Simulation-based Assessment in Anesthesiology Requirements for Practical Implementation

被引:122
作者
Boulet, John R. [1 ]
Murray, David J. [1 ]
机构
[1] Fdn Advancement Int Med Educ & Res, Philadelphia, PA 19104 USA
关键词
CLINICAL SKILLS ASSESSMENT; HIGH-FIDELITY SIMULATION; MEDICAL-EDUCATION; PATIENT SIMULATOR; STANDARDIZED PATIENTS; RESIDENT PERFORMANCE; NONTECHNICAL SKILLS; RESOURCE-MANAGEMENT; EMERGENCY-MEDICINE; NATIONAL BOARD;
D O I
10.1097/ALN.0b013e3181cea265
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Simulations have taken a central role in the education and assessment of medical students, residents, and practicing physicians. The introduction of simulation-based assessments in anesthesiology, especially those used to establish various competencies, has demanded fairly rigorous studies concerning the psychometric properties of the scores. Most important, major efforts have been directed at identifying, and addressing, potential threats to the validity of simulation-based assessment scores. As a result, organizations that wish to incorporate simulation-based assessments into their evaluation practices can access information regarding effective test development practices, the selection of appropriate metrics, the minimization of measurement errors, and test score validation processes. The purpose of this article is to provide a broad overview of the use of simulation for measuring physician skills and competencies. For simulations used in anesthesiology, studies that describe advances in scenario development, the development of scoring rubrics, and the validation of assessment results are synthesized. Based on the summary of relevant research, psychometric requirements for practical implementation of simulation-based assessments in anesthesiology are forwarded. As technology expands, and simulation-based education and evaluation takes on a larger role in patient safety initiatives, the groundbreaking work conducted to date can serve as a model for those individuals and organizations that are responsible for developing, scoring, or validating simulation-based education and assessment programs in anesthesiology.
引用
收藏
页码:1041 / 1052
页数:12
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