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Comparison between medical students' experience, confidence and competence.

P J Morgan¹, D Cleave-Hogg

¹Department of Anaesthesia, Sunnybrook & Women's College Health Sciences Centre, University of Toronto, Ontario, Canada. pam.morgan@utoronto.ca

Medical Education

|June 6, 2002

Summary

Clinical experience and confidence levels do not predict competency in standardized anesthesia simulation tests. Further research is needed to identify reliable indicators of student performance in simulation-based assessments.

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Area of Science:

Medical Education
Anesthesiology Simulation
Performance Assessment

Background:

Medical trainees' clinical experience and self-confidence are often assumed to correlate with performance.
Standardized simulator assessments are increasingly used to evaluate clinical competency.

Purpose of the Study:

To investigate if breadth of clinical experience and student confidence predict performance on standardized anesthesia simulator assessments.
To determine the relationship between self-reported experience, confidence, and objective performance metrics.

Main Methods:

144 students completed a questionnaire on clinical experiences and confidence levels (Likert scale).
Students participated in standardized anesthesia simulation scenarios.
Spearman rank correlations analyzed data; P-value <0.05 was significant.

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Main Results:

A strong correlation was found between clinical experience and confidence levels.
No significant correlation was observed between clinical experience, confidence, and simulator performance.
Confidence levels did not correlate with clinical rotation performance or final examination scores.

Conclusions:

Clinical experience and self-reported confidence are not reliable predictors of performance in standardized anesthesia simulation.
Current self-assessment metrics may not accurately reflect a student's ability in simulated clinical scenarios.