High-fidelity simulation methods (simulators, 3D models, cadaver-based practice) are associated with superior Acquisition retention, though some studies report contradictory findings¶
Claim · All claims
Evidence · 1 study (2 entries) · quant-synthesisr2·q2
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
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This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q2 i? Advanced methodologies such as simulators, three-dimensional models, or cadaver-based practice were associated with superior Acquisition retention compared to traditional hands-on approaches. → Wang L‐W 2025
q2 i? Several studies found the opposite: e.g., simulator-based TEE training decayed more (−17.3%) than video-based instruction (−8.2%), and supplementary simulator training showed greater decline (−8.1%) than standard training (−3.6%). → Wang L‐W 2025 (2)
Evidence¶
Wang L‐W 2025¶
Wang L‐W, Liu C‐H, Li W‐Y, Chiang W‐C, Chiu Y‐L, Ma M H‐M, Chen H‐L, Yang C‐W. (2025). Is ultrasound training sustainable? A systematic review of competency retention in healthcare trainees. Medical Education. https://doi.org/10.1111/medu.15751
q2 · i? · quant-synthesis · r2
Review-level comparison across included studies (Appendix S4). Supporting examples cited include Kule et al (2022) reporting "a 36.5–68% improvement" with simulation-based mastery learning and Schott et al (2021) reporting minimal decay of 2.6% over 8 months.
"participants exhibited superior retention outcomes in the Acquisition domain when advanced methodologies, such as simulators, three‐dimensional models, or cadaver‐based practice, were incorporated, compared to traditional hands‐on approaches"
Wang L‐W 2025 (2)¶
Wang L‐W, Liu C‐H, Li W‐Y, Chiang W‐C, Chiu Y‐L, Ma M H‐M, Chen H‐L, Yang C‐W. (2025). Is ultrasound training sustainable? A systematic review of competency retention in healthcare trainees. Medical Education. https://doi.org/10.1111/medu.15751
q2 · i? · quant-synthesis · r2
The review reports contradictory individual findings: Zhao et al (2021), Ochoa et al (2019) (−35.6% vs −24.3%), Thomas et al (2013) (−19.1%), and Edrich et al (2014) (−8.1% vs −3.6%) all found simulation or 3D-model approaches did not improve retention.
"Zhao et al (2021) found that simulator‐based training for TEE interpretations led to greater skill decay (−17.3%) compared to video‐based instruction (−8.2%) at the 1‐month follow‐up"
Discussion¶
Related Claims¶
- Hands-on practice integration is associated with better retention in Indication and Medical decision-making domains, with a less pronounced difference in Interpretation — related
- The review reports that high-fidelity simulation outperformed case-based discussion for clinical reasoning and leadership in paediatric emergencies — related
- Virtual reality was particularly effective for procedural skill development and knowledge retention in paediatric undergraduate training — related
- High-fidelity simulation training improves knowledge acquisition among practising registered nurses (moderate pooled effect) — related
- Validation quality does not consistently correlate with simulator fidelity, and high-fidelity VR simulators' superiority over simpler models for fibreoptic intubation has not been demonstrated — reports the opposite
- High-fidelity simulation improved pharmacology learning and retention compared to low-fidelity and sham groups — a narrower finding that bears on this claim
- Patient-specific 3D-printed cloaca model rated high-quality and feasible for preoperative cysto-vaginoscopy training, with 85.4% recommending its use — a narrower finding that bears on this claim
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