title: The significance of clinical experience on learning outcome from resuscitation training-a randomised controlled study.
abstract: BACKGROUND
  The impact of clinical experience on learning outcome from a resuscitation course has not been systematically investigated.
  
  
  OBJECTIVE
  To determine whether half a year of clinical experience before participation in an Advanced Life Support (ALS) course increases the immediate learning outcome and retention of learning.
  
  
  METHODS
  This was a prospective single blinded randomised controlled study of the learning outcome from a standard ALS course on a volunteer sample of the entire cohort of newly graduated doctors from Copenhagen University. The outcome measurement was ALS-competence assessed using a validated composite test including assessment of skills and knowledge.
  
  
  METHODS
  The intervention was half a year of clinical work before an ALS course. The intervention group received the course after a half-year of clinical experience. The control group participated in an ALS course immediately following graduation.
  
  
  RESULTS
  Invitation to participate was accepted by 154/240 (64%) graduates and 117/154 (76%) completed the study. There was no difference between the intervention and control groups with regard to the immediate learning outcome. The intervention group had significantly higher retention of learning compared to the control group, intervention group mean 82% (CI 80-83), control group mean 78% (CI 76-80), P=0.002. The magnitude of this difference was medium (effect size=0.57).
  
  
  CONCLUSIONS
  Half a year of clinical experience, before participation in an ALS course had a small but statistically significant impact on the retention of learning, but not on the immediate learning outcome.
authors.affiliation: Centre for Clinical Education, Copenhagen University Hospital, Rigshospitalet, Denmark. morten.lind.jensen@gmail.com
authors.forename: Morten Lind
authors.initials: ML
authors.lastname: Jensen
authors.forename: Freddy
authors.initials: F
authors.lastname: Lippert
authors.forename: Rasmus
authors.initials: R
authors.lastname: Hesselfeldt
authors.forename: Maria Birkvad
authors.initials: MB
authors.lastname: Rasmussen
authors.forename: Simon Skibsted
authors.initials: SS
authors.lastname: Mogensen
authors.forename: Michael Kammer
authors.initials: MK
authors.lastname: Jensen
authors.forename: Torben
authors.initials: T
authors.lastname: Frost
authors.forename: Charlotte
authors.initials: C
authors.lastname: Ringsted
mesh_terms: D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000193:education*; D002983:Clinical Competence; D003718:Denmark; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008297:Male; D010820:Physicians; D011446:Prospective Studies; D012153:Retention, Psychology; D016037:Single-Blind Method