4. What is mastery training? Extreme form of competency based education Clearly described checklist of component steps Pre-defined target level of performance (mastery) ALL participants achieve mastery Duration and content of session tailored to specific needs
6. 1. Introduction Introduce yourself to the intern. Read aloud: You are here to learn and practice your infant LP skills using this simulator. By the end of this session you will master all of the critical steps to perform this procedure.
7. 2. Simulator Orientation Iliac crests- point to spot represented by ridge in plastic
8. 2. Simulator Orientation Umblicus- point to spot where umbilicus would be
9. 2. Simulator Orientation Read aloud When you insert a needle into the proper interspace you will get fluid back in the same way you would on a real patient. I will serve as both your holder and teacher for this exercise. Do you have any questions for me before we begin?
10. Skills assessment Read introduction aloud Show me what you know about this procedure. Treat this simulator as if it is a real baby and start from the beginning of the procedure as you would in real life. Don’t worry if you have never done this before- I just want to get a sense of what you already know to help tailor this session to your needs.
11. During this initial attempt encourage the learner to try their best to perform independently Let mistakes happen Help to identify the specific learning needs Lead to effective learning Will guide the coached component of training
12. Use the mastery checklist to mark any steps Not done Where errors were made The intern required help The checklist will provide a guide to tailor the subsequent training to the providers needs
18. Read aloud: Now that you have independently tried this procedure are there any areas that you felt were challenging? Address these areas with the learner first In a step-by-step fashion coach the learner on any steps from the mastery checklist where they asked for help, an error occurred or that you identified as deficient. For each step describe or demonstrate the intern’s error and work with them until they can perform the step independently.
20. Error: Wrong angle on needle insertion (aimed toward feet) Needle inserted correctly and independently
21. Mastery Performance The session will end once you and the learner feel that ALL STEPS can be performed without help. If the learner does not achieved mastery mark the deficient step(s) and describe the reasons for stopping training
22. How to set up the simulator Fill bottle with water up to fill-line Insert bottle in pressure bag Inflate bag until pop-off valve hits 150mmHg
23. POISE aims to improve patient outcomes through the development and dissemination of robust educational interventions
Editor's Notes
Thank trainers in advance for their participation and remind them that we need them to help champion the study in their clinical area
This session will focus on teaching simulation based mastery learning. A separate presentation will provide training for the JIT sessions.
Concept-Providers achieve skill mastery during orientation.JIT refreshers to polish skills before clinical performance*worth the effort to improve safety and performance New paradigm for quality! = distributed practice(PALS, NRP, Airway Courses are one time and retention throughout recert time is poor)*Primary outcome = LP success rates
Session format6 elementsIntroductionOrientation to simulatorSkills assessmentMastery checklist completionCoached training (bulk of session)Mastery performance (completion of session)
5. Coached training
What is poise- (patient outcomes in simulation education)+Network studying medical education interventions and impact on patient care+Commitment to robust educational research and disseminating best educaiton practice+Multidisciplinary and multicenter network--still growing
