ArticleBMC medical education2019
Can simulation-based education and precision teaching improve paediatric trainees' behavioural fluency in performing lumbar puncture? A pilot study.
Article in BMC medical education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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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.
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Who cites it
14 citing papers in PubMed, 26 citations in OpenAlex.
- Predictors of post-lumbar puncture headache in an academic outpatient neurology setting: a retrospective exploratory study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Article
- User Experience Comparison of a Traditional Mannequin-Based and an Augmented Reality Lumbar Puncture Simulator in Geriatric Medicine Training: Questionnaire Study.JMIR XR and spatial computing · 2026Article
- Precision Teaching to Develop Key Word Sign Skills in Practitioners in Intellectual Disability Services: A Proof-of-Concept Study.Journal of applied research in intellectual disabilities : JARID · 2026Article
- Training and assessment of skills in neuraxial space access: a scoping review of educational approaches to lumbar puncture, epidural anaesthesia, and spinal anaesthesia.British journal of anaesthesia · 2025Article
- Simulation Platforms to Train and Assess Pediatric Acute Care Procedural Skills: A Scoping Review.AEM education and training · 2025Article
- The confidence and competence of primary school staff to administer an adrenaline auto-injector.European journal of pediatrics · 2024Article
- Barriers and enablers to achieving clinical procedure competency-based outcomes in a national paediatric training/residency program-a multi-centered qualitative study.BMC medical education · 2023Article
- An assessment of the simulated performance of basic clinical procedures by junior doctors during the first year of clinical practice.BMC medical education · 2023Article
- Lumbar puncture training with healthcare simulation improves self-confidence and practical skills of French medical residents in geriatrics.European geriatric medicine · 2023Article
- Using virtual reality in lumbar puncture training improves students learning experience.BMC medical education · 2022Article
- Positive effects of lumbar puncture simulation training for medical students in clinical practice.BMC medical education · 2021Article
- Human reliability analysis of bronchoscope-assisted percutaneous dilatational tracheostomy: implications for simulation-based education.Advances in simulation (London, England) · 2020Article
- Using simulation to explore the impact of device design on the learning and performance of peripheral intravenous cannulation.Advances in simulation (London, England) · 2019Article
- Simulator-Based Training Sustainably Improves Confidence, Theoretical Knowledge, and Success Rates in Lumbar Puncture Among Medical Students: A Prospective Case-Control Study.Journal of medical education and curricular developmentArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundLow levels of success in performing lumbar puncture have been observed among paediatric trainees. This study assessed the efficacy of simulation-based education with frequency building and precision teaching for training lumbar puncture to behavioural fluency.
methodsThe intervention group was assessed at baseline, at the final training trial, in the presence of distraction, and a minimum of one month after the cessation of the intervention in order to ascertain whether behavioural fluency in lumbar puncture was obtained. Subsequently, the performance of this intervention group (10 paediatric senior house officers) was compared to the performance of a comparator group of 10 more senior colleagues (paediatric registrars) who had not received the intervention. Retrospective chart audit was utilised to examine performance in the clinical setting.
resultsIntervention group participants required a mean of 5 trials to achieve fluency. Performance accuracy was significantly higher in the intervention group than the comparator group. Learning was retained at follow-up and persisted during distraction. Retrospective chart audit revealed no significant difference between the performance of the intervention group and a comparator group, comprised of more senior physicians, in the clinical setting, although the interpretation of these analyses are limited by a low number of lumbar punctures performed in the clinical setting.
conclusionsThe programme of simulation-based education with frequency building and precision teaching delivered produced behavioural fluency in lumbar puncture among paediatric trainees. Following the intervention, the performance of these participants was equivalent to, or greater than, that of senior paediatricians. This study supports the need for further research exploring the effectiveness of simulation-based education with precision teaching to train procedural skills to fluency, and the consideration of how best to explore the impact of these on patient outcomes.
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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.