PMID: 22575294May 12, 2012Paper

Development and evaluation of a simulation-based resuscitation scenario assessment tool for emergency medicine residents

CJEM
Andrew Koch HallJeffrey Damon Dagnone

Abstract

We sought to develop and validate a three-station simulation-based Objective Structured Clinical Examination (OSCE) tool to assess emergency medicine resident competency in resuscitation scenarios. An expert panel of emergency physicians developed three scenarios for use with high-fidelity mannequins. For each scenario, a corresponding assessment tool was developed with an essential actions (EA) checklist and a global assessment score (GAS). The scenarios were (1) unstable ventricular tachycardia, (2) respiratory failure, and (3) ST elevation myocardial infarction. Emergency medicine residents were videotaped completing the OSCE, and three clinician experts independently evaluated the videotapes using the assessment tool. Twenty-one residents completed the OSCE (nine residents in the College of Family Physicians of Canada-Emergency Medicine [CCFP-EM] program, six junior residents in the Fellow of the Royal College of Physicians of Canada-Emergency Medicine [FRCP-EM] program, six senior residents in the FRCP-EM). Interrater reliability for the EA scores was good but varied between scenarios (Spearman rho = [1] 0.68, [2] 0.81, [3] 0.41). Interrater reliability for the GAS was also good, with less variability (rho = [1] 0.64, [2] ...Continue Reading

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Citations

Mar 19, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michelle LinGloria Kuhn
Feb 25, 2015·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Andrew Koch HallDon Albert Klinger
Feb 8, 2019·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Filip GilicAna Blagojevic
Jul 18, 2018·The Western Journal of Emergency Medicine·Lori A WeichenthalJames Comes
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