PT - JOURNAL ARTICLE AU - Tuttle, Raymond P AU - Cohen, Mark H AU - Augustine, Albert J AU - Novotny, Dana F AU - Delgado, Edgar AU - Dongilli, Thomas A AU - Lutz, John W AU - DeVita, Michael A TI - Utilizing Simulation Technology for Competency Skills Assessment and a Comparison of Traditional Methods of Training to Simulation-Based Training DP - 2007 Mar 01 TA - Respiratory Care PG - 263--270 VI - 52 IP - 3 4099 - http://rc.rcjournal.com/content/52/3/263.short 4100 - http://rc.rcjournal.com/content/52/3/263.full AB - BACKGROUND: The respiratory care department of one campus within our health system evaluated simulation-based medical education for training and competency evaluation of the mini bronchoalveolar lavage (mini-BAL) procedure, with an emphasis on patient safety and procedure performance standards. METHODS: Training and competency evaluation occurred in 4 phases. In phase one, 24 staff respiratory therapists (RTs) were randomly chosen and individually underwent a simulation-based test of their mini-BAL performance, using a patient-simulator mannequin. Their performance on this test reflected the effectiveness of traditional training methods. In phase two, 83 staff RTs were given unlimited access to a Web-based curriculum on mini-BAL, including a video of a mini-BAL. They then took 2 tests: one online Web-based test, then a patient-simulator test. In phase three, the same 83 RTs attended a workshop that used the patient simulator for training and practice, then were re-evaluated with the patient-simulator test. Phase four was another simulator-based re-evaluation, 90 days after phase three, to study skills retention. RESULTS: The mean scores were: phase one 73 ± 10%, phase two 77 ± 11%, phase three 95 ± 5% (p < 0.01), phase four 92 ± 8%. CONCLUSION: Our results suggest that employing simulation technology within a comprehensive departmental program can enhance staff training.