Evidence map›Paper›PMID 29954376›Full record

ReviewBMC medical education2018

The effects of graduate competency-based education and mastery learning on patient care and return on investment: a narrative review of basic anesthetic procedures.

Claus Hedebo Bisgaard, Sune Leisgaard Mørck Rubak, Svein Aage Rodt, Jens Aage Kølsen Petersen, Peter Musaeus

Open access · goldAbstract readReview
In one paragraph

Review in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Claus Hedebo BisgaardCentre for Health Sciences Education, Faculty of Health, Aarhus University, Palle Juul Jensens Boulevard 82, Building B, DK-8200, Aarhus N, Denmark. claus@cesu.au.dk.ORCID http://orcid.org/0000-0003-0061-9279
Sune Leisgaard Mørck RubakDepartment of Paediatrics and Adolescent Medicine, Aarhus University Hospital, Palle Juul Jensens Boulevard 99, DK-8200, Aarhus N, Denmark.
Svein Aage RodtDepartment of Anaesthesiology and Intensive Care, South Section, Aarhus University Hospital, Tage-Hansens Gade 2, 8000, Aarhus C, Denmark.
Jens Aage Kølsen PetersenDepartment of Anesthesiology and Intensive Care, North Section, Aarhus University Hospital, Nørrebrogade 44, 8000, Aarhus C, Denmark.
Peter MusaeusCentre for Health Sciences Education, Faculty of Health, Aarhus University, Palle Juul Jensens Boulevard 82, Building B, DK-8200, Aarhus N, Denmark.
Aarhus University Hospital · DKAarhus University · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the widespread implementation of competency-based education, evidence of ensuing enhanced patient care and cost-benefit remains scarce. This narrative review uses the Kirkpatrick/Phillips model to investigate the patient-related and organizational effects of graduate competency-based medical education for five basic anesthetic procedures.

methodsThe MEDLINE, ERIC, CINAHL, and Embase databases were searched for papers reporting results in Kirkpatrick/Phillips levels 3-5 from graduate competency-based education for five basic anesthetic procedures. A gray literature search was conducted by reference search in Google Scholar.

resultsIn all, 38 studies were included, predominantly concerning central venous catheterization. Three studies reported significant cost-effectiveness by reducing infection rates for central venous catheterization. Furthermore, the procedural competency, retention of skills and patient care as evaluated by fewer complications improved in 20 of the reported studies.

conclusionEvidence suggests that competency-based education with procedural central venous catheterization courses have positive effects on patient care and are both cost-effective. However, more rigorously controlled and reproducible studies are needed. Specifically, future studies could focus on organizational effects and the possibility of transferability to other medical specialties and the broader healthcare system.

Indexed as

Clinical CompetenceCompetency-Based EducationAnesthesiaAnesthesiologyCatheterization, Central VenousCatheter-Related InfectionsCost-Benefit AnalysisEducation, Medical, GraduateHumansLearningPatient CareAirway managementAnesthesiaAnesthesia spinalCatheterizationCentral venousCompetency-based educationEpiduralGeneralGraduate medical educationInternship and residencyMastery learning

Identifiers

PMID29954376
PMCPMC6025802
OpenAlexW2811392731

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.