Deliberate Practice Makes Perfect: the Use of Rapid Cycle Deliberate Practice in Simulation Training
1TBD, Johns Hopkins School of Nursing, United States of America
Rapid Cycle Deliberate Practice (RCDP), described by Hunt et al (2014), is based on deliberate practice work of K. Anders Ericsson and includes elements of mastery learning. Deliberate practice involves repetitive performance of defined skills with specific assessment and feedback, ultimately resulting in improved skill performance. Mastery learning involves facilitators assuring that learners achieve certain skills before advancing to the next level of skill acquisition. RCDP combines these methods by providing repetitive practice over a short time to allow for acquisition of patient management and teamwork skills. With RCDP, both concepts are refined to optimize the impact of the simulation exercise in the allouted time for the exercise . Specifically, the RCDP method allows for direct feedback and provides the learners with opportunities to try the scenario again, increasing the likelihood of improved performance and allows for progressively more challenging simulation scenarios partnered with brief, solution-oriented feedback. During RCDP training, participants complete an initial scenario uninterrupted, allowing facilitators to use it as a gap analysis to gauge the team’s current performance level compared to predetermined performance standards. Once that scenario and a focused debriefing are complete, scenarios continue. The facilitator will pause the scenario when the team breaches a performance standard. The instructor then provides short, corrective feedback, called a "microdebrief," to the learners, sharing objective performance data and providing solutions known as "prescriptions" for their breached performance. The scenario (or a portion of the scenario) is replayed to allow participants to practice the correct skill. This feedback-replay loop continues until the team is able to meet the learning objectives established for the training session.
In this session, attendees will gain an understanding of how to run a rapid cycle deliberate practice exercise using resuscitation as an exemplar. The focus of the exercise is executing the choreography necessary to achieve the resuscitation priorities of immediate compressions, rapid defibrillation and maximized chest compression fraction. In addition to gaining an understanding of running a RCDP simulation, participants will leave understanding the choreography necessary to achieve resuscitation priorities.