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Titulo Artículo:
Competency assessment of residents of Intensive Care Medicine through a simulation-based objective structured clinical evaluation (OSCE). A multicenter observational study
Resumen:
Objectives The current official model of training in Intensive Care Medicine (ICM) in Spain is based on exposure to experiences through clinical rotations. The main objective was to determine the level of competency (I novice to V independent practitioner) achieved by the residents at the end of the 3rd year of training (R3) in ICM through a simulation-based OSCE. Secondary objectives were: (1) To identify gaps in performance, and (2) To investigate the reliability and feasibility of conducting simulation-based assessment at multiple sites. Design Observational multicenter study. Setting Thirteen Spanish ICU Departments. Participants Thirty six R3. Intervention The participants performed on five, 15-min, high-fidelity crisis scenarios in four simulation centers. The performances were video recorded for later scoring by trained raters. Main variables of interest Via a Delphi technique, an independent panel of expert intensivists identified critical essential performance elements (CEPE) for each scenario to define the levels of competency. Results A total of 176 performances were analyzed. The internal consistency of the check-lists were adequate (KR-20 range 0.64–0.79). Inter-rater reliability was strong [median Intraclass Correlation Coefficient across scenarios: 0.89 (0.65–0.97)]. Competency levels achieved by R3 were: Level I (18.8%), II (35.2%), III (42.6%), IV/V (3.4%). Overall, a great heterogeneity in performance was observed.
Fecha de publicación:
2022.
Autores :
M.J. Broch;
D. Palacios-Castaneda;
V. Gómez-Tello;
M. Valdivia;
C. Vicent;
I. Madrid;
N. Martinez;
M.J. Párraga;
E. Sancho;
M.d.C. Fuentes-Dura;
M.D. Sancerni-Beitia;
R. García-Ros;
Á. Castellanos-Ortega;
Autor corporativo:
Medicina Intensiva,
Editores:
ScienceDirect ;
Idioma:
Inglés
Páginas:
491
ISBN:
1578-6749
Existencias:
500
Palabras claves:
Training
Assessment
Competency-based education
Simulation
Intensive care
Público objetivo:
Medicos
Investigadores
Educadores Medicos
Titulo Artículo:
Competency assessment of residents of Intensive Care Medicine through a simulation-based objective structured clinical evaluation (OSCE). A multicenter observational study
Resumen:
Objectives The current official model of training in Intensive Care Medicine (ICM) in Spain is based on exposure to experiences through clinical rotations. The main objective was to determine the level of competency (I novice to V independent practitioner) achieved by the residents at the end of the 3rd year of training (R3) in ICM through a simulation-based OSCE. Secondary objectives were: (1) To identify gaps in performance, and (2) To investigate the reliability and feasibility of conducting simulation-based assessment at multiple sites. Design Observational multicenter study. Setting Thirteen Spanish ICU Departments. Participants Thirty six R3. Intervention The participants performed on five, 15-min, high-fidelity crisis scenarios in four simulation centers. The performances were video recorded for later scoring by trained raters. Main variables of interest Via a Delphi technique, an independent panel of expert intensivists identified critical essential performance elements (CEPE) for each scenario to define the levels of competency. Results A total of 176 performances were analyzed. The internal consistency of the check-lists were adequate (KR-20 range 0.64–0.79). Inter-rater reliability was strong [median Intraclass Correlation Coefficient across scenarios: 0.89 (0.65–0.97)]. Competency levels achieved by R3 were: Level I (18.8%), II (35.2%), III (42.6%), IV/V (3.4%). Overall, a great heterogeneity in performance was observed.
Fecha de publicación:
2022.
