2026, Number 1
Asynchronous competency-based CPR training with remote and asynchronous feedback is associated with higher pass rates than an institutional course with in-person feedback: acomparative educational study
Full text
10.35366/123173
Language: Spanish
References: 21
Page: 14-24
PDF size: 843.67 Kb.
ABSTRACT
Introduction: high-quality cardiopulmonary resuscitation (CPR) is a fundamental competency in the training of healthcare professionals and technicians. In large cohorts, face-to-face models may limit deliberate practice, feedback, and remediation. We compared a face-to-face CPR course aligned with the recommendations of the American Heart Association with an asynchronous competency-based program with modularization, iterative feedback, and resubmissions. Objective: to compare pass rates in a standardized video-based assessment between students in a face-to-face CPR course and those in an asynchronous competency-based program. Material and methods: comparative educational study in two academic campuses. Campus 1: face-to-face course with a final video-recorded evaluation without feedback or resubmissions. Campus 2: modular asynchronous program with a standardized checklist, formative feedback, and resubmissions until competency was achieved. Only full-sequence videos were analyzed. Two instructors performed the initial non-blinded evaluation and a third evaluator performed a blinded evaluation. Fisher's exact test was used and absolute risk difference and risk ratio (RR) with 95% CI were estimated. Results: seventy-seven students were included (41 face-to-face, 36 asynchronous). Non-blinded evaluation: 1/41 (2.4%) vs 30/36 (83.3%) (absolute difference 80.9 percentage points; RR 34.17; 95%CI 4.90-238.10; p = 2.5 × 10-14). Blinded evaluation: 3/41 (7.3%) vs 35/36 (97.2%) (absolute difference 89.9 percentage points; RR 13.29; 95%CI 4.46–39.55; p = 2.9 × 10-17). Conclusion: the asynchronous competency-based program was associated with higher pass rates than the face-to-face course with a single evaluation.REFERENCES
Daorattanachai K, Imsuwan I, Srivilaithon W, Kornthatchapong K, Wongpophon P. Retention of CPR skills learnt in a brief educational video with short-time self-training versus mastery learning among lay responders in Thailand: an assessment of a training system. BMJ Open. 2025; 15 (12): e105678. doi: 10.1136/bmjopen-2025-105678.
Cheng A, Magid DJ, Auerbach M, Bhanji F, Bigham BL, Blewer AL, et al. Part 6: Resuscitation Education Science: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020; 142 (16_suppl_2): S551-S579. doi: 10.1161/CIR.0000000000000903.
Donoghue AJ, Auerbach M, Banerjee A, Blewer AL, Cheng A, Kadlec KD, et al. Part 12: Resuscitation Education Science: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2025; 152 (16_suppl_2): S719-S750. doi: 10.1161/CIR.0000000000001374.
Belmar F, Gaete MI, Durán V, Chelebifski S, Jarry C, Ortiz C, et al. Taking advantage of asynchronous digital feedback: development of an at-home basic suture skills training program for undergraduate medical students that facilitates skills retention. Global Surg Educ. 2023; 2 (1): 32. doi: 10.1007/s44186-023-00112-w.
Corvetto M, Acuña D, Schneider A, Rojas J, Varas J, Zamorano E, et al. Development and validation of a distance-based training program of Basic Cardiac Life Support for laypersons and comparison with traditional in-person methodology: a non-inferiority study. Research Square. 2025. doi: 10.21203/rs.3.rs-7509928/v1.
Greif R, Bray JE, Djarv T, Drennan IR, Liley HG, Ng KC, et al. 2024 International consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations: summary from the basic life support; advanced life support; pediatric life support; neonatal life support; education, implementation, and teams; and first aid task forces. Circulation. 2024; 150 (24): e580-e687. doi: 10.1161/CIR.0000000000001288.