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Simulation-based Mastery Learning Improves Critical Care Skills of Advanced Practice Providers by Kaitlyn M. Vitale; Jeffrey H. Barsuk; Elaine R. Cohen; Diane B. Wayne; Renee N. Hansen; Lisa M. Williams; Madeline Rosenbaum; James M. Walter; Clara J. Schroedl is a Medicine article available to read on EtoBox.

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## Background Advanced practice providers (APPs) are essential members of intensive care unit (ICU) interprofessional teams and are expected to be competent in performing procedures. There are no published criteria for establishing when APPs can independently perform procedures. Simulation-based mastery learning (SBML) is an effective strategy for improving critical care skills but has not been applied to practicing ICU APPs. ## Objective The purpose of this study was to evaluate if an SBML curriculum could improve the critical care skills and procedural self-confidence of ICU APPs. ## Methods We performed a pretest–posttest study of central venous catheter (CVC) insertion, thoracentesis, and mechanical ventilation (MV) management skills among ICU APPs who participated in an SBML course at an academic hospital. For each skill, APPs underwent baseline skills assessments (pretests) on a simulator using previously published checklists, followed by didactic sessions and deliberate practice with individualized feedback. Within 2 weeks, participants were required to meet or exceed previously established minimum passing standards (MPS) on simulated skills assessments (posttests) using the

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Author

Kaitlyn M. Vitale; Jeffrey H. Barsuk; Elaine R. Cohen; Diane B. Wayne; Renee N. Hansen; Lisa M. Williams; Madeline Rosenbaum; James M. Walter; Clara J. Schroedl

Publisher

American Thoracic Society

Published

2023

Language

EN

Field

Medicine (Health Sciences)