Using Rapid Cycles Deliberate Practice in a Status Epilepticus Simulation Scenario: A Teaching Strategy for Neurology Education

Abstract Background Rapid Cycle Deliberate Practices (RCDP) is a simulation method, in which participants receive feedback immediately after an error in a task, repeating the same scenario until mastery in an ability is acquired. We investigated the applicability of RCDP for Status Epilepticus (SE) Emergency Approach training, a time-sensitive condition with high morbidity. Methods In a workshop during the Brazilian Neurology Congress, 111 participants underwent an adapted RCDP session. Simulations were video-recorded and evaluated for time to critical actions and stratification of errors. Participants answered an online perception survey. Results All teams administered benzodiazepines; only 10.8% succeeded on the first attempt. Mean time to first benzodiazepine dose decreased from 42.3s to 33s. Errors related to general procedures were most frequent (48%). Conclusions RCDP seems to be a feasible, adaptable method for SE simulation training. It improved time-critical decisions and was well accepted by participants. Trial Registration: not applicable