Tiered training system progressing from admission assessment through graded practice to supervised independent operation

Design · All designs
Evidence · no claims cited

Description

The program's tiered training pattern comprises "a three-level model comprising admission assessment, graded practice, and supervised operation—that ensures skills meet standards before clinical practice". Trainees must pass three simulation assessments (≥90% success, under 5 min, ≤1 complication) before clinical work, then serve as first assistant for 5 supervised intubations, then as main operator after scoring at least 80 on the Operation Score Sheet, with the first three cases supervised by a senior physician.

Design Implications

Context

Requirements

• High-fidelity simulators (Laerdal SimMan) for monthly scenario drills
• Faculty supervision providing real-time feedback at each stage
• Structured assessment tools such as the Operation Score Sheet

Constraints

• The authors note differences exist between simulation and actual clinical practice, which could limit skill transfer

Target Learners

• standardised training residents in emergency medicine

Learning Goals

• procedural skill proficiency in endotracheal intubation
• decision-making under pressure
• patient safety during supervised practice

Claims

• Pdca Increases Etl First Pass Success Str [+M]

Related Designs

• Tiered laparoscopic training curriculum with proficiency-based stratification and hierarchical skill progression
• IG-IBD Master program three-phase competency-based IUS training curriculum

Examples

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Key Sources

• Tan Zhanpeng, Lai Fang, Li Xiaoya, Li Deyang, Li Hui, Liu Shiyi, Yang Suyi, Yan Chunjiang, Li Guowei, He Fengxian, Zeng Ruifeng, Li Huanmei. (2026). Application of the PDCA cycle management in quality improvement of endotracheal intubation in emergency department among standardised training residents. BMC Medical Education. https://doi.org/10.1186/s12909-026-09076-z

Page metadata

Field	Value
type	design
id	tiered-training-admission-graded-practice
title	Tiered training system progressing from admission assessment through graded practice to supervised independent operation
description	The program's tiered training pattern comprises "a three-level model comprising admission assessment, graded practice, and supervised operation—that ensures skills meet standards before clinical practice".
status	review
generated	by process:settle-candidates on 2026-11-04
trust	unverified — no one has confirmed this page's content
sources	1 — tan-zhanpeng-2026

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