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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, MD, FRCOG, Joachim W.

Ed. by Bancalari, Eduardo / Chappelle, Joseph / Chervenak, Frank A. / D'Addario , Vincenzo / Genc, Mehmet R. / Greenough, Anne / Grunebaum, Amos / Konje, Justin C. / Kurjak M.D., Asim / Romero, Roberto / Zalud, MD PhD, Ivica

IMPACT FACTOR 2018: 1.361
5-year IMPACT FACTOR: 1.578

CiteScore 2018: 1.29

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Source Normalized Impact per Paper (SNIP) 2018: 0.602

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Volume 46, Issue 8


Neonatal resuscitation experience curves: simulation based mastery learning booster sessions and skill decay patterns among pediatric residents

Heideh H. Matterson
  • Neonatal Intensive Care Unit, Hackensack University Medical Center at Pascack Valley, Westwood, NJ, USA
  • Other articles by this author:
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/ Demian Szyld / Brad R. Green / Heather B. Howell / Martin V. Pusic / Pradeep V. Mally / Sean M. Bailey
  • Corresponding author
  • Division of Neonatology, New York University School of Medicine, 462 First Ave, Suite 8S15, New York, NY 10016, USA
  • Email
  • Other articles by this author:
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Published Online: 2018-02-16 | DOI: https://doi.org/10.1515/jpm-2017-0330



Following neonatal resuscitation program (NRP) training, decay in clinical skills can occur. Simulation-based deliberate practice (SBDP) has been shown to maintain NRP skills to a variable extent. Our study objectives were (a) to determine whether a single 30 min simulation-based intervention that incorporates SBDP and mastery learning (ML) can effectively restore skills and prevent skill decay and (b) to compare different timing options.


Following NRP certification, pediatric residents were randomly assigned to receive a video-recorded baseline assessment plus SBDP-ML refresher education at between 6 and 9 months (early) or between 9 and 12 months (late). One year following initial certification, participants had repeat skill retention videotaped evaluations. Participants were scored by blinded NRP instructors using validated criteria scoring tools and assigned a global performance rating score (GRS).


Twenty-seven participants were included. Residents in both early and late groups showed significant skill decay 7 and 10 months after initial NRP. SBDP-ML booster sessions significantly improved participants’ immediate NRP performance scores (p<0.001), which persisted for 2 months, but were again lower 4 months later.


NRP skills may be boosted to mastery levels after a short SBDP-ML intervention and do not appear to significantly decline after 2 months. Brief booster training could potentially serve as a useful supplement to traditional NRP training for pediatric residents.

Keywords: Mastery learning; neonatal resuscitation program; neonatology; residency training; simulation based deliberate practice


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About the article

Received: 2017-11-02

Accepted: 2018-01-18

Published Online: 2018-02-16

Published in Print: 2018-10-25

Author’s statement

Conflict of interest: None of the authors has a conflict of interest to report pertaining to this manuscript. Funding for this study was provided for by the NYU School of Medicine Division of Neonatology Stefan Bennett Fellowship Research Fund.

Material and methods: Informed consent: Informed consent has been obtained from all individuals included in this study.

Ethical approval: The research related to human subject use has complied with all the relevant national regulations, and institutional policies, and is in accordance with the tenets of the Helsinki Declaration, and has been approved by the authors’ institutional review board or equivalent committee.

Citation Information: Journal of Perinatal Medicine, Volume 46, Issue 8, Pages 934–941, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: https://doi.org/10.1515/jpm-2017-0330.

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