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Published on: January 15, 2017
Acute care skills in anesthesia practice: a simulation-based resident performance assessment
David J Murray1, John R Boulet, Joseph F Kras
1Washington University Clinical Simulation Center, Department of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA. murrayd@notes.wustl.edu
Anesthesiology
|October 27, 2004
Summary
Simulation exercises can effectively assess complex anesthesia skills in graduate medical education. Multiple scenarios are needed for accurate evaluation of resident performance in acute care situations.
Area of Science:
- Medical Education
- Simulation-based Assessment
- Anesthesiology Training
Background:
- Graduate medical education continually seeks improved methods for assessing specialist skills.
- Life-sized simulators offer potential for evaluating complex skills if relevant, reliably scored exercises are developed.
Purpose of the Study:
- To develop simulation exercises and scoring methods for acute anesthesia care skills.
- To determine the utility of these simulation scenarios in evaluating resident performance.
Main Methods:
- Twenty-eight residents (12 junior, 16 senior) completed six simulation exercises (3 intraoperative, 3 postoperative) depicting acute perioperative complications.
- Performances were videotaped and scored by six raters using checklist and global rating scales, with faculty also measuring key diagnostic/therapeutic actions.
Main Results:
- High correlation among scoring systems and low inter-rater variance suggest consistent measurement of performance domains.
- Scenarios demonstrated varying difficulty, and while performance was generally consistent across exercises, individual case difficulty differed significantly.
Conclusions:
- Simulation is a viable tool for measuring complex skills in specialty training.
- Multiple simulation encounters are necessary for effective and accurate estimation of resident skill proficiency.
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