<h3>Background</h3> Simulation-based education improves procedural competence in central venous catheter (CVC) insertion. The effect of simulation-based CVC insertion on the incidence catheter-related bloodstream infection (CRBSI) is unknown. aim this study was to determine if training reduces CRBSI. <h3>Methods</h3> This an observational cohort set adult intensive care unit (ICU) urban teaching hospital. Ninety-two internal medicine and emergency residents completed a mastery learning...

Objective: To determine the effect of a simulation-based mastery learning model on central venous catheter insertion skill and prevalence procedure-related complications in medical intensive care unit over 1-yr period. Design: Observational cohort study an educational intervention. Setting: Tertiary-care urban teaching hospital. Subjects: One hundred three internal medicine emergency residents. Interventions: Twenty-seven residents were traditionally trained did not receive education. These...

Central venous catheter (CVC) insertions are performed frequently by internal medicine residents. Complications, including arterial puncture and pneumothorax, decrease when operators use fewer needle passes to insert the CVC. In this study, we evaluated effect of simulation-based mastery learning on CVC insertion skill.This was a cohort study jugular (IJ) subclavian (SC) 41 residents rotating through medical intensive care unit (MICU) over five-month period. Thirteen traditionally-trained...

Interventions to reduce preventable complications such as catheter-related bloodstream infections (CRBSI) can also decrease hospital costs. However, little is known about the cost-effectiveness of simulation-based education. The aim this study was estimate cost savings related a reduction in CRBSI after simulation training for residents.This an intervention evaluation estimating central venous catheter (CVC) insertion Medical Intensive Care Unit (MICU) at urban teaching hospital. After...

This report synthesises a subset of 31 journal articles on high-fidelity simulation-based medical education containing 32 research studies drawn from larger qualitative review published previously. These were selected because they present adequate data to allow for quantitative synthesis. We hypothesised an association between hours practice in and standardised learning outcomes measured as weighted effect sizes.Journal screened using 5 exclusion inclusion criteria. Response extracted 3...

A long and rich research legacy shows that under the right conditions, simulation-based medical education (SBME) is a powerful intervention to increase learner competence. SBME translational science demonstrates results achieved in educational laboratory (T1) transfer improved downstream patient care practices (T2) public health (T3).This qualitative synthesis of (TSR) employs critical review approach literature aggregation.Evidence from services programs are thematic, sustained, cumulative...

<h3>BACKGROUND AND PURPOSE:</h3> The 22q11.2 deletion syndrome is a common genetic microdeletion that results in cognitive delays and an increased risk of several psychiatric disorders, particularly schizophrenia. current study investigates the prevalence incidental neuroradiologic findings within this population their relationships with conditions. <h3>MATERIALS METHODS:</h3> Brain MR imaging from 58 individuals was reviewed by board-certified radiologists using standard clinical...

Clinical medical education in the 21st century is grounded a 19th-century model that relies on longitudinal exposure to patients as curriculum focus. The assumption students and postgraduate residents will learn from experience, vicarious or direct involvement patient care best teacher. weight of evidence shows, however, results such traditional clinical are uneven at best. Educational inertia endorsed until recently by school accreditation policies has maintained status quo for...

Background: Internal medicine residents must be competent in Advanced Cardiac Life Support (ACLS) for board certification. Purpose: The purpose was to use a medical simulator assess baseline proficiency ACLS and determine the impact of an intervention on skill development. Method: This randomized trial with wait-list controls. After evaluation all residents, group received 4 education sessions using simulator. All were then retested. crossover, intervention, tested again. Performance...

Abstract BACKGROUND Thoracentesis has been identified as a core competency for hospitalists. Residency training may not provide adequate preparation to perform this procedure. OBJECTIVE Our aim was use thoracentesis simulation assess graduating residents' proficiency in procedural skills and evaluate the impact of an educational intervention on skill development mastery standards. DESIGN This pretest–posttest learning design without control group. SETTING Participants were 40 third‐year...

Background Internal medicine residents must be competent in Advanced Cardiac Life Support (ACLS) for board certification. Traditional ACLS courses have limited ability to enable achieve and maintain skills. Educational programs featuring reliable measurements improved retention of skills would useful residency education. Method We developed a training program using medical simulator, small-group teaching deliberate practice. Residents received traditional education subsequently participated...

Simulation-based mastery learning (SBML) of central venous catheter (CVC) insertion improves trainee skill and patient care. How long skills are retained is unknown.This a prospective cohort study. Subjects completed SBML were required to meet or exceed minimum passing score (MPS) for CVC on posttest. Skills retested 6 12 months later compared with posttest results assess retention.Forty-nine 61 (80.3%) subjects follow-up testing. Although performance declined from where 100% met the MPS...

United States Medical Licensing Examination (USMLE) scores are frequently used by residency program directors when evaluating applicants. The objectives of this report to study the chain reasoning and evidence that underlies use USMLE Step 1 2 for postgraduate medical resident selection decisions evaluate validity argument about utility purpose.This is a research synthesis using critical review approach. first describes test specific purpose. It continues summarizing correlations reliable...

Medical education can lead to better health for individuals and populations when it has effective, evidence-based features is delivered under the right conditions. Effective, include mastery learning (ML), deliberate practice (DP), rigorous outcome measurement (ML DP are both defined below). The conditions a committed skillful faculty, curriculum integration institutional endorsement, care system acceptance. Translation of medical outcomes measurable downstream effects on improved patient...