Simulation-based training of internal medicine residents in advanced cardiac life support protocols: a randomized trial

Internal medicine residents must be competent in Advanced Cardiac Life Support (ACLS) for board certification. The purpose was to use a medical simulator to assess baseline proficiency in ACLS and determine the impact of an intervention on skill development. This was a randomized trial with wait-lis...

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Bibliographic Details
Published in:Teaching and learning in medicine 2005, Vol.17 (3), p.210-216
Main Authors: Wayne, Diane B, Butter, John, Siddall, Viva J, Fudala, Monica J, Linquist, Lee A, Feinglass, Joe, Wade, Leonard D, McGaghie, William C
Format: Article
Language:English
Subjects:
Academic Medical Centers
Adult
Advanced Cardiac Life Support - education
Algorithms
Certification
Clinical Competence
Computer Simulation
Female
Humans
Internal Medicine - education
Internship and Residency
Male
Teaching - methods
United States
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Summary:Internal medicine residents must be competent in Advanced Cardiac Life Support (ACLS) for board certification. The purpose was to use a medical simulator to assess baseline proficiency in ACLS and determine the impact of an intervention on skill development. This was a randomized trial with wait-list controls. After baseline evaluation in all residents, the intervention group received 4 education sessions using a medical simulator. All residents were then retested. After crossover, the wait-list group received the intervention, and residents were tested again. Performance was assessed by comparison to American Heart Association guidelines for treatment of ACLS conditions with interrater and internal consistency reliability estimates. Performance improved significantly after simulator training. No improvement was detected as a function of clinical experience alone. The educational program was rated highly.
ISSN:1040-1334