Autores :
M.J. Broch;
D. Palacios-Castaneda;
V. Gómez-Tello;
M. Valdivia;
C. Vicent;
I. Madrid;
N. Martinez;
M.J. Párraga;
E. Sancho;
M.d.C. Fuentes-Dura;
M.D. Sancerni-Beitia;
R. García-Ros;
Á. Castellanos-Ortega;
Autor corporativo:
Medicina Intensiva,
Editores:
ScienceDirect ;
Idioma:
Inglés
Páginas:
491
Existencias:
500
Palabras claves:
Training
Assessment
Competency-based education
Simulation
Intensive care
Público objetivo:
Medicos
Investigadores
Educadores Medicos
Titulo Artículo:
Competency assessment of residents of Intensive Care Medicine through a simulation-based objective structured clinical evaluation (OSCE). A multicenter observational study
Resumen:
Objectives The current official model of training in Intensive Care Medicine (ICM) in Spain is based on exposure to experiences through clinical rotations. The main objective was to determine the level of competency (I novice to V independent practitioner) achieved by the residents at the end of the 3rd year of training (R3) in ICM through a simulation-based OSCE. Secondary objectives were: (1) To identify gaps in performance, and (2) To investigate the reliability and feasibility of conducting simulation-based assessment at multiple sites. Design Observational multicenter study. Setting Thirteen Spanish ICU Departments. Participants Thirty six R3. Intervention The participants performed on five, 15-min, high-fidelity crisis scenarios in four simulation centers. The performances were video recorded for later scoring by trained raters. Main variables of interest Via a Delphi technique, an independent panel of expert intensivists identified critical essential performance elements (CEPE) for each scenario to define the levels of competency. Results A total of 176 performances were analyzed. The internal consistency of the check-lists were adequate (KR-20 range 0.64–0.79). Inter-rater reliability was strong [median Intraclass Correlation Coefficient across scenarios: 0.89 (0.65–0.97)]. Competency levels achieved by R3 were: Level I (18.8%), II (35.2%), III (42.6%), IV/V (3.4%). Overall, a great heterogeneity in performance was observed.
Autores:
M.J. Broch
,
D. Palacios-Castaneda
,
V. Gómez-Tello
,
M. Valdivia
,
C. Vicent
,
I. Madrid
,
N. Martinez
,
M.J. Párraga
,
E. Sancho
,
M.d.C. Fuentes-Dura
,
M.D. Sancerni-Beitia
,
R. García-Ros
,
Á. Castellanos-Ortega
,
.
Titulo Revista:
Medicina Intensiva,
.
Numero:
Volumen:
46
Fecha de publicación:
2022.
Base de Datos Bibliográfica:
ScienceDirect ,
.
Suplemento:
Idioma:
Inglés
Página Inicial:
491
Página Final:
500
ISBN:
1578-6749
Palabras claves:
Training
Assessment
Competency-based education
Simulation
Intensive care
Público objetivo:
Medicos
Investigadores
Educadores Medicos
Título ScienceDirect :
Competency assessment of residents of Intensive Care Medicine through a simulation-based objective structured clinical evaluation (OSCE). A multicenter observational study
Resumen:
Objectives The current official model of training in Intensive Care Medicine (ICM) in Spain is based on exposure to experiences through clinical rotations. The main objective was to determine the level of competency (I novice to V independent practitioner) achieved by the residents at the end of the 3rd year of training (R3) in ICM through a simulation-based OSCE. Secondary objectives were: (1) To identify gaps in performance, and (2) To investigate the reliability and feasibility of conducting simulation-based assessment at multiple sites. Design Observational multicenter study. Setting Thirteen Spanish ICU Departments. Participants Thirty six R3. Intervention The participants performed on five, 15-min, high-fidelity crisis scenarios in four simulation centers. The performances were video recorded for later scoring by trained raters. Main variables of interest Via a Delphi technique, an independent panel of expert intensivists identified critical essential performance elements (CEPE) for each scenario to define the levels of competency. Results A total of 176 performances were analyzed. The internal consistency of the check-lists were adequate (KR-20 range 0.64–0.79). Inter-rater reliability was strong [median Intraclass Correlation Coefficient across scenarios: 0.89 (0.65–0.97)]. Competency levels achieved by R3 were: Level I (18.8%), II (35.2%), III (42.6%), IV/V (3.4%). Overall, a great heterogeneity in performance was observed.
Autores :
M.J. Broch;
D. Palacios-Castaneda;
V. Gómez-Tello;
M. Valdivia;
C. Vicent;
I. Madrid;
N. Martinez;
M.J. Párraga;
E. Sancho;
M.d.C. Fuentes-Dura;
M.D. Sancerni-Beitia;
R. García-Ros;
Á. Castellanos-Ortega;
Autor corporativo:
Medicina Intensiva,
Fecha de publicación:
2022.
Tipo :
ScienceDirect .
