Skip to main content

Part of the book series: Comprehensive Healthcare Simulation ((CHS))

  • 967 Accesses

Abstract

A rigorous education intervention cannot succeed without well-planned implementation and careful ongoing management. Specific steps needed to achieve education and translational science goals include (a) planning for mastery learning, (b) pilot testing, (c) implementation, and (d) continuous management. Successful mastery learning programs rely on numerous resources. Planning for implementation includes obtaining resources such as space, time, supplies, equipment, and faculty. Pilot testing ensures that scenarios and assessment tools are refined and accurate. Implementation requires highly engaged faculty and learners who complete rigorous deliberate practice with individualized performance feedback. During outcome assessment, predetermined outcome measures are evaluated. Finally, ongoing management is necessary for mastery learning programs that may undergo periodic revision based on feedback and reaching education and clinical outcomes. When planning for dissemination, understanding culture, setting, and the downstream collateral impact of a mastery learning program is critical.

This chapter discusses the execution and management of mastery learning programs. We highlight specific examples that illustrate barriers and facilitators including faculty time, materials, scheduling logistics, data collection, and follow-up.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Cohen ER, Feinglass J, Barsuk JH, et al. Cost savings from reduced catheter-related bloodstream infection after simulation-based education for residents in a medical intensive care unit. Simul Healthc. 2010;5(2):98–102.

    Article  PubMed  Google Scholar 

  2. Thompson LL. Making the team: a guide for managers. 6th ed. New York: Pearson Education; 2016.

    Google Scholar 

  3. Salas E, Rosen MA, Burke CS, et al. The making of a dream team: when expert teams do best. In: Ericsson KA, Charness N, Feltovich PJ, Hoffman RR, editors. The Cambridge handbook of expertise and expert performance. New York: Cambridge University Press; 2006.

    Google Scholar 

  4. McGaghie WC, Pugh CM, Wayne DB. Fundamentals of educational research using clinical simulation. In: Kyle RR, Murray WB, editors. Clinical simulation: operations, engineering, and management. Burlington: Academic Press; 2008.

    Google Scholar 

  5. Stagl KC, Salas E, Burke CS. Best practices in team leadership: what team leaders do to facilitate team effectiveness. In: Conger J, Riggio R, editors. The practice of leadership: developing the next generation of leaders. San Francisco: Jossey-Bass; 2007.

    Google Scholar 

  6. Wayne DB, Didwania A, Feinglass J, Fudala MJ, Barsuk JH, McGaghie WC. Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control study. Chest. 2008;133(1):56–61.

    Article  PubMed  Google Scholar 

  7. Barsuk JH, Cohen ER, Vozenilek JA, O’Connor L, McGaghie WC, Wayne DB. Simulation-based education with mastery learning improves paracentesis skills. J Grad Med Educ. 2012;4(1):23–7.

    Google Scholar 

  8. Salzman DH, McGaghie WC, Caprio TW, et al. A mastery learning capstone course to teach and assess components of three entrustable professional activities to graduating medical students. Teach Learn Med. 2019;31(2):186–94.

    Article  PubMed  Google Scholar 

  9. Schroedl CJ, Corbridge TC, Cohen ER, Fakhran SS, Schimmel D, McGaghie WC, Wayne DB. Use of simulation-based education to improve resident learning and patient care in the medical intensive care unit: a randomized trial. J Crit Care. 2012;27(2):219.e7–219.e13.

    Article  Google Scholar 

  10. Barsuk JH, McGaghie WC, Cohen ER, Balachandran JS, Wayne DB. Use of simulation-based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unit. J Hosp Med. 2009;4(7):397–403.

    Article  PubMed  Google Scholar 

  11. Barsuk JH, McGaghie WC, Cohen ER, O’Leary KJ, Wayne DB. Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit. Crit Care Med. 2009;37(10):2697–701.

    PubMed  Google Scholar 

  12. Cohen ER, Barsuk JH, Moazed F, Caprio C, Didwania A, McGaghie WC, Wayne DB. Making July safer: simulation-based mastery learning during intern bootcamp. Acad Med. 2013;88(2):233–9.

    Article  PubMed  Google Scholar 

  13. Butter J, McGaghie WC, Cohen ER, Kaye M, Wayne DB. Simulation-based mastery learning improves cardiac auscultation skills in medical students. J Gen Intern Med. 2010;25(8):780–5.

    Google Scholar 

  14. Barsuk JH, Cohen ER, Simuni T, Caprio T, McGaghie WC, Wayne DB. Simulation-based education with mastery learning improves residents’ lumbar puncture skills. Neurology. 2012;79(2):132–7.

    Google Scholar 

  15. Szmuilowicz E, Neeley KJ, Sharma RK, Cohen ER, McGaghie WC, Wayne DB. Improving residents’ code status discussion skills: a randomized trial. J Palliat Med. 2012;15(7):768–74.

    Google Scholar 

  16. Gossett DR, Gilchrist-Scott D, Wayne DB, Gerber SE. Simulation training for forceps-assisted vaginal delivery and rates of maternal perineal trauma. Obstet Gynecol. 2016;128(3):429–35.

    Article  CAS  PubMed  Google Scholar 

  17. Wayne DB, Butter J, Siddall VJ, et al. Mastery learning of advanced cardiac life support skills by internal medicine residents using simulation technology and deliberate practice. J Gen Intern Med. 2006;21(3):251–6.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Barsuk JH, Cohen ER, Wayne DB, Siddall VJ, McGaghie WC. Developing a simulation-based mastery learning curriculum: lessons learned from 11 years of advanced cardiac life support. Simul Healthc. 2016;11(1):52–9.

