{"pk":17923,"title":"Rapid Cycle Deliberate Practice Training for Simulated Cardiopulmonary Resuscitation in Resident Education","subtitle":null,"abstract":"<b>Background:</b> Simulation-based medical education has been used in medical training for decades. Rapid cycle deliberate practice (RCDP) is a novel simulation strategy that uses iterative practice and feedback to achieve skill mastery. To date, there has been minimal evaluation of RCDP vs standard immersive simulation (IS) for the teaching of cardiopulmonary resuscitation to graduate medical education (GME) learners. Our primary objective was to compare the time to performance of Advanced Cardiac Life Support (ACLS) actions between trainees who completed RCDP vs IS.<p></p><p><b><b>Methods:</b> </b>This study was a prospective, randomized, controlled curriculum evaluation. A total of 55 postgraduate year-1 internal medicine and emergency medicine residents participated in the study. Residents were randomized to instruction by RCDP (28) or IS (27). Stress and ability were self-assessed before and after training using an anonymous survey that incorporated five-point Likert-type questions. We measured and compared times to initiate critical ACLS actions between the two groups during a subsequent IS.</p><p></p><p><b><b><b>Results:</b> </b></b>Prior learner experience between RCDP and IS groups was similar. Times to completion of the first pulse check, chest compression initiation, backboard placement, pad placement, initial rhythm analysis, first defibrillation, epinephrine administration, and antiarrhythmic administration were similar between RCDP and IS groups. However, RCDP groups took less time to complete the pulse check between compression cycles (6.2 vs 14.2 seconds, P = 0.01). Following training, learners in the RCDP and IS groups scored their ability to lead and their levels of anticipated stress similarly (3.43 vs 3.30,(P = 0.77), 2.43 vs. 2.41, P = 0.98, respectively). However, RCDP groups rated their ability to participate in resuscitation more highly (4.50 vs 3.96, P = 0.01). The RCDP groups also reported their realized stress of participating in the event as lower than that of the IS groups (2.36 vs 2.85, P = 0.01).</p><p></p><p><b><b><b><b>Conclusion: </b></b></b></b>Rapid cycle deliberate practice learners demonstrated a shorter pulse check duration, reported lower stress levels associated with their experience, and rated their ability to participate in ACLS care more highly than their IS-trained peers. Our results support further investigation of RCDP in other simulation settings.</p>","language":null,"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":"RCDP"},{"word":"Rapid Cycle Deliberate Practice"},{"word":"Simulation"},{"word":"Graduate Medical Education"},{"word":"CPR"},{"word":"resuscitation"},{"word":"acls"}],"section":"Education","is_remote":true,"remote_url":"https://escholarship.org/uc/item/3n38p6xd","frozenauthors":[{"first_name":"Jaron","middle_name":"D.","last_name":"Raper","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"None"},{"first_name":"Charles","middle_name":"A.","last_name":"Khoury","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"None"},{"first_name":"Anderson","middle_name":"","last_name":"Marshall","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Internal Medicine, Birmingham, Alabama","department":"None"},{"first_name":"Robert","middle_name":"","last_name":"Smola","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Internal Medicine, Birmingham, Alabama","department":"None"},{"first_name":"Zachary","middle_name":"","last_name":"Pacheco","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"None"},{"first_name":"Jason","middle_name":"","last_name":"Morris","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Internal Medicine, Birmingham, Alabama","department":"None"},{"first_name":"Guihua","middle_name":"","last_name":"Zhai","name_suffix":"","institution":"University of Alabama at Birmingham, Center for Clinical and Translational Science, Birmingham, Alabama","department":"None"},{"first_name":"Stephanie","middle_name":"","last_name":"Berger","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Pediatrics, Birmingham, Alabama","department":"None"},{"first_name":"Ryan","middle_name":"","last_name":"Kraemer","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Internal Medicine, Birmingham, Alabama","department":"None"},{"first_name":"Andrew","middle_name":"D.","last_name":"Bloom","name_suffix":"","institution":"University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama","department":"None"}],"date_submitted":"2023-03-03T22:23:47Z","date_accepted":"2023-03-03T22:23:47Z","date_published":"2024-02-09T14:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17923/galley/9604/download/"},"galleys":[{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/17923/galley/9604/download/"}]}