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
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