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Simulation in Interprofessional Clinical Education: Exploring Validated Nontechnical Skills Measurement Tools
Carl Eugene Alexander von Wendt1, Leila Niemi-Murola
1From the Department of Anaesthesiology and Intensive Care Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Summary
This study reviewed tools for assessing teamwork and nontechnical skills in interprofessional simulation-based medical education. Most tools show validity for scoring and generalization, but fewer are validated for expert-novice analysis.
Area of Science:
- Medical Education
- Healthcare Simulation
Background:
- Interprofessional simulation-based medical education is a growing field.
- Assessing teamwork and nontechnical skills is crucial in this domain.
Purpose of the Study:
- To systematically review the validation evidence of tools used for assessing teamwork and nontechnical skills in interprofessional simulation-based clinical education.
Main Methods:
- Systematic review of original studies using measurement tools in simulated interprofessional settings.
- Validity assessment of tools using Kane's framework.
- Evaluation of study quality using the Medical Education Research Study Quality Instrument.
Main Results:
- Twenty-two studies utilized 20 different assessment strategies.
- Commonly used tools included Team Emergency Assessment Measure, Anesthetist's Nontechnical Skills, and Nontechnical Skills for Surgeons.
- Most tools demonstrated validity for scoring and generalization inferences.
Conclusions:
- While many tools are validated for scoring and generalization, fewer possess validation for extrapolation inferences like expert-novice analysis.
- Further research is needed to strengthen the validation evidence for advanced inferences in interprofessional simulation assessment.

