RT Book, Section A1 Cheng, Adam A1 Auerbach, Marc A2 Schafermeyer, Robert A2 Tenenbein, Milton A2 Macias, Charles G. A2 Sharieff, Ghazala Q. A2 Yamamoto, Loren G. SR Print(0) ID 1105688581 T1 Procedural Competency and Simulation T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 4e YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-182926-7 LK accesspediatrics.mhmedical.com/content.aspx?aid=1105688581 RD 2024/10/05 AB Simulation provides a safe, risk-free, experiential learning environment where emergency department (ED) practitioners can hone their skills with no potential for adverse consequences to real patients.The acquisition and retention of skills requires hands-on practice complemented by feedback and robust assessments. However, external forces have significantly reduced the number of opportunities to practice procedures in the ED and tolerance for medical errors. Simulation can be used to provide these experiences “on-demand.”Effective simulation-based training interventions have a range of difficulty customized to the individual practitioner's skill level.Postgraduate medical education systems in the United States, Canada, and United Kingdom have called for competency-based education with focused and rigorous evaluations. Mastery learning is a form of competency-based education in which training continues until the participant achieves a uniform level of skill mastery as measured by rigorous standards.The extended duration between performance of many pediatric emergency medicine (PEM) skills leads to deterioration in even the most expert providers. Just-in-time (JIT) training is a training scheme in which the required knowledge and skills are imparted for immediate application to avoid loss of retention due to a time gap.