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{
    "pk": 17000,
    "title": "Simulation-based Mastery Learning Improves Emergency Medicine Residents’ Ability to Perform Temporary Transvenous Cardiac Pacing",
    "subtitle": null,
    "abstract": "Introduction: Temporary transvenous cardiac pacing (TVP) is a critical intervention that emergency physicians perform infrequently in clinical practice. Prior simulation studies revealed that emergency medicine (EM) residents and board-certified emergency physicians perform TVP poorly during checklist-based assessments. Our objective in this report was to describe the design and implementation of a simulation-based mastery learning (SBML) curriculum and evaluate its impact on EM residents’ ability to perform TVP.\nMethods: An expert panel of emergency physicians and cardiologists set a minimum passing standard (MPS) for a previously developed 30-item TVP checklist using the Mastery Angoff approach. Emergency medicine residents were assessed using this checklist and a high-fidelity TVP task trainer. Residents who did not meet the MPS during baseline testing viewed a procedure video and completed a 30-minute individual deliberate practice session before retesting. Residents who did not meet the MPS during initial post-testing completed additional deliberate practice and assessment until meeting or exceeding the MPS.\nResults: The expert panel set an MPS of correctly performing 28 (93.3%) checklist items. Fifty-seven EM residents participated. Mean checklist scores improved from 13.4 (95% CI 11.8-15.0) during baseline testing to 27.5 (95% CI 26.9-28.1) during initial post-testing (P < 0.01). No residents met the MPS at baseline testing. The 21 (36.8%) residents who did not meet the MPS during initial post-testing all met or exceeded the MPS after completing one additional 30-minute deliberate practice session.\nConclusion: Emergency medicine residents demonstrated significantly improved TVP performance with reduced variability in checklist scores after completing a simulation-based mastery learning curriculum.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "mastery learning"
        },
        {
            "word": "Simulation"
        },
        {
            "word": "transvenous pacing"
        }
    ],
    "section": "Education Special Issue - Original Research (Limit 3500 words)",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1pt1j29c",
    "frozenauthors": [
        {
            "first_name": "Matthew",
            "middle_name": "R",
            "last_name": "Klein",
            "name_suffix": "",
            "institution": "Northwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "Zachary",
            "middle_name": "P.",
            "last_name": "Schmitz",
            "name_suffix": "",
            "institution": "NYU Grossman School of Medicine, New York City, New York",
            "department": "None"
        },
        {
            "first_name": "Mark",
            "middle_name": "D.",
            "last_name": "Adler",
            "name_suffix": "",
            "institution": "Northwestern University Feinberg School of Medicine, Department of Pediatrics, Department of Medical Education, Chicago, Illinois",
            "department": "None"
        },
        {
            "first_name": "David",
            "middle_name": "H.",
            "last_name": "Salzman",
            "name_suffix": "",
            "institution": "Northwestern University Feinberg School of Medicine, Department of Emergency Medicine, Chicago, Illinois; Northwestern University Feinberg School of Medicine, Department of Medical Education, Chicago, Illinois",
            "department": "None"
        }
    ],
    "date_submitted": "2022-06-16T13:12:52Z",
    "date_accepted": "2022-06-16T13:12:52Z",
    "date_published": "2022-12-28T08:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/17000/galley/8597/download/"
        }
    ]
}