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Rapid Cycle Deliberate Practice - Online

Time limit: 180 days

$250 Enroll

Full course description

Course Description

Rapid-Cycle Deliberate Practice (RCDP) is a simulation-based instructional strategy that focuses on rapid acquisition of necessary skills. In the last four years, RCDP’s use in training emergency clinical situations has been associated with improved team performance in several different studies.

Developed by a team of researchers at Johns Hopkins University, RCDP is an innovative cognitive framework that uses simulation as the instructional tool, as well as the components of deliberate practice, mastery learning, and crisis resource management, to improve healthcare team performance during low-volume, high-risk, time-sensitive patient events.

The framework requires that instructors foster psychological safety, establish their role as coach/mentor, and include evidence-based or expert-derived solutions for errors that occur during a simulated event.

An RCDP curriculum should be designed to maximize the time participants spend practicing patient care the “right way,” with instructors observing performance gaps and providing prescriptions to correct participant actions. The goal of RCDP is mastery of key learning objectives based on established procedures or protocols, with instructor coaching and feedback provided as necessary so that each team member can achieve mastery performance.

Since its introduction in 2012 and initial findings regarding its effectiveness, educators have been eager to learn how to incorporate RCDP into healthcare training. The Johns Hopkins Medicine Simulation Center is excited to now offer a hybrid training that pairs an online course with a two-day on-site immersive simulation-based training.

The first phase of the Rapid-Cycle Deliberate Practice (RCDP) Master Trainer course includes an online course consisting of four learning modules:

    • Module 1: Background
    • Module 2: RCDP in Action
    • Module 3: Feedback-Replay
    • Module 4: Designing Your RCDP Course

These modules include foundational knowledge of the concepts of RCDP, educational foundations of the framework, indications for its use, its key components, and an introduction to developing an RCDP session. The course culminates with an initial design of your own RCDP course, walking you through the process of completing your needs assessment, identifying established procedures, building learning objectives, designing simulation scenarios, and developing prescriptions for use during the feedback-replay loop.

In module 4, there is a graded capstone assignment. It may take up to two weeks to receive feedback from the instructor on the assignment. 

Upon conclusion of the online course, learners will obtain a certificate of completion and will be able to enroll in the on-site, immersive training.

Target Audience

This activity is intended for healthcare providers (e.g., MD, RN, Allied Health, Mid-Level Providers, etc.).

Learning Objectives

After participating in this activity, the learner will demonstrate the ability to:

Module 1

  1. Define rapid-cycle deliberate practice (RCDP).
  2. Describe the role of the instructor in RCDP training.
  3. List the four key components of an RCDP event.
  4. Identify opportunities where RCDP could be a valuable instructional strategy.

Module 2

  1. Compare an RCDP training event to a traditional clinical simulation training.
  2. Explain the justification/need for each of the RCDP event’s key components.
  3. List the essential components of the RCDP orientation and ground rules.
  4. Describe five of the teaching strategies used during the “Prescribe” phase of RCDP.

Module 3

  1. Provide two examples of performance data that can be used during RCDP.
  2. Identify the ideal time to “Pause” an RCDP “Pause-prescribe-perform” cycle based on its associated learning objective.
  3. Develop a prescription for a specific learning objective, including description of the error seen and suggestion for change in performance.
  4. After delivering a prescription, determine the best timing to begin the replay in the “Pause-prescribe-perform” RCDP cycle.

Module 4

  1. Complete a needs assessment for your curriculum to justify RCDP as a valid instructional strategy to choose.
  2. Develop learning objectives for your RCDP session, incorporating standards and observable behaviors.
  3. Develop a scenario based on your developed learning objectives using the tool provided or one in use by your institution.
  4. Complete the “Pause-Prescribe-Replay” table provided with prescriptions specific to your RCDP course.


The Johns Hopkins University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 


The Johns Hopkins University School of Medicine designates this enduring material – internet activity for a maximum of 4 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


It is the policy of the Johns Hopkins University School of Medicine that the presenter and provider globally disclose conflicts of interest. The Johns Hopkins University School of Medicine OCME has established policies in place that identify and resolve conflicts of interest during activity planning. Detailed disclosure will be made prior to presentation of the education.


