The goal of this study is to determine whether mastery learning in communication skills can improve skills in a simulated environment and have translational improvements in outcomes. The main questions it aims to answer are: 1. Does mastery learning improve skills in the simulation laboratory? 2. Does mastery learning improve clinical skills as seen by milestone performance? and 3 Does mastery learning improve burnout levels? The study is a multi-institutional randomized controlled trial of anesthesiology residents from five different residency programs. Participants will be randomized to mastery training in communication skills and standard of care, which is vicarious learning. Researchers will compare these two groups to see if mastery learning improves skills and translational outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
QUADRUPLE
Enrollment
80
Participants will undergo simulation-based mastery learning curriculum in difficult conversations.
Northwestern University Simulation Center
Chicago, Illinois, United States
RECRUITINGCommunication skills
Post test checklist skills scores, a 16-item checklist was developed using the modified Delphi technique with possible scores of 0 (lowest) to 16 (highest). All items in the checklist are graded dichotomously and (1 if done correctly and 0 if not done or done incorrectly.
Time frame: one year
Milestones Performance
The ACGME interpersonal and communication core competency is subdivided into three Anesthesiology Milestones: Patient and Family-centered communication, Interprofessional and Team Communication, and Communication within Health Care Systems. Each milestone is graded on a score of 1 (novice) to 5 (expert) by each residency program's Clinical Competency Committee (CCC).
Time frame: two years
Burnout levels
The Maslach Burnout Inventory Scale (MBI-9) will be used to estimate the levels of burnout prior to participation in the intervention, immediately after course completion, and at 2 and 6 months after training. The MBI is a measure of job burnout defined by three subscales: emotional exhaustion (EE) (9 items), depersonalization (DP) (5 items), and professional accomplishment (PA) (8 items), each with 7-point Likert-type, frequency response scale (0 = never, 1 = a few times a year or less, 2 = once a month or less, 3 = a few times a month, 4 = once a week, 5 = a few times a week, 6 = every day) \[1, 2\]. Scales are scored such that higher scores indicate more of each construct. Higher scores on the EE and DP subscales indicate a higher burnout symptom burden; lower scores on the PA subscale indicate a higher burnout symptom burden.
Time frame: 1.5 years
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