Gavin D. Perkins, MD; Andrew Lockey, MMEd; Ian Bullock, PhD
Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M11-3019.
Perkins G., Lockey A., Bullock I.; Improving the Efficiency of Advanced Life Support Training. Ann Intern Med. 2012;157:753. doi: 10.7326/0003-4819-157-10-201211200-00018
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Published: Ann Intern Med. 2012;157(10):753.
We thank Dr. Wayne and coworkers for their comments on our article. We agree that simulation is central to successful ALS training, which is consistent with international ALS guidelines (1). In our blended learning trial, the number of sessions of cardiac arrest simulation was identical between the 2 groups. Face-to-face content, such as lectures and small-group teaching from the 2-day course, was replaced with e-learning material; skill-focused simulation teaching was not. Improving efficiency and reducing the overall cost of ALS training present an opportunity to save money that can be reinvested in further simulation and deliberate self-practice to reduce the effect of skill decay, which is known to occur within months after initial training (2).
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