{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:43:32Z","timestamp":1791326612672,"version":"4.3.1"},"reference-count":17,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T00:00:00Z","timestamp":1703548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T00:00:00Z","timestamp":1703548800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007059","name":"Northwestern University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007059","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&R"],"published-print":{"date-parts":[[2024,7]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Simulation\u2010based mastery learning (SBML) has demonstrated superiority as a procedural learning method. Implementation of SBML in Physical Medicine and Rehabilitation (PM&R) education has not been described and there is a paucity of literature regarding standardized procedural learning in this specialty.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To evaluate if implementation of intrathecal baclofen pump management SBML affects knowledge, attitudes, and skills in PM&R residents.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Pretest\u2013posttest design.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Academic rehabilitation hospital.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n Twenty\u2010two\u2009PM&R residents.<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n Participants engaged in SBML steps: pre\u2010test, demonstration of proper technique, deliberate practice, and a post\u2010test.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measures<\/jats:title>\n \n Ability to achieve minimum passing score, quiz scores, and survey scores. Pre\u2010 and post\u2010test results were compared using Wilcoxon signed\u2010rank tests. Post graduate year (PGY)\u20103 and PGY\u20104 resident results were compared using Mann\u2013Whitney\n U<\/jats:italic>\n tests.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Based on institutional expert consensus, a simulation procedural checklist was created with a minimum passing score set at correctly performing 30 of 31 items. On pre\u2010test, no learners achieved the minimum passing score (22.5, interquartile range [IQR] 17.0\u201323.0). Initial post\u2010test score for all learners was 30 (IQR 29.8\u201331.0). Six learners required additional attempts to reach mastery as defined by reaching the minimum passing score. Quiz scores significantly improved from 9 to 11 (pre\u2010test IQR 9\u201310; post\u2010test IQR 10\u201311;\n p<\/jats:italic>\n \u2009<\u2009.05). Confidence in procedure significantly improved (pre\u2010test 2.7\/5.9, IQR 2.2\u20133.8; post\u2010test 4.1\/5.0, IQR 3.7\u20134.5;\n p<\/jats:italic>\n \u2009<\u2009.01). Likelihood to perform procedure in future practice did not change (pre\u2010test 2.2, IQR 1.0\u20133.8; post\u2010test 3.0, IQR 1.0\u20134.0;\n p<\/jats:italic>\n \u2009=\u2009.89).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n SBML is an effective tool to improve multiple domains of learning in PM&R residents.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pmrj.13101","type":"journal-article","created":{"date-parts":[[2023,11,4]],"date-time":"2023-11-04T14:25:20Z","timestamp":1699107920000},"page":"732-737","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Simulation\u2010based mastery learning for intrathecal baclofen pump management in physical medicine and rehabilitation: A pilot study"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8364-7082","authenticated-orcid":false,"given":"Emily","family":"Kivlehan","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Shirley Ryan AbilityLab Chicago Illinois USA"},{"name":"Department of Physical Medicine and Rehabilitation Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dana","family":"Branch","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Shirley Ryan AbilityLab Chicago Illinois USA"},{"name":"Department of Orthopaedic Surgery & Rehabilitation Medicine University of Chicago Medicine Chicago United\u00a0States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Reger","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Shirley Ryan AbilityLab Chicago Illinois USA"},{"name":"Department of Physical Medicine and Rehabilitation Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana\u2010Marie","family":"Rojas","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Shirley Ryan AbilityLab Chicago Illinois USA"},{"name":"Department of Physical Medicine and Rehabilitation Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e318217e119"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000001965"},{"issue":"1","key":"e_1_2_9_4_1","first-page":"207","article-title":"The physical medicine and rehabilitation milestone project","volume":"6","year":"2014","journal-title":"J Grad Med Educ"},{"issue":"3","key":"e_1_2_9_5_1","first-page":"401","article-title":"Managing spasticity with 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