JL
. A structured four-step curriculum in basic laparoscopy: development and validation
. Acta Obstet Gynecol Scand
. 2014
Apr
;93
(4
):359
–66
.
[PubMed]
0001-634915.
Konge
L
, Arendrup
H
, von Buchwald
C
, Ringsted
C
. Using performance in multiple simulated scenarios to assess bronchoscopy skills.
Respiration; international review of thoracic diseases. 2011
;81(6):483-90.16.
Ali
A
, Subhi
Y
, Ringsted
C
, Konge
L
. Gender differences in the acquisition of surgical skills: a systematic review
. Surg Endosc
. 2015
Nov
;29
(11
):3065
–73
.
[PubMed]
0930-279417.
Konge
L
, Ali
A
, Sørensen
M
, Bitsch
M
. [Gender differences among medical students in the approach to simulation]
. Ugeskr Laeger
. 2011
Dec
;173
(49
):3170
–3
.
[PubMed]
1603-682418.
Chauvin
SW
. Applying Educational Theory to Simulation-Based Training and Assessment in Surgery
. Surg Clin North Am
. 2015
Aug
;95
(4
):695
–715
.
[PubMed]
0039-610919.
Bandura
A
. Social cognitive theory: an agentic perspective
. Annu Rev Psychol
. 2001
;52
(1
):1
–26
.
[PubMed]
0066-430820.
Wallis
CJ
, Ravi
B
, Coburn
N
, Nam
RK
, Detsky
AS
, Satkunasivam
R
. Comparison of postoperative outcomes among patients treated by male and female surgeons: a population based matched cohort study
. BMJ
. 2017
Oct
;359
:j4366
.
[PubMed]
0959-813821.
Mehrotra
A
, Morris
M
, Gourevitch
RA
, Carrell
DS
, Leffler
DA
, Rose
S
, et al. Physician characteristics associated with higher adenoma detection rate
. Gastrointest Endosc
. 2018
Mar
;87
(3
):778
–786.e5
.
[PubMed]
0016-510722.
Brydges
R
, Manzone
J
, Shanks
D
, Hatala
R
, Hamstra
SJ
, Zendejas
B
, et al. Self-regulated learning in simulation-based training: a systematic review and meta-analysis
. Med Educ
. 2015
Apr
;49
(4
):368
–78
.
[PubMed]
0308-011023.
MacNeill
H
, Telner
D
, Sparaggis-Agaliotis
A
, Hanna
E
. All for one and one for all: understanding health professionals’ experience in individual versus collaborative online learning
. J Contin Educ Health Prof
. 2014
;34
(2
):102
–11
.
[PubMed]
0894-191224.
Bjerrum
AS
, Eika
B
, Charles
P
, Hilberg
O
. Dyad practice is efficient practice: a randomised bronchoscopy simulation study
. Med Educ
. 2014
Jul
;48
(7
):705
–12
.
[PubMed]
0308-011025.
Strandbygaard
J
, Bjerrum
F
, Maagaard
M
, Winkel
P
, Larsen
CR
, Ringsted
C
, et al. Instructor feedback versus no instructor feedback on performance in a laparoscopic virtual reality simulator: a randomized trial
. Ann Surg
. 2013
May
;257
(5
):839
–44
.
[PubMed]
0003-493226.
Mileder
L
, Wegscheider
T
, Dimai
HP
. Teaching first-year medical students in basic clinical and procedural skills—a novel course concept at a medical school in Austria
. GMS Z Med Ausbild
. 2014
Feb
;31
(1
):Doc6
.
[PubMed]
1860-357227.
Tucker
P
, Brown
M
, Dahlgren
A
, Davies
G
, Ebden
P
, Folkard
S
, et al. The impact of junior doctors’ worktime arrangements on their fatigue and well-being
. Scand J Work Environ Health
. 2010
Nov
;36
(6
):458
–65
.
[PubMed]
0355-314028.
Rodriguez-Jareño
MC
, Demou
E
, Vargas-Prada
S
, Sanati
KA
, Skerjanc
A
, Reis
PG
, et al. European Working Time Directive and doctors’ health: a systematic review of the available epidemiological evidence
. BMJ Open
. 2014
Jul
;4
(7
):e004916
.
[PubMed]
2044-605529.
Bonrath
EM
, Fritz
M
, Mees
ST
, Weber
BK
, Grantcharov
TP
, Senninger
N
, et al. Laparoscopic simulation training: does timing impact the quality of skills acquisition?
Surg Endosc
. 2013
Mar
;27
(3
):888
–94
.
[PubMed]
0930-279430.
Norman
G
. Likert scales, levels of measurement and the “laws” of statistics
. Adv Health Sci Educ Theory Pract
. 2010
Dec
;15
(5
):625
–32
.
[PubMed]
1382-499631.
Naur
TMH
, Nilsson
PM
, Pietersen
PI
, Clementsen
PF
, Konge
L
. Simulation-Based Training in Flexible Bronchoscopy and Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (EBUS-TBNA): A Systematic Review. Respiration; international review of thoracic diseases. 2017
;93(5):355-62.© 2018 S. Karger AG, Basel
2018
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