Improving the Efficiency of Advanced Life Support Training
Authors: Diane B. Wayne, Aashish K. Didwania, William C. McGaghie
Journal: Annals of Internal Medicine (2012)

Letters20 November 2012Improving the Efficiency of Advanced Life Support TrainingDiane B. Wayne, MD, Aashish K. Didwania, MD, and William C. McGaghie, PhDDiane B. Wayne, MDFrom Northwestern University Feinberg School of Medicine, Chicago, IL 60611.Search for more papers by this author, Aashish K. Didwania, MDFrom Northwestern University Feinberg School of Medicine, Chicago, IL 60611.Search for more papers by this author, and William C. McGaghie, PhDFrom Northwestern University Feinberg School of Medicine, Chicago, IL 60611.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-157-10-201211200-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read the article by Perkins and colleagues (1) with interest. They studied advanced life support (ALS) education provided to 3732 health care professionals at 31 centers in the United Kingdom and Australia. We commend the authors for conducting such a large trial but are not surprised by the finding that learners assigned to the e-learning group performed worse on the cardiac arrest simulation test. Deliberate practice with feedback from a skilled instructor is a critical component of mastery. This has been shown by K. Anders Ericsson in many areas, including development of expertise in medicine and ...References1. Perkins GD, Kimani PK, Bullock I, Clutton-Brock T, Davies RP, Gale M, et al; Electronic Advanced Life Support Collaborators. Improving the efficiency of advanced life support training: a randomized, controlled trial. Ann Intern Med. 2012;157:19-28. [PMID: 22751757] LinkGoogle Scholar2. Ericsson KA. Deliberate practice and the acquisition and maintenance of expert performance in medicine and related domains. Acad Med. 2004;79:S70-81. [PMID: 15383395] CrossrefMedlineGoogle Scholar3. Smith KK, Gilcreast D, Pierce K. Evaluation of staff's retention of ACLS and BLS skills. Resuscitation. 2008;78:59-65. [PMID: 18406037] CrossrefMedlineGoogle Scholar4. Wayne DB, Siddall VJ, Butter J, Fudala MJ, Wade LD, Feinglass J, et al. A longitudinal study of internal medicine residents' retention of advanced cardiac life support skills. Acad Med. 2006;81:S9-S12. [PMID: 17001145] CrossrefMedlineGoogle Scholar5. Wayne DB, Didwania A, Feinglass J, Fudala MJ, Barsuk JH, McGaghie WC. Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control study. Chest. 2008;133:56-61. [PMID: 17573509] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Diane B. Wayne, MD; Aashish K. Didwania, MD; William C. McGaghie, PhDAffiliations: From Northwestern University Feinberg School of Medicine, Chicago, IL 60611.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoEffect of Clinical Decision-Support Systems Tiffani J. Bright , Anthony Wong , Ravi Dhurjati , Erin Bristow , Lori Bastian , Remy R. Coeytaux , Gregory Samsa , Vic Hasselblad , John W. Williams , Michael D. Musty , Liz Wing , Amy S. Kendrick , Gillian D. Sanders , and David Lobach Improving the Efficiency of Advanced Life Support Training Gavin D. Perkins , Andrew Lockey , and Ian Bullock Metrics Cited bye-Learning in advanced life support – An evaluation by the Resuscitation Council (UK) 20 November 2012Volume 157, Issue 10Page: 753KeywordsConflicts of interestHealth careHealth care qualityHeartLife expectancy ePublished: 20 November 2012 Issue Published: 20 November 2012 Copyright & PermissionsCopyright © 2012 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...