ArticleBMC medical education2022
The impact of simulation-based mastery learning, booster session timing and clinical exposure on confidence in intercostal drain insertion: a survey of internal medicine trainees in Scotland.
Article in BMC medical education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Contemporary Pleural Drainage in Adult Practice: Image-Guided Techniques, Procedural Safety, Training Standards, and Malignant Pleural Effusion Management.Journal of clinical medicine · 2026Review
- Development and Evaluation of a Low-Cost Phantom Model for Ultrasound-Guided Intercostal Chest Drain Insertion.Cureus · 2026Article
- Role of the general medical registrar in performing out-of-hours pleural procedures: a UK national survey of trainee and trainer perspectives.BMJ open respiratory research · 2026Article
- Exploring effects of a booster workshop on progression and retention of resuscitation skills of residents when added to regular low-dose simulation.BMC medical education · 2025Article
- Scotland's internal medicine simulation strategy: A 5-year journey.Future healthcare journal · 2024Article
- Competence over confidence: uncovering lower self-efficacy for women residents during central venous catheterization training.BMC medical education · 2024Article
- Training, experience, and perceptions of chest tube insertion by higher speciality trainees: implications for training, patient safety, and service delivery.BMC medical education · 2024Review
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntercostal chest drain (ICD) insertion is a skill that medical trainees lack confidence in performing. This study explores the impact of a national programme of Simulation-Based Mastery Learning (SBML) on procedural confidence, including the impact of time intervals between booster sessions and interim clinical experience.
methodsInternal Medicine Trainees in Scotland were surveyed about confidence and clinical experience with ICD insertion before and immediately after SBML and booster session. Data were matched and analysed using paired sample t-tests. Short interval and long interval groups were compared using Student's unpaired t-test. The impact of interim clinical experience was assessed using Analysis of Variance.
resultsMean confidence in ICD insertion rose following SBML, fell between initial and booster session, and increased again following booster session (P = < 0.001). 33 of 74 trainees had successfully inserted an ICD between sessions. Fall in confidence was unaffected by the time interval between training sessions, but was mitigated by interim clinical experience.
conclusionsSBML boosts trainee confidence in ICD insertion. However, there is evidence of confidence decay, possibly due to a lack of clinical experience between sessions. More research is needed to explore barriers to transfer of skills from simulated to real-world environments.
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Registered trials
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