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Train-the-trainer: mastery session,[object Object],Improving infant LP skills through simulation-based mastery learning and just-in-time refreshersPOISE 2010-2011,[object Object]
HYPOTHESIS,[object Object],Participation in simulation-based mastery learning with just-in-time refreshers will lead to improved infant LP success rates,[object Object]
1.  ,[object Object],Online Survey & Audiovisual Training,[object Object],3.  ,[object Object],JIT:,[object Object],Just-in-time Refresher,[object Object],Session,[object Object],4.  ,[object Object],JIT:,[object Object],Just-in-time Refresher,[object Object],Session,[object Object],4.  ,[object Object],Clinical Lumbar Puncture,[object Object],5.  ,[object Object],Clinical Lumbar Puncture,[object Object],2.  ,[object Object],Mastery Learning Session,[object Object]
What is mastery training?,[object Object],Extreme form of competency based education,[object Object],Clearly described checklist of component steps,[object Object],Pre-defined target level of performance (mastery),[object Object],ALL participants achieve mastery ,[object Object],Duration and content of session tailored to specific needs,[object Object]
  Mastery Learning Session,[object Object],1.  Introduction,[object Object],6.  Mastery Performance,[object Object],3. ,[object Object],Skills Assessment,[object Object],4. ,[object Object],Mastery Checklist,[object Object],5.  ,[object Object],Coached Training,[object Object],2.  Orientation,[object Object]
1.  Introduction,[object Object],Introduce yourself to the intern.,[object Object],Read aloud:,[object Object],You are here to learn and practice your infant LP skills using this simulator.,[object Object],By the end of this session you will master all of the critical steps to perform this procedure.,[object Object]
2.  Simulator Orientation,[object Object],Iliac crests- point to spot represented by ridge in plastic,[object Object]
2.  Simulator Orientation,[object Object],Umblicus- point to spot where umbilicus would be,[object Object]
2.  Simulator Orientation,[object Object],Read aloud,[object Object],When you insert a needle into the proper interspace you will get fluid back in the same way you would on a real patient.,[object Object],I will serve as both your holder and teacher for this exercise. ,[object Object],Do you have any questions for me before we begin?,[object Object]
 Skills assessment,[object Object],Read introduction aloud,[object Object],Show me what you know about this procedure.,[object Object], Treat this simulator as if it is a real baby and start from the beginning of the procedure as you would in real life.,[object Object],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.,[object Object]
During this initial attempt encourage the learner to try their best to perform independently,[object Object],Let mistakes happen,[object Object],Help to identify the specific learning needs ,[object Object],Lead to effective learning,[object Object],Will guide the coached component of training,[object Object]
Use the mastery checklist to mark any steps ,[object Object],Not done,[object Object],Where errors were made,[object Object],The intern required help,[object Object],The checklist will provide a guide to tailor the subsequent training to the providers needs,[object Object]
Masterytrainthetrainer
Masterytrainthetrainer
Global rating,[object Object],[object Object]
 “Proficient” indicates ability to perform independently
“Expert” level is not expected,[object Object]
Read aloud:,[object Object],Now that you have independently tried this procedure are there any areas that you felt were challenging? ,[object Object],Address these areas with the learner first,[object Object],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.,[object Object],For each step describe or demonstrate the intern’s error and work with them until they can perform the step independently. ,[object Object]
✓,[object Object],✓,[object Object],✓,[object Object]
Error:  Wrong angle on needle insertion (aimed toward feet),[object Object],Needle inserted correctly and independently,[object Object]
 Mastery Performance,[object Object],The session will end once you and the learner feel that ALL STEPS can be performed without help. ,[object Object],If the learner does not achieved mastery mark the deficient step(s) and describe the reasons for stopping training,[object Object]
How to set up the simulator,[object Object],Fill bottle with water up to fill-line,[object Object],Insert bottle in pressure bag,[object Object],Inflate bag until pop-off valve hits 150mmHg,[object Object]

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Masterytrainthetrainer

Notas do Editor

  1. Thank trainers in advance for their participation and remind them that we need them to help champion the study in their clinical area
  2. This session will focus on teaching simulation based mastery learning. A separate presentation will provide training for the JIT sessions.
  3. 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
  4. Session format6 elementsIntroductionOrientation to simulatorSkills assessmentMastery checklist completionCoached training (bulk of session)Mastery performance (completion of session)
  5. 5. Coached training
  6. 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