Figure 1.

Simulation-based mastery learning (SBML) central venous line (CVL) curriculum. Although we have selected CVL as a skill to illustrate an SBML curriculum, this model could be applied to any other skill. After the in-class (didactic portion of curriculum) and having successfully completed their knowledge test, the participants progress to simulation training. The simulation training initially focuses on procedural skills only (task trainer) then progresses to participants having to manage all aspects of CVL insertion (using simulated participants and a high-fidelity mannequin). After successful completion of simulation training as assessed by a checklist and a global rating scale, participants perform the procedures supervised at bedside. ICU = intensive care unit.