High fidelity simulation can discriminate between novice and experienced residents when assessing competency in patient care.
Med Teach
; 29(5): 472-6, 2007 Jun.
Article
in En
| MEDLINE
| ID: mdl-17885976
ABSTRACT
BACKGROUND:
High fidelity (HF) simulators have become more common in residency training programs.AIMS:
We hypothesized that high fidelity (HF) simulation-based assessment of patient care competency could differentiate novice from experienced residents.METHODS:
Prospective study of 44 emergency medicine residents. A simulated case of anaphylactic shock was administered to each participating resident utilizing a HF patient simulator. Management of the case required epinephrine, airway management including a surgical airway, and i.v. fluids. Data was recorded using a standardized form and stop watch. PRIMARYOUTCOME:
Time to completion of surgical airway. SECONDARYOUTCOMES:
Times to administration of epinephrine/attempt intubation/start surgical airway/complete case; checklist items epinephrine as first action, pre-oxygenation, cricoid pressure and type of surgical airway.RESULTS:
Novice residents took significantly longer than the experienced residents to achieve our primary outcome, time to completion of surgical airway (621/512 sec; p = 0.03). The novice residents took significantly longer to achieve three of our secondaryoutcomes:
time to start of surgical airway (534 versus 442 sec; p = 0.04), time to case completion (650 versus 513 sec; p = 0.006), and epinephrine as a first action (73% versus 100%; p = 0.02).CONCLUSIONS:
HF simulation-based assessment using objective measures, particularly time to action, discerned our novice from our experienced residents.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Time and Motion Studies
/
Computer Simulation
/
Clinical Competence
/
Competency-Based Education
/
Emergency Medicine
/
Internship and Residency
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adult
/
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Med Teach
Year:
2007
Document type:
Article
Affiliation country:
United States