Clinical Performance and Skill Retention after Simulation-based Education for Nephrology Fellows

摘要: We previously demonstrated that simulation-based education (SBE) improved temporary hemodialysis catheter (THDC) insertion skills by nephrology fellows. SBE, featuring deliberate practice and rigorous achievement standards, was a powerful method to enhance THDC in However, experts have called for further research evaluate skill transfer from the simulated environment actual clinical care retention. This is prospective observational cohort study of skills. Twelve fellows three academic centers Chicago were evaluated using checklist July 2008 June 2009. Simulator-trained tested after SBE intervention expected meet or exceed minimum passing score (MPS) set an expert panel. To assess care, simulator-trained assessed at 6 months on patient insertions checklist. retention skill, 11 12 reassessed 1 year central venous simulator. Outcomes determined performance. scored similarly during 6-month patients immediate posttest (M = 86.2%, SD 22.3% vs. M 93.5%, 5.3%, p 0.32). scores significantly lower than 73.4%, 22.2% 0.01). Our results show who completed displayed high levels performance later. At year, there statistically significant decay. recommend booster training months.