Simulation-based training program for peripherally inserted central catheter placement. Randomized comparative study of in-person training with synchronous feedback versus distance training with asynchronous feedback

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dc.article.number90297
dc.contributor.authorCorvetto, Marcia A.
dc.contributor.authorKattan, Eduardo
dc.contributor.authorRamirez, Gaspar
dc.contributor.authorBesa, Pablo
dc.contributor.authorAbbott Cáceres, Eduardo Francisco
dc.contributor.authorZamorano Rivera, Elga del Carmen
dc.contributor.authorContreras Ibacache, Víctor
dc.contributor.authorAltermatt, Fernando R.
dc.date.accessioned2025-04-15T10:30:40Z
dc.date.available2025-04-15T10:30:40Z
dc.date.issued2024
dc.description.abstractSimulation training that includes deliberate practice is effective for procedural skill training. Delivering feedback remotely and asynchronously has been examined for more cost-efficient training. This prospective randomized study aimed to compare 2 feedback techniques for simulation training: synchronous direct feedback versus asynchronous distance feedback (ASYNC). MethodsForty anesthesia and internal medicine residents were recruited after study approval by the institutional ethics committee. Residents reviewed instructional material on an online platform and performed a pretraining assessment (PRE) for peripherally inserted central catheter (PICC) placement. Each resident was then randomly assigned to 1 of 2 training types, practice with synchronous direct feedback (SYNC) or practice with ASYNC. Training consisted of four, 1-hour practice sessions; each was conducted once per week. Both groups underwent posttraining evaluation (POST). The PRE and POST assessments were videotaped and evaluated by 2 independent, blinded reviewers using a global rating scale. ResultsThirty-five residents completed the training program and both evaluations. Both groups had significantly improved global rating scale scores after 4 sessions. The SYNC group improved from 28 to 45 points (P < 0.01); the ASYNC group improved from 26.5 to 46 points (P < 0.01). We found no significant between-group differences for the PRE (P = 0.42) or POST assessments (P = 0.13). ConclusionThis simulation-based training program significantly improved residents' peripherally inserted central venous catheter placement skills using either modality. With these results, we are unable to demonstrate the superiority of synchronous feedback over ASYNC. Asynchronous feedback training modality represents a new, innovative approach for health care procedural skills training.
dc.description.funderDivision de Anestesiologia, Escuela de Medicina, Pontificia Universidad Catolica de Chile
dc.format.extent4 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1097/SIH.0000000000000805
dc.identifier.eissn1559-713X
dc.identifier.eissn1559-713X
dc.identifier.issn1559-2332
dc.identifier.pubmedidMEDLINE:16341375
dc.identifier.scopusidScopus_ID:85197748046
dc.identifier.urihttps://doi.org/10.1097/SIH.0000000000000805
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103284
dc.identifier.wosidWOS:001363920500006
dc.information.autorucEscuela de Medicina; Corvetto, Marcia A.; 0000-0003-4688-0210; 146036
dc.information.autorucEscuela de Medicina; Kattan, Eduardo; 0000-0002-1997-6893; 172152
dc.information.autorucEscuela de Medicina; Ramirez, Gaspar; S/I; 179225
dc.information.autorucEscuela de Medicina; Besa, Pablo; 0000-0001-6690-1678; 162788
dc.information.autorucEscuela de Medicina; Abbott Cáceres, Eduardo Francisco; 0000-0001-5713-4809; 17735
dc.information.autorucEscuela de Medicina; Contreras Ibacache, Víctor; 0000-0002-6081-0430; 101258
dc.information.autorucEscuela de Medicina; Altermatt, Fernando R.; 0000-0002-0464-8643; 7381
dc.issue.numero6
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final378
dc.pagina.inicio373
dc.relation.ispartof49th Annual Meeting of the International-Continence-Society (ICS), SEP 03-06, 2019, Gothenburg, SWEDEN
dc.revistaSimulation in Healthcare: The Journal of the Society for Simulation in Healthcare
dc.rightsacceso restringido
dc.subjectProcedural skills
dc.subjectDistance-based simulation
dc.subjectSimulation-based training
dc.subjectFeedback
dc.subjectPICC placement
dc.subjectVascular access
dc.subjectUltrasound guided
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleSimulation-based training program for peripherally inserted central catheter placement. Randomized comparative study of in-person training with synchronous feedback versus distance training with asynchronous feedback
dc.typeartículo
dc.volumen19
sipa.codpersvinculados146036
sipa.codpersvinculados172152
sipa.codpersvinculados179225
sipa.codpersvinculados162788
sipa.codpersvinculados17735
sipa.codpersvinculados101258
sipa.codpersvinculados7381
sipa.indexWOS
sipa.trazabilidadCarga WOS-SCOPUS;15-04-2025
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