Table of Contents
Advances in Emergency Medicine
Volume 2015, Article ID 593625, 7 pages
Research Article

Time for Reflection: The Balance between Repetition and Feedback in Resuscitation Training—A Randomised Controlled Trial

1Centre for Health Sciences Education, Aarhus University, INCUBA Skejby, Palle Juul-Jensens Boulevard 82, Bygn. B, 8200 Aarhus N, Denmark
2Department of Business Communication, Faculty of Business and Social Sciences, Aarhus University, Jens Chr. Skous Vej 4, Bygn. 1481, 8000 Aarhus C, Denmark

Received 6 September 2015; Accepted 8 October 2015

Academic Editor: Georg M. Schmölzer

Copyright © 2015 Kristian Krogh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. The simulation literature widely agrees that the reflective learning phase after the simulation is equal to or perhaps of even greater importance than the actual simulated scenario in ensuring learning. Nevertheless, advanced life support (ALS) tends to have many simulated scenarios followed by short feedback sessions. The aim of this study was to compare the ability of two groups of novice learners to stay adherent to the ALS guidelines in their provision of ALS after they had received either 8 or 12 simulated resuscitation scenarios, both in 4 hours. Methods. This study was a randomised controlled trial. Participants were either randomised to the control group with 12 scenarios (15 minutes per scenario) with 5 minutes of feedback or the intervention group with 8 simulations (15 minutes per scenario) with 15 minutes of feedback. Results. There was no statistically significant difference in test scores between the intervention group and control group in the 1-week retention test and the 12-week retention test .  Conclusion. This study suggests that the lower number of repetitive ALS simulation scenarios does not diminish learning when the feedback is equally prolonged to ensure sufficient time for reflection.