Evidence map›Paper›PMID 40755682›Full record

ArticleCureus2025

Impact of a Prospective Simulation-Based Mastery Learning With Deliberate Practice Intervention on Neonatal Intubation.

Arika G Gupta, Shamik B Trivedi, Shawn M Smith, Mary E McBride, Mark D Adler

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Arika G GuptaDivision of Neonatology, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, USA.
Shamik B TrivediDivision of Neonatology, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, USA.
Shawn M SmithDivision of Hospital Medicine, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, USA.
Mary E McBrideDivision of Cardiology, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, USA.
Mark D AdlerDivision of Emergency Medicine, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo design and implement a simulation-based mastery learning (SBML) curriculum utilizing deliberate practice (DP) for neonatal intubation in the delivery room setting. We sought to investigate the impact this curriculum would have on performance and skill retention.

methodsA prospective single-group SBML with DP intervention to improve intubation success was implemented from 2019 to 2022. Pediatric hospitalists (PHs) and neonatal nurse practitioners (NNPs) who provide care in the delivery room were eligible to participate. An 11-item checklist was developed, and a minimum passing standard (MPS) was set using the Mastery Angoff method. Participants underwent a baseline assessment, followed by DP with expert feedback. Post-intervention assessments were completed until the MPS was achieved, with additional practice rounds if needed. After three to six months, all participants underwent a retention assessment. If MPS was not achieved at retention, further DP was provided until MPS was met.

resultsAt the time of enrollment, 95% of participants had limited experience with attempted neonatal intubation (less than five performed), and 14% had never attempted an actual neonatal intubation. At baseline assessment, 95% of participants did not meet the MPS. Participants' mean scores significantly improved on the intubation checklist from 74% to 99% from baseline to post-training assessment. The intervention was significant and impactful, with effect sizes of >2. At the three-to-six-month retention assessment, 66% of participants met the MPS on the first attempt. Overall, 92% reported an increased confidence level with the procedure and an improvement in their clinical practice.

conclusionsOur SBML with DP neonatal intubation curriculum is an effective tool to train providers in neonatal intubation for the delivery room environment. As clinical opportunities to learn this procedure continue to decline, programs must develop ways to optimize proficiency in this skill.

Indexed as

deliberate practicemedical educationneonatal intubationneonatal-perinatal medicineneonatologysimulation-based educationsimulation-based mastery learning

Identifiers

PMID40755682
PMCPMC12317731

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Registered trials

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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.