Abstract
This study aimed to assess the effectiveness of rapid cycle deliberate practice (RCDP)
in improving obstetrics and gynaecology residents’ performance and skill retention
in forceps-assisted vaginal deliveries. Thirty-three residents were randomly assigned
to RCDP or traditional debriefing. Performance was evaluated using an objective structured
assessment of technical skills (OSATS) tool. There were no significant differences
in immediate performance scores between groups (P = 0.082). At 4–6 months, both groups demonstrated improved performance scores (traditional,
P = 0.001; RCDP, P = 0.001). Seventy-six percent of residents in the RCDP group indicated “real-time”
feedback was advantageous. Three residents suggested this method was less beneficial
at a senior level.
Résumé
Cette étude visait à évaluer l’efficacité des pratiques d’acquisition rapide par simulation
(PARS, ou rapid-cycle deliberate practice en anglais) dans l’amélioration du rendement et le maintien des compétences chez
les résidents en obstétrique et gynécologie concernant l’accouchement vaginal assisté
par forceps. Trente-trois résidents ont été répartis aléatoirement aux PARS ou à la
rétroaction traditionnelle. Le rendement a été évalué à l’aide d’un outil d’évaluation
objective et structurée des compétences techniques. Aucune différence significative
n’a été observée entre les groupes par rapport aux scores de rendement immédiat (p = 0,082). À 4 à 6 mois, les 2 groupes ont obtenu des scores de rendement améliorés
(rétroaction traditionnelle : p = 0,001; PARS : p = 0,001). Soixante-seize pour cent des résidents du groupe PARS ont indiqué que la
rétroaction « en temps réel » était avantageuse. Trois résidents ont mentionné que
cette méthode serait moins bénéfique chez les résidents expérimentés.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Obstetrics and Gynaecology CanadaAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Rapid cycle deliberate practice in medical education-a systematic review.Cureus. 2017; 9e1180
- Pediatric resident resuscitation skills improve after “rapid cycle deliberate practice” training.Resuscitation. 2014; 85: 945-951
- Rapid cycle deliberate practice improves and sustains paediatric resident PALS performance.BMJ Simul Technol Enhanc Learn. 2020; 6: 257-261
- Graduating obstetrics and gynaecology residents’ readiness for practice: a cross-sectional survey study.J Obstet Gynaecol Can. 2019; 41: 1268-1275
- Development and validation of an objective structured assessment of technical skill tool for the practice of breech presentation delivery.Arch Gynecol Obstet. 2016; 294: 327-332
- Rapid cycle deliberate practice in healthcare simulation: a scoping review.Med Sci Edu. 2021; (1–16)
- Improvement of immediate performance in neonatal resuscitation through rapid cycle deliberate practice training.J Grad Med Edu. 2018; 10: 192-197
- Rapid cycle deliberate practice versus reflective debriefing for pediatric septic shock training.Pediatr Crit Care Med. 2019; 20: 481-489
- Improved team performance during pediatric resuscitations after rapid cycle deliberate practice compared with traditional debriefing: a pilot study.Pediatr Emer Care. 2019; 35: 480-486
- Learners’ experiences during rapid cycle deliberate practice simulations: a qualitative analysis.Simul Healthc. 2019; 14: 18-28
Article info
Publication history
Published online: May 09, 2022
Accepted:
April 7,
2022
Received:
January 28,
2022
Footnotes
Disclosures: This study was funded in part by the McMaster Postgraduate Medical Education Research Grant.
All authors have indicated they meet the journal’s requirements for authorship.
Identification
Copyright
© 2022 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
