The Application of Intermittent Training in Clinical Skills Simulation Training

The Application of Interval Training in Advanced Life Support Skills Simulation Training for Medical Students: A Randomized Sequential Allocation Study

This study aims to investigate medical students' mastery of advanced life support skills when using scenario-based simulation combined with intermittent training, compared to traditional teaching methods.

Study Overview

• Status: Not yet recruiting
• Conditions: Advanced Life Support Operational Skills and Theoretical Knowledge Learning and Memorization
• Intervention / Treatment: Other: Interval retraining; Other: Non-interval retraining

Detailed Description

Advanced life support is crucial for medical students during their studies, examinations, and professional practice, serving as the foundation of their clinical skills. Scenario-based simulation training immerses students in realistic emergency scenarios, familiarizing them with equipment operation, fostering teamwork, and providing real-time feedback to mitigate clinical risks. Through scenario simulation, students encounter and manage authentic emergency situations within simulated clinical settings, thereby enhancing their skill proficiency and response capabilities. Intermittent training combined with deliberate practice helps medical students retain these skills and emergency knowledge over the long term. This study aims to investigate the impact of a teaching model integrating scenario simulation training with spaced practice, compared to traditional teaching methods, on medical students' long-term mastery of advanced life support theoretical knowledge and operational skills.

• Study Type: Interventional
• Enrollment (Estimated): 48
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Zhihua Wang, PhD; Phone Number: 86-0951-18295111380; Email: 846522050@qq.com
• Study Contact Backup: Name: Xinyu Zhan, MS; Phone Number: 86-0951-15809601687; Email: 751581298@qq.com

Study Locations

• China
  • Ningxia
    • Yinchuan, Ningxia, China, 750004
      • General Hospital of Ningxia Medical University
      • Contact: Zhihua Wang, PhD; Phone Number: 86-0951-18295111380; Email: 846522050@qq.com
      • Contact: Xinyu Zhan, MS; Phone Number: 86-0951-15809601687; Email: 751581298@qq.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Medical students studying in the Department of Anesthesiology
• The initial training for "Advanced Life Support Scenario Simulation Instruction" required by this study has been successfully completed, and the corresponding pre-test assessment has been passed.
• Voluntarily participate in this study and sign a written informed consent form, committing to adhere to the entire schedule of the research plan.
• During the research period, do not participate in any other training that conflicts with this experiment.

Exclusion Criteria:

• Individuals who have previously obtained an Advanced Cardiac Life Support (ACLS) provider certificate issued by the American Heart Association (AHA) or an equivalent organization, and whose certificate remains valid.
• Individuals who have participated in any form of Advanced Cardiac Life Support (ACLS) or Advanced CPR scenario simulation training courses within the past three months.
• Previously participated as a subject in educational interventions comparing "spaced learning versus traditional learning."
• Individuals who, for any reason, fail to complete all instructional components during the initial training phase or whose pre-test data is missing.
• Individuals who are unable to guarantee participation in all scheduled training or testing sessions during the study period (particularly on Days 2, 4, 6, and 7) due to scheduling conflicts, leave requests, or other reasons.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Interval Training Group; Conduct experiments on trainees who have mastered advanced life support theory and practical skills. The interval retraining group undergoes fixed-interval repeated training, performing the same 20-minute task daily on days 2, 4, and 6.	Other: Interval retraining; Through basic skills training and testing, confirm that all trainees have mastered the steps of adult external cardiopulmonary resuscitation (CPR), tracheal intubation procedures, and the operational steps of automated external defibrillators (AEDs). And validated students' mastery of ECG interpretation for cardiac arrest and arrhythmias, along with pharmacology knowledge of cardiovascular emergency medications through assessment questions. The interval retraining group underwent fixed-interval repeated training, performing the same 20-minute tasks daily on days 2, 4, and 6.
Experimental: Non-interval training group; Conduct experiments on trainees who have mastered advanced life support theory and practical skills. Compared to the experimental group, this group of trainees will not receive additional training during the following week.	Other: Non-interval retraining; Through basic skills training and testing, confirm that all trainees have mastered the steps of adult external cardiopulmonary resuscitation (CPR), tracheal intubation procedures, and the operational steps of automated external defibrillators (AEDs). And validated students' mastery of ECG interpretation for cardiac arrest and arrhythmias, along with pharmacology knowledge of cardiovascular emergency medications through assessment questions. The non-interval retraining group will not engage in interval training during the following week.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Advanced Life Support Skills Assessment	Performance Scoring for Cardiopulmonary Resuscitation, Defibrillation, and Tracheal Intubation	The seventh day after the unified training
Theoretical Knowledge of Advanced Life Support	Interpretation of electrocardiograms related to cardiac arrest, arrhythmias, and other conditions; pharmacological knowledge of emergency medications for the cardiovascular system.	The seventh day after the unified training

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Total Duration of Scenario Simulation	Total time required to resuscitate the patient in the simulated case	The seventh day after the unified training
Scenario-Based Simulation Training Participant Behavior Checklist	Conduct standardized behavioral verification of trainees participating in scenario-based simulation training based on teaching cases.	The seventh day after the unified training
Student Satisfaction Survey Form	Participant satisfaction with the training content and outcomes	The seventh day after the unified training

Collaborators and Investigators

• Sponsor: General Hospital of Ningxia Medical University

Study record dates

Study Major Dates

• Study Start (Estimated): December 20, 2025
• Primary Completion (Estimated): October 30, 2026
• Study Completion (Estimated): October 30, 2026

Study Registration Dates

• First Submitted: November 16, 2025
• First Submitted That Met QC Criteria: November 16, 2025
• First Posted (Estimated): November 20, 2025

Study Record Updates

• Last Update Posted (Actual): December 11, 2025
• Last Update Submitted That Met QC Criteria: December 4, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Other Study ID Numbers: Xinyu Zhan-2025-10

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No