Training-time ratio moderates the competency-based simulation advantage: large effects when competency training takes less time, non-significant when it takes more¶
Claim · All claims
Evidence · 1 study · quant-synthesisr3·q2·i2medium
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q2 i2 In a post hoc subgroup analysis, studies where the competency-based group trained for less time showed a large pooled effect (SMD = 1.00), while equal-time studies showed a moderate non-significant effect (SMD = 0.67, P = 0.07) and longer-time studies a small non-significant one (SMD = 0.18, P = 0.68). → Vermylen JH 2026
Evidence¶
Vermylen JH 2026¶
Vermylen JH, Cohen ER, Cook DA, McGaghie WC, Issenberg SB, Arnold J, Ballard H, Bayoumi M, Beestrum M, Bremner R, Crawford S, Einstein N, Mannarino C, Misra A, Tomita TM, Waldron H, Yanko F, Kessler DO. (2026). Competency-Based Simulation Training for Procedural Skills: A Systematic Review and Meta-analysis. Simulation in Healthcare. https://doi.org/10.1097/SIH.0000000000000895
q2 · i2 · quant-synthesis · r3
Post hoc subgroup analysis of the 12 competency-versus-noncompetency studies, grouping by the ratio of competency-arm to noncompetency-arm training time. Equal-time studies (2 studies) gave SMD = 0.67 (P = 0.07); longer-time studies (4 studies) gave SMD = 0.18 (P = 0.68).
"For the 6 studies with a time ratio <1 (shorter time for competency-based simulation), the pooled SMD was 1.00 (95% CI = 0.53 to 1.7, P < 0.001) indicating a large effect favoring the competency-based group"
Discussion¶
Related Claims¶
- Competency-based simulation training outperforms noncompetency-based simulation for procedural skill outcomes in health professionals (moderate pooled effect) — related
- Competency-based simulation effects are large for skills measured in the simulation lab but small and non-significant for clinical behaviors and patient outcomes — related
- Simulation Based Education Improves Outcomes — a broader claim this one bears on
- Simulation Based Education With Deliberate Practice Improves Clinical Outcomes — related
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