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Development of a Virtual Reality Assessment of Everyday Living Skills
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Reliability of simulation-based assessment for practicing physicians: performance is context-specific.

Elizabeth Sinz1, Arna Banerjee2, Randolph Steadman3

  • 1Penn State University College of Medicine, Hershey, PA, 17033, USA. esinz@pennstatehealth.psu.edu.

BMC Medical Education
|April 13, 2021
PubMed
Summary
This summary is machine-generated.

Simulation-based assessments for physicians are unreliable for evaluating performance on critical events. More than 20 scenarios with two raters are needed for reliable scores, suggesting a need for better training programs.

Keywords:
AssessmentCompetencyContinuing medical educationFeedbackGeneralisabilityPracticing physiciansProgram evaluationSimulation

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Area of Science:

  • Medical Education
  • Simulation-Based Assessment
  • Anesthesiology

Background:

  • Practicing physicians may lack preparedness for critical events.
  • High-fidelity simulation offers realistic training but its assessment validity is unproven.

Purpose of the Study:

  • To establish the reliability and validity of simulation-based assessment scores for practicing physicians.
  • To evaluate performance measures in simulated critical events.

Main Methods:

  • Developed standardized complex simulation scenarios for board-certified anesthesiologists.
  • Assessed physicians on teamwork/behavioral and technical performance by independent raters.
  • Utilized Generalisability and Decision studies for analysis with two raters and two scenarios.

Main Results:

  • Behavioral scores showed similar reliability to technical scores.
  • Over 20 scenarios with two raters are needed to achieve a reliability estimate of 0.7.
  • Increasing the number of raters minimally impacted reliability.

Conclusions:

  • Physician performance on simulated critical events is context-specific.
  • Simulation-based assessment is resource-intensive, best for individualized formative feedback.
  • Aggregate data can identify skill gaps for targeted training and continuing education improvements.