Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence

William C. McGaghie, Barry Issenberg, Elaine R. Cohen, Jeffrey H. Barsuk, Diane B. Wayne

Research output: Contribution to journalArticle

597 Citations (Scopus)

Abstract

PURPOSE: This article presents a comparison of the effectiveness of traditional clinical education toward skill acquisition goals versus simulation-based medical education (SBME) with deliberate practice (DP). METHOD: This is a quantitative meta-analysis that spans 20 years, 1990 to 2010. A search strategy involving three literature databases, 12 search terms, and four inclusion criteria was used. Four authors independently retrieved and reviewed articles. Main outcome measures were extracted to calculate effect sizes. RESULTS: Of 3,742 articles identified, 14 met inclusion criteria. The overall effect size for the 14 studies evaluating the comparative effectiveness of SBME compared with traditional clinical medical education was 0.71 (95% confidence interval, 0.65-0.76; P < .001). CONCLUSIONS: Although the number of reports analyzed in this meta-analysis is small, these results show that SBME with DP is superior to traditional clinical medical education in achieving specific clinical skill acquisition goals. SBME is a complex educational intervention that should be introduced thoughtfully and evaluated rigorously at training sites. Further research on incorporating SBME with DP into medical education is needed to amplify its power, utility, and cost-effectiveness.

Original languageEnglish
Pages (from-to)706-711
Number of pages6
JournalAcademic Medicine
Volume86
Issue number6
DOIs
StatePublished - Jun 1 2011

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Medical Education
Education
simulation
evidence
education
Meta-Analysis
inclusion
Clinical Competence
Cost-Benefit Analysis
Outcome Assessment (Health Care)
Databases
Confidence Intervals
confidence
Research
costs

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. / McGaghie, William C.; Issenberg, Barry; Cohen, Elaine R.; Barsuk, Jeffrey H.; Wayne, Diane B.

In: Academic Medicine, Vol. 86, No. 6, 01.06.2011, p. 706-711.

Research output: Contribution to journalArticle

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AU - Wayne, Diane B.

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