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Mastery learning

Abib Agbetoba, Amber Luong, Jin Keat Siow, Brent Senior, Claudio Callejas, Kornel Szczygielski, Martin J Citardi
BACKGROUND: Endoscopic sinus surgery represents a cornerstone in the professional development of otorhinolaryngology trainees. Mastery of these surgical skills requires an understanding of paranasal sinus and skull-base anatomy. The frontal sinus is associated with a wide range of variation and complex anatomical configuration, and thus represents an important challenge for all trainees performing endoscopic sinus surgery. METHODS: Forty-five otorhinolaryngology trainees and 20 medical school students from 5 academic institutions were enrolled and randomized into 1 of 2 groups...
October 18, 2016: International Forum of Allergy & Rhinology
Sarah B Placek, Brenton R Franklin, Sarah M Haviland, Mercy D Wagner, Mary T O'Donnell, Chad T Cryer, Kristen D Trinca, Elliott Silverman, E Matthew Ritter
OBJECTIVE: Using previously established mastery learning standards, this study compares outcomes of training on standard FLS (FLS) equipment with training on an ergonomically different (ED-FLS), but more portable, lower cost platform. METHODS: Subjects completed a pre-training FLS skills test on the standard platform and were then randomized to train on the FLS training platform (n = 20) or the ED-FLS platform (n = 19). A post-training FLS skills test was administered to both groups on the standard FLS platform...
October 12, 2016: Surgical Endoscopy
Gabriel Aldaz, Sunil Puria, Larry J Leifer
BACKGROUND: Previous research has shown that hearing aid wearers can successfully self-train their instruments' gain-frequency response and compression parameters in everyday situations. Combining hearing aids with a smartphone introduces additional computing power, memory, and a graphical user interface that may enable greater setting personalization. To explore the benefits of self-training with a smartphone-based hearing system, a parameter space was chosen with four possible combinations of microphone mode (omnidirectional and directional) and noise reduction state (active and off)...
October 2016: Journal of the American Academy of Audiology
Trevor Jensen, Andrew Lai, Michelle Mourad
No abstract text is available yet for this article.
September 30, 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Kahabi Ganka Isangula, Megan E Kassick, Allan Kaijunga Kairuki, Robson Amunga Meda, Erica Thomas, Akwila Temu, Georgina Msemo, Mary Azayo, Brett D Nelson
OBJECTIVES: Worldwide, there has been renewed emphasis on reducing neonatal mortality in low-resource countries. The Helping Babies Breathe (HBB) programme has been shown to reduce newborn deaths. The aim of this study is to present provider-level perceptions and experiences of the HBB programme implemented at-scale in Tanzania and identify key lessons learned for scalability in similar and other settings. METHODS: Focus group discussions with HBB-trained providers were conducted using a prospective longitudinal study design between October 2013 and May 2015...
September 29, 2016: Paediatrics and International Child Health
Leah E Robinson, Kara K Palmer, Kristen L Bub
Self-regulatory skills are broadly defined as the ability to manage emotions, focus attention, and inhibit some behaviors while activating others in accordance with social expectations and are an established indicator of academic success. Growing evidence links motor skills and physical activity to self-regulation. This study examined the efficacy of a motor skills intervention (i.e., the Children's Health Activity Motor Program, CHAMP) that is theoretically grounded in Achievement Goal Theory on motor skill performance and self-regulation in Head Start preschoolers...
2016: Frontiers in Public Health
Jeannine Millsteed, Janice Redmond, Elizabeth Walker
BACKGROUND/AIM: This study explored how occupational therapists in private practice developed the business skills needed to operate a successful private practice. The literature shows that many small-business owner-managers have poorly developed business skills, and some experience high rates of failure. This indicates that to be successful in private practice, occupational therapists need to gain mastery of management competencies in addition to their professional clinical competencies...
September 20, 2016: Australian Occupational Therapy Journal
Erik Linstead, Dennis R Dixon, Ryan French, Doreen Granpeesheh, Hilary Adams, Rene German, Alva Powell, Elizabeth Stevens, Jonathan Tarbox, Julie Kornack
Ample research has shown that intensive applied behavior analysis (ABA) treatment produces robust outcomes for individuals with autism spectrum disorder (ASD); however, little is known about the relationship between treatment intensity and treatment outcomes. The current study was designed to evaluate this relationship. Participants included 726 children, ages 1.5 to 12 years old, receiving community-based behavioral intervention services. Results indicated a strong relationship between treatment intensity and mastery of learning objectives, where higher treatment intensity predicted greater progress...
September 20, 2016: Behavior Modification
David A Cook, Anthony R Artino
OBJECTIVE: To succinctly summarise five contemporary theories about motivation to learn, articulate key intersections and distinctions among these theories, and identify important considerations for future research. RESULTS: Motivation has been defined as the process whereby goal-directed activities are initiated and sustained. In expectancy-value theory, motivation is a function of the expectation of success and perceived value. Attribution theory focuses on the causal attributions learners create to explain the results of an activity, and classifies these in terms of their locus, stability and controllability...
October 2016: Medical Education
Ajit K Sachdeva
The critical role of continuing professional development (CPD) in supporting delivery of patient care of the highest quality and safety is receiving significant attention in the current era of monumental change. CPD is essential in efforts to ensure effectiveness of new models of health care delivery, improve outcomes and value in health care, address external regulations, and foster patient engagement. The unique features of CPD; the use of special mastery-based teaching, learning, and assessment methods, and other special interventions to promote excellence; and direct involvement of a variety of key stakeholders differentiate CPD from undergraduate medical education and graduate medical education...