Julianne Perretta, MSEd, RRT-NPS, CHSE 
Instructor, Anesthesiology and Critical Care Medicine 

The Johns Hopkins University-School of Medicine 
Director of Education and Innovation 
Johns Hopkins Medicine Simulation Center


Kristen Brown, DNP, CRNP, CPNP-AC, CHSE
Assistant Professor
Johns Hopkins University School of Nursing
Advanced Practice Simulation Coordinator
Johns Hopkins Medicine Simulation Center

Jordan Duval-Arnould, DrPH, MPH
Assistant Professor of Anesthesiology and Critical Care Medicine and health Sciences Informatics
Director, Research and Innovation
Johns Hopkins Medicine Simulation Center

Lynne Farrow, BSN, RN
Simulation Educator
Johns Hopkins Medicine Simulation Center

Elizabeth Hunt, MD, PhD, MPH
Associate Professor of Anesthesiology and Critical Care Medicine
David S. and Marilyn M. Zamierowski Director
Johns Hopkins Medicine Simulation Center

Nancy Sullivan, DNP, RN
Assistant Professor
Johns Hopkins University School of Nursing
Director, Clinical Simulation
Johns Hopkins Medicine Simulation Center


As a provider approved by the Accreditation Council for Continuing Medical Education (ACCME), Johns Hopkins University School of Medicine Office of Continuing Medical Education (OCME) requires attested and signed global disclosure of the existence of all financial interests or relationships with commercial interest from any individual in a position to control the content of a CME activity sponsored by OCME.

The following relationships have been reported for this activity:

Elizabeth Hunt, MD, PhD Planning Committee Royalty: Zoll Medical Corporation (education technology)
Consulting and Lecture Fees (teaching Rapid Cycle Deliberate Practice): multiple national and international simulation centers

No one else in a position to control the content of this educational activity has disclosed a relevant financial interest or relationship with any commercial interest.

Note: Grants to investigators at the Johns Hopkins University are negotiated and administered by the institution which receives the grants, typically through the Office of Research Administration. Individual investigators who participate in the sponsored project(s) are not directly compensated by the sponsor, but may receive salary or other support from the institution to support their effort on the project(s).


Methods of Payment: We require full payment prior to the start of the activity. The registration fee includes instructional materials and unlimited access to content until the expiration date.

Registration Fee: $250.00

Activity Start Date: August 15, 2022

Activity End Date: July 31, 2024

Access to course content is provided for 365 days.

Email the Office of Online Education with any questions regarding registration.

Learning Prerequisites

There are no specific course prerequisites. You will need to have English language fluency.

Technical Prerequisites

The course will take place on the Canvas LMS ( You will need the ability to log on to the platform, preferably using Google Chrome, to complete the content, which will include videos, readings, and assignments. You may also need to take part in other activities on

  • Hardware requirements: computer; webcam; microphone and speakers or headset.
  • Software requirements: Google Chrome web browser; access to; Zoom web conferencing; Microsoft Office or similar; email

Course Lifecycle and Access

After registering, you will receive an email confirming your registration. You will be granted access to the course, which includes complete course information. Please check the course listing for additional information on course access dates. For synchronous courses, learners will have access to the Canvas course for the duration of the course. For asynchronous courses, learners will have access for 180 days after registration. 

Tuition Remission

This course may qualify for tuition remission. Please check for guidelines. If you are interested in using tuition remission, please email the OOE support email with your request.

Refund Policy and Timeline

  • Synchronous Courses
    • Refunds may be requested up to the start of the live activity, unless otherwise noted. All refund requests will incur a 10% processing fee.
  • Asynchronous Courses
    • Refunds are not allowed for active asynchronous courses.

Technical Support Statement

Please direct all technical support requests to the OOE support email. We will respond to requests within 24-48 hours. Requests received on weekends, overnights and holidays will be responded to on the next business day.

Accessibility Statement

JHU SOM is committed to providing all participants with the opportunity to pursue excellence in their learning endeavors. This includes providing disability related accommodations and services in accordance with the Americans with Disabilities Act (ADA) and our goal of delivering accessible, inclusive experiences. If you require accommodations to complete this course, please reach out to the  OOE support email. Please do not include any personal identifiable information such as social security number in any messages. 


JHU is not approved by Middle States for direct assessment credentials for academic credit. This course results in a certificate of completion. It will not show on any JHU transcripts and does not count toward an academic record.