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Tytuł:
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A Mastery Learning Module on Sterile Technique to Prepare Graduating Medical Students for Internship.
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Autorzy:
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Blumenfeld A; Medical Student, University of Wisconsin School of Medicine and Public Health.
Velic A; Medical Student, University of Wisconsin School of Medicine and Public Health.
Bingman EK; Education Manager, Department of Family Medicine, University of Wisconsin School of Medicine and Public Health.
Long KL; Assistant Professor, Department of Surgery, University of Wisconsin School of Medicine and Public Health.
Aughenbaugh W; Professor, Department of Dermatology, University of Wisconsin School of Medicine and Public Health; Vice Chair of Education, University of Wisconsin School of Medicine and Public Health.
Jung SA; Assistant Professor, Department of Surgery, University of Wisconsin School of Medicine and Public Health.
Liepert AE; Assistant Professor, Department of Surgery, University of Wisconsin School of Medicine and Public Health.
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Źródło:
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MedEdPORTAL : the journal of teaching and learning resources [MedEdPORTAL] 2020 Jun 29; Vol. 16, pp. 10914. Date of Electronic Publication: 2020 Jun 29.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Washington, DC : Association of American Medical Colleges, [2005]-
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MeSH Terms:
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Internship and Residency*
Students, Medical*
Clinical Competence ; Curriculum ; Educational Measurement ; Humans
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References:
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Acad Med. 2015 Aug;90(8):1025-33. (PMID: 25881645)
BMJ Qual Saf. 2014 Sep;23(9):749-56. (PMID: 24632995)
Acad Med. 2013 Aug;88(8):1178-86. (PMID: 23807104)
Neurology. 2012 Jul 10;79(2):132-7. (PMID: 22675080)
Surgery. 2019 Jun;165(6):1075-1081. (PMID: 30851948)
Acad Med. 2015 Nov;90(11):1438-41. (PMID: 26375269)
Crit Care Med. 2009 Oct;37(10):2697-701. (PMID: 19885989)
Ann Surg. 2011 Sep;254(3):502-9; discussion 509-11. (PMID: 21865947)
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Contributed Indexing:
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Keywords: Aseptic Technique; Clinical/Procedural Skills Training; Curriculum Development; Internship Preparation; Simulation; Simulation-Based Mastery Learning; Sterile Technique
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Entry Date(s):
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Date Created: 20200725 Date Completed: 20210624 Latest Revision: 20211030
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Update Code:
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20240104
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PubMed Central ID:
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PMC7373201
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DOI:
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10.15766/mep_2374-8265.10914
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PMID:
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32704532
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Introduction: Sterile technique is a basic technical skill used for a number of bedside procedures. Proper use of sterile technique improves patient safety by reducing infection risk.
Methods: We applied the principles of mastery learning to develop a simulation-based mastery learning module for sterile technique that was used as part of a 2-week internship preparatory course for fourth-year medical students. Forty-one medical students entering surgical or emergency medicine internships completed the module. Learners demonstrated baseline skills with a pretest, watched a didactic online video, participated in supervised deliberate practice sessions, and then completed a posttest. Physicians evaluated performance using a nine-item mastery checklist validated by a multispecialty panel of board-certified physicians. Learners who did not demonstrate mastery by correctly performing all nine checklist items received formative feedback and repeated the posttest as needed until mastery was achieved.
Results: No learners demonstrated mastery of sterile technique during pretesting. A total of 100% of learners demonstrated mastery of sterile technique during either their first or second attempt of the posttest. The learners reported statistically significantly higher levels of confidence at the end of the module.
Discussion: Our module highlights the skills gap that exists in the transition from undergraduate to graduate medical education and offers a cheap, effective, and easily reproducible curriculum for sterile technique that could be widely adopted for many learner populations.
(© 2020 Blumenfeld et al.)
