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Evaluating pre-anesthesia assessment performance in residency: the reliability of standardized patient methods.
Besnier, Emmanuel; Franchina, Sébastien; Lefevre-Scelles, Antoine; Wable, Thierry; Hanouz, Jean-Luc; Allard, Etienne; Dureuil, Bertrand; Compère, Vincent.
Affiliation
  • Besnier E; Department of Anesthesia and Intensive Care, Rouen University Hospital, Rouen, France.
  • Franchina S; Normandie Univ, UNIROUEN, Inserm, Mont-Saint-Aignan, France.
  • Lefevre-Scelles A; Department of Anesthesia and Intensive Care, Rouen University Hospital, Rouen, France.
  • Wable T; Department of Anesthesia and Intensive Care, Rouen University Hospital, Rouen, France.
  • Hanouz JL; UFR Médecine Pharmacie, Université de Normandie, Rouen, France.
  • Allard E; Department of Anesthesia and Intensive Care, Caen University Hospital, Caen, France.
  • Dureuil B; Department of Anesthesia, Le Havre Hospital, Le Havre, France.
  • Compère V; Department of Anesthesia and Intensive Care, Rouen University Hospital, Rouen, France.
Front Med (Lausanne) ; 11: 1342004, 2024.
Article in En | MEDLINE | ID: mdl-39149611
ABSTRACT

Background:

Pre-anesthesia assessment clinic (PAC) is known to increase safety and quality in the perioperative period. However, PAC teaching during anesthesiology residency is a challenge. The objective of this study was to assess the reliability of a simulation score grid using a standardized patient on the PAC performance of anesthesiology residents.

Methods:

A score grid, including the 4 components of the PAC (clinical evaluation, perioperative strategy, information and communication) was validated by a group of 5 senior anesthesiologists. Anesthesiology residents (> one year) and attending anesthesiologists were included. The same simulation sequence with the same standardized patient was conducted in a simulation dedicated consultation room. The simulation sequence was followed by a debriefing session with the 2 professors (anesthesiology and communication) and each anesthesiology resident. The main outcome was the overall grid score out of a maximum score of 300 and the correlation of this score with experience in anesthesiology residency. Secondary outcomes were individual component scores according to level of experience in anesthesiology.

Results:

Between October 2014 and April 2016, 109 anesthesiology residents and 16 attending anesthesiologists were included in this prospective bicentric study. There was a positive correlation (p < 0.01) between level of experience and overall score on the grid score (Pearson's Coefficient = 0.52). The Pearson correlation coefficient between overall assessment and level of experience in anesthesiology was 0.46 (p < 0.01). The analysis of the sub-scores for the 4 components of the overall score (evaluation, perioperative strategy, information and communication) also identify differences between groups of experience.

Conclusion:

Standardized patient Simulation of PAC seems to be a reliable tool to assess PAC performance in anesthesiology residents and senior anesthesiologists. These results suggest standardized patient simulation could be used as a teaching tool for PAC.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Front Med (Lausanne) Year: 2024 Document type: Article Affiliation country: Francia Country of publication: Suiza

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Front Med (Lausanne) Year: 2024 Document type: Article Affiliation country: Francia Country of publication: Suiza