Simulation based mastery learning (SBML) for practical procedures is a highly effective way of improving confidence, and competence in skill performance, and there is a growing body of evidence that it reduces complications, and improves patient safety.

Simulation based training is recommended by many national associations and colleges, and has become integral to the training curricula of many specialties. Because there is good evidence that it works, it makes sense to use a Mastery Learning approach.  Because the procedures should be the same wherever they are practised across Scotland, it makes sense to use a standardised approach to the teaching, and we are in the process of developing a National Mastery Learning Programme