Skill Acquisition and Retention Following Simulation-Based Training in Pavlik Harness Application.
Background: Simulation-based learning is increasingly prevalent in many surgical training programs, as medical education moves toward competency-based curricula. In orthopaedic surgery, developmental dysplasia of the hip is a commonly treated condition, where the standard of care for patients less t...
| Publicado en: | Journal of Bone & Joint Surgery, American Volume Vol. 98; no. 10; pp. 866 - 871 |
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| Autores principales: | , , , , , |
| Formato: | Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
5/18/2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115469327&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 115469327 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00219355 1H2 jtl: Journal of Bone & Joint Surgery, American Volume issn: 00219355 maglogo: N pubinfo: dt: 5/18/2016 vid: 98 iid: 10 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 115469327 115469327 NLM27194497 10.2106/JBJS.15.00905 NLM27194497 115469327 ppf: 866 ppct: 5 formats: tig: atl: Skill Acquisition and Retention Following Simulation-Based Training in Pavlik Harness Application. aug: au: Moktar, Joel Bradley, Catharine S. Maxwell, Alexandra Wedge, John H. Kelley, Simon P. Murnaghan, M. Lucas affil: Investigation performed at the Division of Orthopaedic Surgery, The Hospital for Sick Children, Toronto, Ontario, Canada sug: subj: Orthopedic Surgery Standards Orthopedic Surgery Education Memory Hip Dislocation, Congenital Therapy Orthoses Clinical Competence Standards Educational Measurement Retrospective Design Videorecording Orthopedic Surgery Methods Models, Anatomic Scales ab: Background: Simulation-based learning is increasingly prevalent in many surgical training programs, as medical education moves toward competency-based curricula. In orthopaedic surgery, developmental dysplasia of the hip is a commonly treated condition, where the standard of care for patients less than six months of age is an orthotic device such as the Pavlik harness. However, despite widespread use of the Pavlik harness and the potential complications that may arise from inappropriate application, we know of no previously described formal training curriculum for Pavlik harness application.Methods: We developed a video and model-based simulation learning module for Pavlik harness application. Two novice groups (residents and allied health professionals) were exposed to the module and, at pre-intervention, post-intervention, and retention testing, were evaluated on their ability to apply a Pavlik harness to the model. Evaluations were completed using a previously validated Objective Structured Assessment of Technical Skills (OSATS) and a global rating scale (GRS) specific to Pavlik harness application. A control group that did not undergo the module was also evaluated at two time points to determine if exposure to the Pavlik harness alone would affect skill acquisition. All groups were compared with a group of clinical experts, whose scores were used as a competency benchmark. Statistical analysis of skill acquisition and retention was conducted using t tests and analysis of variance (ANOVA).Results: Exposure to the learning module improved resident and allied health professionals' competency in applying a Pavlik harness (p < 0.05) to the level of the expert clinicians, and this level of competency was retained one month after exposure to the module. Control subjects who were not exposed to the module did not improve, nor did they achieve competency.Conclusions: The simulation-based learning module was shown to be an effective tool for teaching the application of a Pavlik harness, and learners demonstrated retainable skills post-intervention. This learning module can form the cornerstone of formal teaching of Pavlik harness application for developmental dysplasia of the hip. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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