title: Peripheral venous catheter insertion simulation training: A randomized controlled trial comparing performance after instructor-led teaching versus peer-assisted learning.
abstract: BACKGROUND
  Peripheral venous catheter insertion is a procedural skill that every medical student should master. Training is often limited to a small number of students and is poorly evaluated. The objective of this study was to evaluate the performance of peer-assisted learning in comparison to instructor-led teaching for peripheral venous catheter insertion training.
  
  
  METHODS
  Students were randomized to the control group attending a traditional instructor-led training session (slideshow and demonstration by an anesthetist instructor, followed by training on a procedural simulator) or to the test group attending a peer-assisted training session (slideshow and demonstration video-recorded by the same instructor, followed by training on a procedural simulator). The primary endpoint was the performance of peripheral venous catheter insertion, assessed on procedural simulator one week later by blinded experts using a standardized 20-item grid. Students self-evaluated their confidence levels using a numeric 10-point scale.
  
  
  RESULTS
  Eighty-six students were included, 73 of whom attended the assessment session. The median performance score was 12/20 [8-15] in the instructor-led teaching group versus 13/20 [11-15] in the peer-assisted learning group (P=0.430). Confidence levels improved significantly after the assessment session and were significantly higher in the peer-assisted learning group (7.6/10 [7.0-8.0] versus 7.0/10 [5.0-8.0], P=0.026).
  
  
  CONCLUSIONS
  Peer-assisted learning is effective for peripheral venous catheter insertion training and can be as effective as instructor-led teaching. Given the large number of students to train, this finding is important for optimizing the cost-effectiveness of peripheral venous catheter insertion training.
authors.affiliation: Département de médecine générale, faculté de médecine Lyon Est, université Claude-Bernard Lyon 1, 69008 Lyon, France. Electronic address: s.pelloux@gmail.com.
authors.forename: Sophie
authors.initials: S
authors.lastname: Pelloux
authors.affiliation: Centre lyonnais d'enseignement par la simulation en santé, université Claude-Bernard Lyon 1, 69008 Lyon, France; Service d'anesthésie-réanimation, hôpital Edouard-Herriot, hospices civils de Lyon, 69003 Lyon, France.
authors.forename: Arnaud
authors.initials: A
authors.lastname: Grégoire
authors.affiliation: Centre lyonnais d'enseignement par la simulation en santé, université Claude-Bernard Lyon 1, 69008 Lyon, France.
authors.forename: Patrice
authors.initials: P
authors.lastname: Kirmizigul
authors.affiliation: Institut de formation en soins infirmiers de Bourgoin-Jallieu, 38300 Bourgoin-Jallieu, France.
authors.forename: Sandrine
authors.initials: S
authors.lastname: Maillot
authors.affiliation: Centre lyonnais d'enseignement par la simulation en santé, université Claude-Bernard Lyon 1, 69008 Lyon, France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Bui-Xuan
authors.affiliation: Centre lyonnais d'enseignement par la simulation en santé, université Claude-Bernard Lyon 1, 69008 Lyon, France.
authors.forename: Guy
authors.initials: G
authors.lastname: Llorca
authors.affiliation: Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, Ontario, Ottawa ON K1H 8L6, Canada; Skills and Simulation Centre (uOSSC), The Ottawa Hospital Research Institute, Ontario, Ottawa ON K1Y 4E9, Canada; Department of Innovation in Medical Education, University of Ottawa, Ontario, Ottawa ON K1H 8M5, Canada.
authors.forename: Sylvain
authors.initials: S
authors.lastname: Boet
authors.affiliation: Centre lyonnais d'enseignement par la simulation en santé, université Claude-Bernard Lyon 1, 69008 Lyon, France; Service d'anesthésie-réanimation, hôpital Pierre-Wertheimer, hospices civils de Lyon, 69500 Bron, France.
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Lehot
authors.affiliation: Centre lyonnais d'enseignement par la simulation en santé, université Claude-Bernard Lyon 1, 69008 Lyon, France; Service d'anesthésie-réanimation, hôpital Edouard-Herriot, hospices civils de Lyon, 69003 Lyon, France.
authors.forename: Thomas
authors.initials: T
authors.lastname: Rimmelé
mesh_terms: D000776:Anesthesiology / Q000193:education*; D002406:Catheterization, Peripheral / Q000379:methods*; D002983:Clinical Competence; D004521:Educational Measurement; D005260:Female; D006801:Humans; D007858:Learning; D008297:Male; D000066908:Simulation Training / Q000379:methods*; D055815:Young Adult
keywords: Instructor-led teaching; Medical education; Motor skills; Peer-assisted learning; Peripheral venous catheter insertion; Simulation training