There are many opportunities for the academic emergency medicine (EM) community to engage in simulation-based educational research using deliberate practice (DP). This article begins by defining and giving examples of two key concepts: deliberate practice and mastery learning. The article proceeds to report six lessons learned from a research legacy in simulation-based medical education (SBME). It concludes by listing and amplifying 10 DP research opportunities in academic EM. A coda states that the research agenda is rich and ambitious and should focus on the goal of educating superb, expert clinicians. Keywords: research agenda, simulation, deliberate practice, emergency medicine T his article amplifies an earlier report in Academic Emergency Medicine that sets forth an ambitious simulation research agenda in the specialty.1 The earlier report addressed the simulation research agenda as five broad categories: 1) simulation for education and training in emergency medicine (EM)-clinical experience and reflection, behavioral and team training, procedural simulation, computer screen-based simulation, and immersive environments; 2) simulation for evaluation and testing in EM; 3) special topics in EM-care process and organizational design, studying and improving performance, disaster management, and undergraduate medical education; 4) challenges in simulation-based research; and 5) future directions. The research opportunities identified in this article have a much narrower focus, i.e., the use of deliberate practice (DP) as an independent variable in the context of simulation-based education in EM.This article reviews the following: DP, a mastery learning model, six lessons learned, and 10 DP research opportunities. It does not, however, address other important topics in simulation-based EM education, including high-stakes personnel evaluation, systemsbased practice, and patient safety, which are covered in the companion articles in this thematic issue of Academic Emergency Medicine.
DPDeliberate practice is an educational variable first described and evaluated by learning psychologist K. Anders Ericsson.2-5 DP endorses the idea that educational interventions must be strong, consistent, and sustained to promote lasting skill and knowledge attainment.6 Learners work hard when engaged in DP; it is not child's play. DP is an evidence-based variable that works and is grounded in information processing and behavioral theories of skill acquisition and maintenance.2-5 It involves at least nine features that can contribute to simulation-based education in EM:1. Highly motivated learners with good concentration (e.g., EM residents); 2. Engagement with a well-defined learning objective or task; at an 3. Appropriate level of difficulty; with 4. Focused, repetitive practice; that leads to 5. Rigorous, precise educational measurements; that yield 6. Informative feedback from educational sources (e.g., simulators, teachers); and where 7. Trainees also monitor their learning experiences and correct strategies, errors, and...