    Article  PubMed  Google Scholar 

  19. Schwab B, Teitelbaum EN, Barsuk JH, Soper NJ, Hungness ES. Single-stage laparoscopic management of choledocholithiasis: an analysis after implementation of a mastery learning resident curriculum. Surgery. 2018;163(3):503–8.

    Article  PubMed  Google Scholar 

  20. Barsuk JH, Cohen ER, Feinglass J, et al. Cost savings of performing paracentesis procedures at the bedside after simulation-based education. Simul Healthc. 2014;9(5):312–8.

    Article  PubMed  Google Scholar 

  21. Downing SM, Tekian A, Yudkowsky R. Procedures for establishing defensible absolute passing scores on performance examinations in health professions education. Teach Learn Med. 2006;18(1):50–7.

    Article  PubMed  Google Scholar 

  22. Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998;52(6):377–84.

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Vermylen JH, Wood GJ, Cohen ER, Barsuk JH, McGaghie WC, Wayne DB. Development of a simulation-based mastery learning curriculum for breaking bad news. J Pain Symptom Manag. 2019;57(3):682–7.

    Article  Google Scholar 

  24. Barsuk JH, Cohen ER, Wayne DB, McGaghie WC, Yudkowsky R. A comparison of approaches for mastery learning standard setting. Acad Med. 2018;93(7):1079–84.

    Article  PubMed  Google Scholar 

  25. Wayne DB, Butter J, Cohen ER, McGaghie WC. Setting defensible standards for cardiac auscultation skills in medical students. Acad Med. 2009;84(10 Suppl):S94–6.

    Article  PubMed  Google Scholar 

  26. Miami Group. UMedic user manual. Miami: Gordon Center for Research in Medical Education, University of Miami Miller School of Medicine; 2008.

    Google Scholar 

  27. Downing SM, Haladyna TM. Handbook of test development. Mahwah: L. Erlbaum; 2006.

    Google Scholar 

  28. Stufflebeam DL. The checklists development checklist. 2000. Available at: https://wmich.edu/sites/default/files/attachments/u350/2014/guidelines_cdc.pdf. Accessed 10 Dec 2018.

  29. Adler MD, Vozenilek JA, Trainor JK, et al. Comparison of checklist and anchored global rating instruments for performance rating of simulated pediatric emergencies. Simul Healthc. 2011;6(1):18–24.

    Google Scholar 

  30. Dunning D, Heath C, Suls JM. Flawed self-assessment: implications for health, education, and the workplace. Psychol Sci Public Interest. 2004;5(3):69–106.

    Article  PubMed  Google Scholar 

  31. Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296(9):1094–102.

    Article  CAS  PubMed  Google Scholar 

  32. Barsuk JH, Cohen ER, Feinglass J, McGaghie WC, Wayne DB. Unexpected collateral effects of simulation-based medical education. Acad Med. 2011;86(12):1513–7.

    Article  PubMed  Google Scholar 

  33. Cohen ER, Barsuk JH, McGaghie WC, Wayne DB. Raising the bar: reassessing standards for procedural competence. Teach Learn Med. 2013;25(1):6–9.

    Article  PubMed  Google Scholar 

  34. International Liaison Committee on Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Circulation. 2005;112(Suppl III):III-1-136. [Context Link].

    Google Scholar 

  35. Proceedings of the 2005 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation. 2005;67:157–341.

    Google Scholar 

  36. Wayne DB, Nitzberg M, Reddy S, et al. Advanced cardiac life support checklists for simulation-based education. MedEdPORTAL. 2014. Available at: https://www.mededportal.org/publication/9697/. Accessed 10 Dec 2018.

  37. Robbins S. Organizational behavior. 10th ed. Upper Saddle River: Prentice Hall; 2003.

    Google Scholar 

  38. Kotter JP. Leading change. Boston: Harvard Business Review Press; 2012.

    Google Scholar 

  39. Rogers EM. Diffusion of innovations. New York: Free Press of Glencoe; 1962.

    Google Scholar 

  40. Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci. 2009;4:50.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Feldstein AC, Glasgow RE. A practical, robust implementation and sustainability model (PRISM) for integrating research findings into practice. Jt Comm J Qual Patient Saf. 2008;34(4):228–43.

    Article  PubMed  Google Scholar 

  42. Glasgow RE. The REAIM model. In: Glanz K, Lewis FM, Rimer BK, editors. Health behavior and health education. San Francisco: John Wiley & Sons; 2002.

    Google Scholar 

  43. Kitson A, Harvey G, McCormack B. Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care. 1998;7:149–58.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Cameron KA, Cohen ER, Hertz JR, Wayne DB, Mitra D, Barsuk JH. Barriers and facilitators to central venous catheter insertion: a qualitative study. J Patient Saf. 2018. [Epub ahead of print].

    Google Scholar 

  45. Cohen ER, Barsuk JH, Hertz JR, et al. Healthcare providers’ awareness and understanding of competency requirements for central venous catheter insertion. AMEE MedEDPublish. 2018. Available at: https://doi.org/10.15694/mep.2018.0000012.1.

  46. Barsuk JH, Cohen ER, Potts S, et al. Dissemination of a simulation-based mastery learning intervention reduces central line-associated bloodstream infections. BMJ Qual Saf. 2014;23(9):749–56.

    Google Scholar 

  47. Dearing JW. Applying diffusion of innovation theory to intervention development. Res Soc Work Pract. 2009;19(5):503–18.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Elaine R. Cohen .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Cohen, E.R., Cameron, K.A., Barsuk, J.H., Wayne, D.B. (2020). Implementing and Managing a Mastery Learning Program. In: McGaghie, W., Barsuk, J., Wayne, D. (eds) Comprehensive Healthcare Simulation: Mastery Learning in Health Professions Education. Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-030-34811-3_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-34811-3_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-34810-6

  • Online ISBN: 978-3-030-34811-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics