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Simulation-Based Medical Education: Development of an Assessment Tool for Novice Use.

Sasha M Ulrich1,2, Joseph C L'Huillier2,3, Sarah A Jung2

  • 1Mayo Clinic Health System, Department of Family Medicine, Eau Claire, Wisconsin.

WMJ : Official Publication of the State Medical Society of Wisconsin
|January 13, 2023
PubMed
Summary
This summary is machine-generated.

Novice healthcare professionals can effectively evaluate simulation performance using a modified Oxford Non-Technical Skills (NOTECHS) scale. This tool shows good correlation with expert assessments, supporting simulation-based medical education.

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Area of Science:

  • Medical Education
  • Healthcare Simulation
  • Performance Assessment

Background:

  • Simulation-based medical education enhances student performance through simulated patient scenarios.
  • Traditional assessment tools like the Oxford Non-Technical Skills (NOTECHS) scale require expert evaluators.
  • A modified NOTECHS scale was developed for novice use to address this limitation.

Purpose of the Study:

  • To adapt the Oxford Non-Technical Skills (NOTECHS) scale for novice evaluators.
  • To assess the validity and reliability of novice evaluations compared to expert assessments.
  • To promote the wider adoption of simulation-based medical education by simplifying assessment.

Main Methods:

  • Medical students participated in five non-technical simulation exercises.
  • The NOTECHS scale was modified to enable evaluation by novice assessors.
  • Performance was assessed by three novices and two experts, with intraclass correlation coefficients (ICC) used for validity analysis.

Main Results:

  • Twenty-two learners were involved in the simulation study.
  • Novice reviewers demonstrated moderate to excellent inter-rater reliability (ICC range: 0.66–0.95).
  • Correlation between novice and expert evaluations was moderate to good (ICC range: 0.51–0.88).

Conclusions:

  • The modified NOTECHS scale is a viable tool for novice assessment of simulation performance.
  • Novice evaluations using the modified scale correlate well with expert judgments.
  • This simplified assessment approach may increase the utilization of simulation-based medical education.