Qualitative Evaluation of Just-in-Time Simulation-Based Learning

Abstract

Just-in-time training improved procedural confidence with infant LP, but work place busyness and instructor lack of support or unawareness were barriers to JITT performance. Optimal LP JITT would occur with improved contextual fidelity. More research is needed to determine optimal training strategies that are effective for the learner and maximize clinical outcomes for the patient.

Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture

“…We explored some of the barriers and facilitators to the implementation of the workplace JIPT intervention in separate qualitative studies. 22,43 Interns cited barriers to successful workplace training interventions such as workplace busyness and instructor lack of support. In contrast, interns commonly mentioned that improved realism of the training model would improve the training experience.…”

“…In contrast, interns commonly mentioned that improved realism of the training model would improve the training experience. 22 Although there is an increasing trend toward more didactic and simulation education during medical school, the number of clinical infant LP procedural experiences is not sufficient to prepare incoming interns to perform these procedures. 2 In addition, confidence in ability to perform the infant LP procedure was consistently poor throughout all cohorts in this study and previous investigations.…”

“…Based on the literature and our own published qualitative assessments of intern perspectives on learning barriers and facilitators, the group decided that distributing training sessions throughout the year (distributed practice) would be a superior educational strategy. 21,22 Distributing learning activities over time (distributed practice) is a key instructional design strategy promoting skill improvement that was not included in our previous trials. 23 Simulation models for distributed practice sessions in the clinical setting have proven clinical impact for other pediatric skills such as cardiac compressions and central line dressing changes.…”

Perceptions on the Impact of a Just-in-Time Room on Trainees and Supervising Physicians in a Pediatric Emergency Department

“…We hypothesized that the JIT room would be a convenient, cost-effective space for preprocedural training that would potentially improve trainee selfconfidence and supervisor confidence in the trainee, DOI: http://dx.doi.org/10.4300/JGME-D-15-00730. 1 and allow for less supervisor intervention during procedures.…”

“…A number of studies [1][2][3][4][5][6][7][8][9] have examined JIT training, yet there are no known studies examining the use of dedicated JIT space to practice common procedures near the clinical space, rather than a simulation center. Simulation-based education, as in the JIT room, can provide a reproducible standard environment for deliberate practice as well as both formative and summative assessment.…”