Idioma:
Inglés
Palabras claves:
Training
Assessment
Competency-based education
Simulation
Intensive care
Público objetivo:
Medicos
Investigadores
Educadores Medicos
Título ScienceDirect :
Competency assessment of residents of Intensive Care Medicine through a simulation-based objective structured clinical evaluation (OSCE). A multicenter observational study
Resumen:
Objectives The current official model of training in Intensive Care Medicine (ICM) in Spain is based on exposure to experiences through clinical rotations. The main objective was to determine the level of competency (I novice to V independent practitioner) achieved by the residents at the end of the 3rd year of training (R3) in ICM through a simulation-based OSCE. Secondary objectives were: (1) To identify gaps in performance, and (2) To investigate the reliability and feasibility of conducting simulation-based assessment at multiple sites. Design Observational multicenter study. Setting Thirteen Spanish ICU Departments. Participants Thirty six R3. Intervention The participants performed on five, 15-min, high-fidelity crisis scenarios in four simulation centers. The performances were video recorded for later scoring by trained raters. Main variables of interest Via a Delphi technique, an independent panel of expert intensivists identified critical essential performance elements (CEPE) for each scenario to define the levels of competency. Results A total of 176 performances were analyzed. The internal consistency of the check-lists were adequate (KR-20 range 0.64–0.79). Inter-rater reliability was strong [median Intraclass Correlation Coefficient across scenarios: 0.89 (0.65–0.97)]. Competency levels achieved by R3 were: Level I (18.8%), II (35.2%), III (42.6%), IV/V (3.4%). Overall, a great heterogeneity in performance was observed.
Autores :
M.J. Broch;
D. Palacios-Castaneda;
V. Gómez-Tello;
M. Valdivia;
C. Vicent;
I. Madrid;
N. Martinez;
M.J. Párraga;
E. Sancho;
M.d.C. Fuentes-Dura;
M.D. Sancerni-Beitia;
R. García-Ros;
Á. Castellanos-Ortega;
Autor corporativo:
Medicina Intensiva,
Fecha de publicación:
2022.
Paginas:
491.
ISBN:
1578-6749.
Idioma:
Inglés
Palabras claves:
Training
Assessment
Competency-based education
Simulation
Intensive care
Público objetivo:
Medicos
Investigadores
Educadores Medicos
Titulo Artículo:
Competency assessment of residents of Intensive Care Medicine through a simulation-based objective structured clinical evaluation (OSCE). A multicenter observational study
Resumen:
Objectives The current official model of training in Intensive Care Medicine (ICM) in Spain is based on exposure to experiences through clinical rotations. The main objective was to determine the level of competency (I novice to V independent practitioner) achieved by the residents at the end of the 3rd year of training (R3) in ICM through a simulation-based OSCE. Secondary objectives were: (1) To identify gaps in performance, and (2) To investigate the reliability and feasibility of conducting simulation-based assessment at multiple sites. Design Observational multicenter study. Setting Thirteen Spanish ICU Departments. Participants Thirty six R3. Intervention The participants performed on five, 15-min, high-fidelity crisis scenarios in four simulation centers. The performances were video recorded for later scoring by trained raters. Main variables of interest Via a Delphi technique, an independent panel of expert intensivists identified critical essential performance elements (CEPE) for each scenario to define the levels of competency. Results A total of 176 performances were analyzed. The internal consistency of the check-lists were adequate (KR-20 range 0.64–0.79). Inter-rater reliability was strong [median Intraclass Correlation Coefficient across scenarios: 0.89 (0.65–0.97)]. Competency levels achieved by R3 were: Level I (18.8%), II (35.2%), III (42.6%), IV/V (3.4%). Overall, a great heterogeneity in performance was observed.
Fecha de publicación:
2022.
Autor corporativo:
Medicina Intensiva,
.
Idioma:
Inglés
Palabras claves:
Training
Assessment
Competency-based education
Simulation
Intensive care
Público objetivo:
Medicos
Investigadores
Educadores Medicos
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M.J. Broch D. Palacios-Castaneda V. Gómez-Tello M. Valdivia C. Vicent I. Madrid N. Martinez M.J. Párraga E. Sancho M.d.C. Fuentes-Dura M.D. Sancerni-Beitia R. García-Ros Á. Castellanos-Ortega M.J. Broch D. Palacios-Castaneda V. Gómez-Tello M. Valdivia C. Vicent I. Madrid N. Martinez M.J. Párraga E. Sancho M.d.C. Fuentes-Dura M.D. Sancerni-Beitia R. García-Ros Á. Castellanos-Ortega Competency assessment of residents of Intensive Care Medicine through a simulation-based objective structured clinical evaluation (OSCE). A multicenter observational study. 2022; 46Ed. 491.
