PMID: 16508394Mar 2, 2006Paper

Evaluation of patient simulator performance as an adjunct to the oral examination for senior anesthesia residents

Anesthesiology
Georges L SavoldelliStanley J Hamstra

Abstract

Patient simulators possess features for performance assessment. However, the concurrent validity and the "added value" of simulator-based examinations over traditional examinations have not been adequately addressed. The current study compared a simulator-based examination with an oral examination for assessing the management skills of senior anesthesia residents. Twenty senior anesthesia residents were assessed sequentially in resuscitation and trauma scenarios using two assessment modalities: an oral examination, followed by a simulator-based examination. Two independent examiners scored the performances with a previously validated global rating scale developed by the Anesthesia Oral Examination Board of the Royal College of Physicians and Surgeons of Canada. Different examiners were used to rate the oral and simulation performances. Interrater reliability was good to excellent across scenarios and modalities: intraclass correlation coefficients ranged from 0.77 to 0.87. The within-scenario between-modality score correlations (concurrent validity) were moderate: r = 0.52 (resuscitation) and r = 0.53 (trauma) (P < 0.05). Forty percent of the average score variance was accounted for by the participants, and 30% was accounted fo...Continue Reading

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Jun 29, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Patricia HoustonGeorges Savoldelli
Feb 28, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M Dylan Bould, Viren N Naik
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