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Does Simulation-Based Medical Education With Deliberate Practice Yield Better Results Than Traditional Clinical Education? A Meta-Analytic Comparative Review of the Evidence

Bibliographic Data

ID23344141
AuthorsWilliam C Mcgaghie (0000-0003-1672-0398, Northwestern University, corresponding author), S Barry Issenberg (0000-0002-2524-4736, Northwestern University), Elaine R Cohen, Elaine Cohen (0000-0003-2379-6112, Northwestern University), Jeffrey H Barsuk (0000-0001-6584-9943, Northwestern University), Diane B Wayne (0000-0001-6468-0744, Northwestern University)
Year2011
Volume86
Issue6
Pages706-711
Publication date2011-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAcademic Medicine (JOURNAL)
Journal identifiersISSN: 1040-2446 • E-ISSN: 1938-808X
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1097/acm.0b013e318217e119
PMID21512370
PMCIDPMC3102783
OpenAlexW1969241382
LanguageEN
Citations received63
References cited36

PURPOSE: This article presents a comparison of the effectiveness of traditional clinical education toward skill acquisition goals versus simulation-based medical education (SBME) with deliberate practice (DP). METHOD: This is a quantitative meta-analysis that spans 20 years, 1990 to 2010. A search strategy involving three literature databases, 12 search terms, and four inclusion criteria was used. Four authors independently retrieved and reviewed articles. Main outcome measures were extracted to calculate effect sizes. RESULTS: Of 3,742 articles identified, 14 met inclusion criteria. The overall effect size for the 14 studies evaluating the comparative effectiveness of SBME compared with traditional clinical medical education was 0.71 (95% confidence interval, 0.65-0.76; P < .001). CONCLUSIONS: Although the number of reports analyzed in this meta-analysis is small, these results show that SBME with DP is superior to traditional clinical medical education in achieving specific clinical skill acquisition goals. SBME is a complex educational intervention that should be introduced thoughtfully and evaluated rigorously at training sites. Further research on incorporating SBME with DP into medical education is needed to amplify its power, utility, and cost-effectiveness.

Alternative medicine · Clinical Practice · Clinical trial · Confidence interval · Evidence-based medicine · Family medicine · Inclusion (mineral) · Intervention (counseling) · Medical education · MEDLINE · Meta-analysis · Pathology · Psychiatry · Scientific evidence · Statistics · Innovations in Medical Education · Internal Medicine · Medicine · Psychology · Simulation-Based Education in Healthcare · Social Psychology · Surgical Simulation and Training

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Unique citing works63
Citations per year4,2
Citation span2011 - 2026 (16)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 58

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