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Fellowship Accreditation: Experiences From Health Care Simulation Experts
Andrew N Musits1, Humera Khan2, Michael Cassara3
1is Assistant Professor, Department of Emergency Medicine, Alpert Medical School of Brown University, Director, Lifespan Medical Simulation Center, and Fellowship Director, Brown Emergency Medicine Simulation Fellowship, Providence, Rhode Island, USA.
Perspectives on health care simulation fellowship accreditation vary widely among leaders. The value of accreditation is context-dependent, influenced by resources and program needs.
Area of Science:
- Medical Education
- Healthcare Simulation
- Qualitative Research
Background:
- The field of health care simulation is expanding, with a growing number of fellowship programs.
- Accreditation efforts for these fellowships are underway, but consensus on the best approach is lacking.
Purpose of the Study:
- To explore simulation leaders' perspectives on fellowship accreditation.
- To inform the development and maturation of accreditation processes in health care simulation.
Main Methods:
- Qualitative study using semistructured interviews with 45 identified simulation leaders.
- Thematic analysis informed by phenomenology and a masked open coding technique.
Main Results:
- Significant discord and lack of consensus regarding simulation fellowship accreditation were reported.
- Perceptions of accreditation value are influenced by program context, resources, and capital.
- Potential impacts include training standardization, workforce considerations, and effects on professional societies.
Conclusions:
- The value of health care simulation fellowship accreditation is highly context-dependent.
- Key considerations include resource variability, balancing standardization with innovation, and implications for professional societies.
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