2016: Journal of Continuing Education in the Health Professions
Jesse Courtier, Emily M Webb, Andrew S Phelps, David M Naeger
BACKGROUND: Games with educational intent offer a possible advantage of being more interactive and increasing learner satisfaction. OBJECTIVE: We conducted a two-armed experiment to evaluate student satisfaction and content mastery for an introductory pediatric radiology topic, taught by either an interactive digital game or with a traditional didactic lecture. MATERIALS AND METHODS: Medical students participating in a fourth-year radiology elective were invited to participate...
August 31, 2016: Pediatric Radiology
Hendrik Friederichs, Britta Brouwer, Bernhard Marschall, Anne Weissenstein
OBJECTIVE: Inserting peripheral venous catheters (PVCs) has been identified as a core competency for medical students. Because the performance - even of hygienic standards - of both students and novice physicians is frequently inadequate, medical faculties must focus on competence-based learning objectives and deliberate practice, features that are combined in mastery learning. Our aim was to determine the competency of students in inserting PVCs before and after an educational intervention...
2016: GMS Journal for Medical Education
Kay M Hurst
BACKGROUND: Video podcasts, or vodcasts are increasingly used by a range of healthcare professions in the mastery of new skills. Little is known about the experiences of using vodcasts in physiotherapy education. Traditional pedagogic strategies have been employed in order to master those skills required for physiotherapy practice. There have been advances in the use of technology in medical education in the nursing, dentistry and medical fields. Vodcasts offer great versatility and potential when used as a pedagogical tool, embedded within a physiotherapy curriculum...
October 2016: Nurse Education Today
Tracey Ledoux, Melissa Griffith, Debbe Thompson, Nga Nguyen, Kathy Watson, Janice Baranowski, Richard Buday, Dina Abdelsamad, Tom Baranowski
BACKGROUND: Playing Escape from DIAB (DIAB) and Nanoswarm (NANO), epic video game adventures, increased fruit and vegetable consumption among a multi-ethnic sample of 10-12 year old children during pilot testing. Key elements of both games were educational mini-games embedded in the overall game that promoted knowledge acquisition regarding diet, physical activity and energy balance. 95-100% of participants demonstrated mastery of these mini-games suggesting knowledge acquisition. AIM: This article describes the process of designing and developing the educational mini-games...
August 2016: Simulation & Gaming
Steven Arild Wuyts Andersen
Virtual reality (VR) simulation-based training is increasingly used in surgical technical skills training including in temporal bone surgery. The potential of VR simulation in enabling high-quality surgical training is great and VR simulation allows high-stakes and complex procedures such as mastoidectomy to be trained repeatedly, independent of patients and surgical tutors, outside traditional learning environments such as the OR or the temporal bone lab, and with fewer of the constraints of traditional training...
August 2016: Danish Medical Journal
Su-Ting T Li, Daniel J Tancredi, Alan Schwartz, Ann P Guillot, Ann E Burke, R Franklin Trimm, Susan Guralnick, John D Mahan, Kimberly A Gifford
PURPOSE: To describe clinical skills progression during pediatric residency using the distribution of pediatric milestone assessments by subcompetency and year of training and to determine reasonable milestone expectations at time of graduation. METHOD: Multi-institutional cohort study of the milestones reported to the Accreditation Council for Graduate Medical Education for all 21 pediatric subcompetencies. Most subcompetencies were measured using five milestone levels (1 = novice, 2 = advanced beginner, 3 = competent, 4 = proficient, 5 = master); 3 subcompetencies had only four levels defined...
July 26, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
Christina Gray, Emma A Climie
Reading is a multifaceted skillset that has the potential to profoundly impact a child's academic performance and achievement. Mastery of reading skills is often an area of difficulty for children during their academic journey, particularly for children with Attention Deficit/Hyperactivity Disorder (ADHD), Specific Learning Disorder with Impairment in Reading (SLD-R), or children with a comorbid diagnosis of both ADHD and SLD-R. ADHD is characterized by executive functioning and impulse control deficits, as well as inattention and impulsivity...
2016: Frontiers in Psychology
Jeffrey J H Cheung, Jansen Koh, Clare Brett, Darius J Bägli, Bill Kapralos, Adam Dubrowski
INTRODUCTION: Our current understanding of what results in effective simulation-based training is restricted to the physical practice and debriefing stages, with little attention paid to the earliest stage: how learners are prepared for these experiences. This study explored the utility of Web-based observational practice (OP) featuring combinations of reading materials (RMs), OP, and collaboration to prepare novice medical students for a simulation-based mastery learning (SBML) workshop in central venous catheterization...
July 6, 2016: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
James Ahn, Michael D Yashar, Jared Novack, Joey Davidson, Brittany Lapin, Jose Ocampo, Ernest Wang
INTRODUCTION: According to the Accreditation Council for Graduate Medical Education emergency medicine requirements established before the popularity of video laryngoscopy (VL) use, 35 intubations are necessary for graduation. Our study aimed to establish a mastery-learning model for a skill set very different (VL) from direct laryngoscopy (DL) and to determine the number of attempts needed to achieve mastery with VL. METHODS: With the use of a randomized, controlled crossover study design, two learner groups underwent baseline testing intubating a mannequin using VL...
October 2016: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
Gillian King
The therapist is a neglected and poorly understood variable in pediatric rehabilitation. Much more attention has been paid to the role of intervention on client change than the role of therapist-related variables. This article synthesizes what is known in the adult and child mental health literature about the role of the therapist, and integrates this with work in pediatric rehabilitation. The article reviews the mental health literature on the therapist as a random variable associated with client outcomes (role of the therapist alone) and the role of three other therapist-related constructs: the therapist-client relationship (therapist and client), treatment implementation (therapist and intervention), and therapy process (therapist, client, and intervention considered holistically)...
July 6, 2016: Physical & Occupational Therapy in Pediatrics
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