Reassessment Case: Acute Pulmonary Edema in a Boarding Patient.

Area of Science:

• Emergency Medicine
• Medical Education
• Clinical Skills Training

Background:

• Effective management of acute conditions like pulmonary edema is crucial in Emergency Medicine (EM).
• The American Board of Emergency Medicine (ABEM) Certifying Exam includes a reassessment case format requiring rapid clinical evaluation and intervention adjustment.
• Senior residents and junior faculty need targeted preparation for this exam format.

Purpose of the Study:

• To develop and evaluate a standardized patient case for the ABEM Certifying Exam reassessment format.
• To enhance learners' ability to recognize and manage acute pulmonary edema.
• To improve skills in integrating new clinical information and adjusting patient care plans.

Main Methods:

• A standardized patient scenario was designed to mirror the ABEM Certifying Exam reassessment case format.
• The case was iteratively refined based on feedback from facilitators and learners at multiple academic EM sites.
• Learner and facilitator surveys were used to assess the case's quality, usefulness, and alignment with exam objectives.

Main Results:

• Learners and facilitators consistently found the case to be well-written and effective.
• All 11 resident learners reported the case was helpful practice for the ABEM Certifying Examination.
• Facilitators found the case materials easy to use and expressed willingness to use it again.

Conclusions:

• The developed case is a well-received and effective preparatory tool for the ABEM Certifying Exam reassessment format.
• The case successfully addresses the need for practicing the evaluation and management of acute pulmonary edema within a simulated exam environment.
• This educational modality supports the development of critical EM skills, including reassessment and adaptive intervention.