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

@article{citeulike:2581825, 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. 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 achieve 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.}, address = {Department of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, Illinois 60453, USA. dgirzadasjr@comcast.net}, author = {Girzadas, D. V. and Clay, L. and Caris, J. and Rzechula, K. and Harwood, R.}, citeulike-article-id = {2581825}, citeulike-linkout-0 = {http://dx.doi.org/10.1080/01421590701513698}, citeulike-linkout-1 = {http://view.ncbi.nlm.nih.gov/pubmed/17885976}, citeulike-linkout-2 = {http://www.hubmed.org/display.cgi?uids=17885976}, doi = {10.1080/01421590701513698}, issn = {1466-187X}, journal = {Med Teach}, keywords = {competence, expert, intubation, novice, resident, shock, simulation, training}, month = {June}, number = {5}, pages = {452--456}, posted-at = {2008-03-24 19:19:58}, priority = {2}, title = {High fidelity simulation can discriminate between novice and experienced residents when assessing competency in patient care.}, url = {http://dx.doi.org/10.1080/01421590701513698}, volume = {29}, year = {2007} }

TY - JOUR ID - citeulike:2581825 L3 - citeulike-article-id:2581825 N2 - 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. 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 achieve 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. IS - 5 JF - Med Teach SN - 1466-187X AD - Department of Emergency Medicine, Advocate Christ Medical Center, Oak Lawn, Illinois 60453, USA. dgirzadasjr@comcast.net EP - 456 TI - High fidelity simulation can discriminate between novice and experienced residents when assessing competency in patient care. VL - 29 SP - 452 KW - competence KW - expert KW - intubation KW - novice KW - resident KW - shock KW - simulation KW - training AU - Girzadas, DV AU - Clay, L AU - Caris, J AU - Rzechula, K AU - Harwood, R PY - 2007/06// UR - http://dx.doi.org/10.1080/01421590701513698 ER -