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Standardized Direct Observation Assessment Tool: Using a Training Video.

Kathleen E Kane1, Kevin R Weaver1, Gavin C Barr1

  • 1Department of Emergency Medicine, Lehigh Valley Hospital and Health Network/USF MCOM, Allentown, Pennsylvania.

The Journal of Emergency Medicine
|January 24, 2017
PubMed
Summary
This summary is machine-generated.

A new DVD training tool for the Standardized Direct Observation Assessment Tool (SDOT) showed mixed results. While it slightly improved attending physicians' scores, it significantly decreased senior residents' performance in emergency medicine evaluations.

Keywords:
SDOTtraining video

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Assessment Tools

Background:

  • A DVD training tool was developed to enhance physician education on the Standardized Direct Observation Assessment Tool (SDOT).
  • The tool aimed to improve the accuracy of SDOT application by evaluators of emergency medicine residents.

Purpose of the Study:

  • To evaluate the impact of a training video on the application of the SDOT by attending physicians and senior residents.
  • To determine if the educational intervention led to improved SDOT use and scoring accuracy.

Main Methods:

  • Participants (26 attendings, 26 residents) completed pre- and post-training SDOT evaluations using a scripted video.
  • A DVD demonstrating proper SDOT use across 26 behaviors was presented.
  • Performances were compared before and after the training intervention.

Main Results:

  • Exact agreement in SDOT scoring was around 50% for both groups, pre- and post-training.
  • Attending scores showed a slight, non-significant increase after the training.
  • Senior resident scores significantly decreased post-training, particularly in one anchor behavior and systems-based practice.

Conclusions:

  • The SDOT training video had a statistically significant negative impact on senior residents' performance.
  • Attending physicians' scores improved slightly but not significantly.
  • Current SDOT application by senior residents, with further education, may be viable for resident assessment.