Virtual Deliberate Practice Module for Tracheostomy Change Training: An Application of Educational Design Research

Authors

Jennifer Christina Benjamin
Saul Flores
Parag Jain
Shelley Kumar
Satid Thammasitboon

Publication Date

3-1-2022

Journal

ATS Scholar

DOI

10.34197/ats-scholar.2021-0110OC

PMID

35633996

PMCID

PMC9132089

PubMedCentral® Posted Date

3-11-2022

PubMedCentral® Full Text Version

Post-Print

Published Open-Access

yes

Keywords

tracheostomy, learning technology, simulation, educational theory

Abstract

BACKGROUND: The pandemic poses challenges for in-person procedural skills training. We developed a virtual module for teaching hands-on tracheostomy skills.

OBJECTIVE: To develop and evaluate a virtual module prototype grounded in deliberate practice using tracheostomy change as an example.

METHODS: After identifying desirable features of a virtual module by surveying stakeholders, we designed a prototype using VoiceThread, a multimedia-based collaborative learning platform. We created an asynchronous module accessible to learners for repeated skill practice and for video upload of individual performance on a tracheostomy task trainer using personal devices. This virtual module provided a four-step coaching (demonstration, deconstruction, formulation, and performance) to practice tracheostomy change. Two instructors reviewed the learners' performance videos, providing timely feedback for further refinement of skills.

RESULTS: Sixty-four residents completed the module, System Usability Scale, and self-efficacy survey. All residents rated the module, with a mean System Usability Scale score of 68.6 ± 18.4 (maximum score of 100). Two independent instructors rated performance videos using a 12-item checklist with mean interobserver agreement of 88.1% (standard deviation, 9.7) and mean performance checklist score (

CONCLUSION: We developed an asynchronous deliberate practice module on a virtual platform using tracheostomy change as an example. Residents evaluated the module favorably using system usability and learner self-efficacy surveys with improvement of skills.

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