Standardized testing of patient management skills. A computer-based method

Clinical cases can be simulated by using computers with programs designed to provide all of the information required to make a diagnosis and initiate a treatment plan. The cases are uncued, simulate time, and require sound clinical judgment for management. All transactions between the physician and case are recorded so that each action can be evaluated from the standpoint of timeliness, sequence, appropriateness, risk, and cost. Results from field studies indicate that the performance by residents in the management of clinical case simulations measures more than knowledge.