Trial reportBMC medical education2019
Effects of post-scenario debriefing versus stop-and-go debriefing in medical simulation training on skill acquisition and learning experience: a randomized controlled trial.
Trial report 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 18 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effectiveness and perceived value of feedback used in cardiac arrest simulation education: a mixed-method systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Pooled it
- Comparison of real-time feedback and debriefing by video recording on basic life support skill in nursing students.BMC medical education · 2023Trial
- A simulation-based role-reversal training program improves knowledge, skills, and job satisfaction of endovascular scrub nurses.Surgery in practice and science · 2026Article
- Better teaching in the intensive care unit: navigating a complex, multi-disciplinary learning environment.Critical care (London, England) · 2026Review
- The effectiveness of using simulation in undergraduate medical students' training in neonatal resuscitation.Sudanese journal of paediatrics · 2026Article
- Empowering senior medical residents as resuscitation team leaders.BMC medical education · 2025Article
- Implementation and Evaluation of a Training Program to Improve Patient Navigators' Competencies: A Quasi-Experiment at a Public Tertiary Hospital in China.Healthcare (Basel, Switzerland) · 2025Article
- The effect of interactive learning methods and reflection on nurses' learning in patient safety at the ICU and Emergency department.BMC health services research · 2025Article
- Debriefing Methodologies in Nursing Simulation: An Exploratory Study of the Italian Settings.Nursing reports (Pavia, Italy) · 2024Article
- Untapped resource: the simulation-based healthcare environment as a means to study human stress.The Ulster medical journal · 2024Review
- Simulation debriefing as part of simulation for clinical teaching and learning in nursing education: A scoping review.Nursing open · 2023Article
- "Asking for help is a strength"-how to promote undergraduate medical students' teamwork through simulation training and interprofessional faculty.Frontiers in psychology · 2023Article
- Curiositas.The Ulster medical journal · 2022Article
- Recommendations for Optimizing Virtual Simulation: A Trial and Error Process From the COVID-19 Pandemic.Journal of graduate medical education · 2022Article
- Article
- Practical tips for introducing high-fidelity simulation to undergraduates at a large scale: learning from our experience.BMJ simulation & technology enhanced learning · 2021Article
- The use of simulation to prepare and improve responses to infectious disease outbreaks like COVID-19: practical tips and resources from Norway, Denmark, and the UK.Advances in simulation (London, England) · 2020Article
- A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model.Advances in simulation (London, England) · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDebriefing is a critical component to promote effective learning during simulation-based training. Traditionally, debriefing is provided only after the end of a scenario. A possible alternative is to debrief specific portions during an ongoing simulation session (stop-and-go debriefing). While this alternative has theoretical advantages, it is not commonly used due to concerns that interruptions disturb the fidelity and adversely affect learning. However, both approaches have not been rigorously compared, and effects on skill acquisition and learning experience are unknown.
methodsWe randomly assigned 50 medical students participating in a simulation-based cardiopulmonary resuscitation training to either a post-scenario debriefing or stop-and-go debriefing. After four weeks, participants performed a repeat scenario, and their performance was assessed using a generic performance score (primary outcome). A difference of 3 or more points was considered meaningful. A 5-item questionnaire was used to assess the subjective learning experience and the perceived stress level (secondary outcomes).
resultsThere was no significant difference between the groups for the performance score (mean difference: -0.35, 95%CI: -2.46 to 1.77, P = 0.748, n = 48). The confidence limits excluding the specified relevant 3-point difference suggest equivalence of both techniques with respect to the primary outcome. No significant differences were observed for secondary outcomes.
conclusionsStop-and-go debriefing does not adversely affect skill acquisition compared to the classic post-scenario debriefing strategy. This finding is reassuring when interruptions are deemed necessary and gives simulation instructors the latitude to tailor the timing of the debriefing individually, rather than adhering to the unsupported dogma that scenarios should not be interrupted.
trial registrationAs this study is not a clinical trial, it was not registered in a clinical trials register.
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Registered trials
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.