Rapid cycle deliberate practice vs. traditional simulation in a resource-limited setting

• DOI: 10.1186/s12909-019-1742-4
• Publication Date: 2019-08-22T09:03:17Z
• Authors: Samantha L. Rosman; Rosine Nyirasafari; Hippolyte Muhire ...; Christian Umuhoza; Elizabeth A. Camp; Debra L. Weiner; Marideth C. Rus
• Keywords: Debriefing

We sought to develop a low-fidelity simulation-based curriculum for pediatric residents in Rwanda utilizing either rapid cycle deliberate practice (RCDP) or traditional debriefing, and determine whether RCDP leads greater improvement performance resident confidence compared with debriefing.Pediatric at the Centre Hospitalier Universitaire de Kigali (CHUK) were randomly assigned simulation completed 6 month-long designed improve resuscitation skills. Pre- post- was assessed using modified version of Simulation Team Assessment Tool (STAT). Each video-taped reviewed by two investigators inter-rater reliability assessed. Self-confidence resuscitation, pre- post-simulation, Likert scale survey. Analyses conducted parametric non-parametric testing, ANCOVA intra-class correlation coefficients (ICC).There 21% increase post-test both groups (p < 0.001), but no difference between (mean - 0.003%; p 0.94). Inter-rater exceptional pre post ICCs ≥0.95 0.001). Overall, self-confidence scores improved from (24.0 vs. 30.0 respectively, however, there groups.Completion six-month led statistically significant on simulated resuscitation. instruction may be valuable tools skills resource-limited settings.