Jeffrey H Barsuk, Elaine R Cohen, Mark V Williams, Jordan Scher, Sasha F Jones, Joe Feinglass, William C McGaghie, Kelly O'Hara, Diane B Wayne
PURPOSE: Physicians-in-training often perform bedside thoracenteses in academic medical centers, and complications are more common among less experienced clinicians. Simulation-based mastery learning (SBML) is one potential solution to this problem. This study evaluated the effects of a randomized trial of thoracentesis SBML on patient complications: iatrogenic pneumothorax (IP), hemothorax, and reexpansion pulmonary edema (REPE). METHOD: The authors randomized internal medicine residents to undergo thoracentesis SBML at a tertiary care academic center from December 2012 to May 2016...
May 2018: Academic Medicine