• Teach Learn Med · Jan 2005

    Randomized Controlled Trial Clinical Trial

    Simulation-based training of internal medicine residents in advanced cardiac life support protocols: a randomized trial.

    • Diane B Wayne, John Butter, Viva J Siddall, Monica J Fudala, Lee A Linquist, Joe Feinglass, Leonard D Wade, and William C McGaghie.
    • Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA. dwayne@northwestern.edu
    • Teach Learn Med. 2005 Jan 1;17(3):210-6.

    BackgroundInternal medicine residents must be competent in Advanced Cardiac Life Support (ACLS) for board certification.PurposeThe purpose was to use a medical simulator to assess baseline proficiency in ACLS and determine the impact of an intervention on skill development.MethodThis was a randomized trial with wait-list controls. After baseline evaluation in all residents, the intervention group received 4 education sessions using a medical simulator. All residents were then retested. After crossover, the wait-list group received the intervention, and residents were tested again. Performance was assessed by comparison to American Heart Association guidelines for treatment of ACLS conditions with interrater and internal consistency reliability estimates.ResultsPerformance improved significantly after simulator training. No improvement was detected as a function of clinical experience alone. The educational program was rated highly.

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