Skill Fade - myth or reality?

- Understanding Skill Fade - Figure 1 shows a curve where the skill decline is greater in the first few months, then becomes more gradual over time - the curve starts close to the required competence but the critical cross over happens relatively quickly. You might experience this with a break from a specific skill that leads to you becoming ‘rusty’. But in medical terms, you won’t be using the skills daily. So an understanding of the starting point of our skills through reflection and feedback can help us to understand the impact of this lack of day to day use. So for instance, setting up procedures onboard can help to safely achieve the desired outcome.
- Continuous Professional Development (CPD) - Keeping up to date with developments through conversations with peers and professional groups can be a great way to refresh knowledge and stay current. It may not help directly with practical skills, but having that background information can be vital. So sign up to newsletters and blogs, keep reading and talk through incidents and procedures with colleagues.
- Make the most of your training. - It stands to reason that the higher the level of proficiency at training, the greater the level of retention even if the skills aren’t regularly used. Figure 1 varies for everyone, but relates specifically to medical professionals with years of training behind them. So for those of you who do medical training as just a small part of your role, the skill fade could mean you drop below the minimum level more quickly. So make the most of your training courses. Ask questions. Think about incidents and potential for accidents in your environment and talk them through. Plan drills onboard. Use your instructor's experience. Develop checklists and Mantras. Suggest refresher training in between the required 5 years.
- Self assessment may not be reliable. - There is value in some form of objective assessment especially where skills have only been trained and practiced to a minimum level. The Johari window (figure 2) provides a useful insight into our own blind spots when we’re trying to assess our own competence.
- First time Faff! - The first time you have to manage a medical situation is likely to feel awkward, and like you’re out of your depth. Even putting on a pair of gloves can be unbelievably tricky if your hands are sweating! Take time to review and reflect on what happened and your response. Learn from any experience, however small, talk it through and share with your colleagues.

But it’s not all bad news!
At Red Square Medical, we offer a whole host of resources to help mitigate the effects of skill fade. Here’s a few examples and if you have something different in mind, please ask and we’ll do all we can to help.
1. Sign up for our free monthly educational resource,
Salt Water Solutions. Each month we’ll email out a short training update for you to use and share.
2. Sign up to our monthly newsletter,
Worse Things Happen at Sea. Covers a host of topics including important updates to regulations and new developments in the maritime medical world.
3. Check out our
Blog Spot! You’ll find literally hundreds of useful blogs covering a wide range of subjects from mindfulness to lightning burns and medical conditions to managing trauma.
4. Ask us about
Onboard Training. Did you know that we can come to your vessel to train the whole crew, using your kit and with scenarios relevant to your environment. There’s no better way to train as a team and it’s a really valuable way to refresh skills without formal assessment.









