Does Simulation-Based Medical Education With Deliberate Practice Yield Better Results Than Traditional Clinical Education? A Meta-Analytic Comparative Review of the Evidence
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- 1 June 2011
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Academic Medicine
- Vol. 86 (6), 706-711
- https://doi.org/10.1097/acm.0b013e318217e119
Abstract
Purpose This article presents a comparison of the effectiveness of traditional clinical education toward skill acquisition goals versus simulation-based medical education (SBME) with deliberate practice (DP). Method This is a quantitative meta-analysis that spans 20 years, 1990 to 2010. A search strategy involving three literature databases, 12 search terms, and four inclusion criteria was used. Four authors independently retrieved and reviewed articles. Main outcome measures were extracted to calculate effect sizes. Results Of 3,742 articles identified, 14 met inclusion criteria. The overall effect size for the 14 studies evaluating the comparative effectiveness of SBME compared with traditional clinical medical education was 0.71 (95% confidence interval, 0.65–0.76; P < .001). Conclusions Although the number of reports analyzed in this meta-analysis is small, these results show that SBME with DP is superior to traditional clinical medical education in achieving specific clinical skill acquisition goals. SBME is a complex educational intervention that should be introduced thoughtfully and evaluated rigorously at training sites. Further research on incorporating SBME with DP into medical education is needed to amplify its power, utility, and cost-effectiveness.Keywords
This publication has 36 references indexed in Scilit:
- Simulation-based Mastery Learning Improves Cardiac Auscultation Skills in Medical StudentsJournal of General Internal Medicine, 2010
- Medical Education Research As Translational ScienceScience Translational Medicine, 2010
- The value of paradoxical tensions in medical education research.Medical Education, 2010
- Use of simulation‐based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unitJournal of Hospital Medicine, 2009
- Mastery learning of thoracentesis skills by internal medicine residents using simulation technology and deliberate practiceJournal of Hospital Medicine, 2008
- Laparoscopic Skills Are Improved With LapMentor??? TrainingAnnals of Surgery, 2006
- Mastery learning of advanced cardiac life support skills by internal medicine residents using simulation technology and deliberate practiceJournal of General Internal Medicine, 2006
- Does training in obstetric emergencies improve neonatal outcome?BJOG: An International Journal of Obstetrics and Gynaecology, 2006
- Realist review - a new method of systematic review designed for complex policy interventionsJournal of Health Services Research & Policy, 2005
- Features and uses of high-fidelity medical simulations that lead to effective learning: a BEME systematic reviewMedical Teacher, 2005