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Validity Evidence for a Transport Medical Control Assessment Tool Using Simulated Interfacility Transport Calls.

Ryan J Good1, Alan Schwartz2, Richard Mink3

  • 1Department of Pediatrics (RJ Good and AS Czaja), Section of Critical Care Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO.

Academic Pediatrics
|October 31, 2025
PubMed
Summary
This summary is machine-generated.

A new assessment tool for pediatric fellows acting as transport medical control (TMC) shows strong validity. This tool, tested with simulated calls, can improve TMC training and performance evaluation in fellowship programs.

Keywords:
graduate medical educationtransportation

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Area of Science:

  • Medical Education
  • Pediatric Critical Care
  • Transport Medicine

Background:

  • Pediatric subspecialty fellows frequently serve as transport medical control (TMC) during interfacility transports.
  • Current assessment methods for fellow TMC performance lack standardization, hindering effective evaluation and training.

Purpose of the Study:

  • To generate validity evidence for a novel transport medical control (TMC) assessment tool.
  • To evaluate the tool's reliability and predictive accuracy in assessing fellow competence for TMC roles.

Main Methods:

  • A cross-sectional study involving pediatric critical care, emergency medicine, neonatology, and hospital medicine attendings.
  • Utilized Messick's framework for validity assessment, including content, response process, internal structure, and relationships with other variables.
  • Participants assessed simulated transport calls using a 21-item TMC assessment tool, supervision scale, and a relevance survey.

Main Results:

  • 101 faculty from 54 institutions participated, with 99% finding the tool captured relevant TMC skills and knowledge.
  • The TMC assessment tool demonstrated high reliability (Cronbach's alpha = 0.86).
  • The tool showed excellent predictive ability for independent TMC performance (AUC = 0.91).

Conclusions:

  • The study provides substantial validity evidence for the TMC assessment tool based on simulated interfacility transport calls.
  • This validated tool can be adopted by pediatric subspecialty fellowship programs to enhance TMC training and standardize performance assessment.