Training fidelity: low-fidelity manikins performed comparably to high-fidelity manikins for epidural skill acquisition¶

Claim · All claims
Evidence · 1 study · review r3 · q2
Currency · newest study 2025 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? A single RCT comparing anaesthesiologists learning epidural placement on low-fidelity versus high-fidelity manikins showed no difference in outcome. → Nielsen Martine Siw 2025

Evidence¶

Nielsen Martine Siw 2025¶

Nielsen Martine Siw, Ilkjær Frederik Veitland, Grejs Anders Morten, Nielsen Anders Bo, Konge Lars, Brøchner Anne Craveiro. (2025). Training and assessment of skills in neuraxial space access: a scoping review of educational approaches to lumbar puncture, epidural anaesthesia, and spinal anaesthesia. British Journal of Anaesthesia. https://doi.org/10.1016/j.bja.2025.06.008

q2 · i? · review · r3

The review's discussion of fidelity reports one RCT in which "low-fidelity manikins vs high-fidelity manikins showed no difference in outcome" for epidural placement learning.

"A single RCT that compared anaesthesiologists’ learning epidural placement on low-fidelity manikins vs high-fidelity manikins showed no difference in outcome."

Discussion¶

Related Claims¶

• Manikins show anatomical discrepancies against human imaging data, yet may still support effective skill acquisition, suggesting educational fidelity can matter more than anatomical replication — related
• Proficiency-based training, including mastery learning, is effective for achieving competence in neuraxial access — related