A student with muscle memory of a skill who can multitask while performing it is at which level in the psychomotor domain?

In the psychomotor domain, the level of naturalization indicates that a student has developed a high level of proficiency in a skill. At this stage, the student not only can perform the skill with ease but has also developed muscle memory, allowing them to execute the skill automatically without conscious thought. This automaticity enables them to multitask while performing the skill, as their movements become second nature.

Naturalization is the culmination of earlier stages in the psychomotor domain. The student has progressed beyond merely imitating the skill or repetitively manipulating it, and they are able to exhibit a high degree of fluidity and efficiency in their performance. This level of mastery is essential, particularly in fields such as EMS, where practitioners must often perform critical tasks under pressure or while attending to multiple responsibilities simultaneously.