High fidelity simulation can discriminate between novice and experienced residents when assessing competency in patient care  

Oleh:

Girzadas, Daniel V., (Jr.) ; Clay, Lamont ; Caris, Jennifer ; Rzechula, Kathleen ; Harwood, Robert

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Medical Teacher (keterangan: ada di Proquest) vol. 29 no. 05 (Jun. 2007), page 452-456.

Ketersediaan

Perpustakaan FK Nomor Panggil: M37.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

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 IV fluids. Data was recorded using a standardized form and stop watch. Primary outcome: Time to completion of surgical airway. Secondary outcomes: 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 acheive three of our secondary outcomes: 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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