Paskins, Zoe, Kirkcaldy, Jo, Allen, Maggie, Macdougall, Colin, Fraser, Ian and Peile, Ed. (2010) Design, validation and dissemination of an undergraduate assessment tool using SimMan (R) in simulated medical emergencies. Medical Teacher, Vol.32 (No.1). E12-E17. ISSN 0142-159X

Full text not available from this repository.

Abstract

Background: Increasingly, medical students are being taught acute medicine using whole-body simulator manikins. Aim: We aimed to design, validate and make widely available two simple assessment tools to be used with Laerdal SimMan (R) for final year students. Methods: We designed two scenarios with criterion-based checklists focused on assessment and management of two medical emergencies. Members of faculty critiqued the assessments for face validity and checklists revised. We assessed three groups of different experience levels: Foundation Year 2 doctors, third and final year medical students. Differences between groups were analysed, and internal consistency and interrater reliability calculated. A generalisability analysis was conducted using scenario and rater as facets in design. Results: A maximum of two items were removed from either checklist following the initial survey. Significantly different scores for three groups of experience for both scenarios were reported (p<0.001). Interrater reliability was excellent (r>0.90). Internal consistency was poor (alpha<50.5). Generalizability study results suggest that four cases would provide reliable discrimination between final year students. Conclusions: These assessments proved easy to administer and we have gone some way to demonstrating construct validity and reliability. We have made the material available on a simulator website to enable others to reproduce these assessments.

Item Type:	Journal Article
Subjects:	L Education > LB Theory and practice of education R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine > Warwick Medical School > Education Development and Research Faculty of Social Sciences > Institute for Employment Research Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Medicine -- Study and teaching (Higher) -- Simulation methods, Emergency medical services -- Study and teaching (Higher) -- Simulation methods, Simulated patients -- Design, Medical education
Journal or Publication Title:	Medical Teacher
Publisher:	Informa Healthcare
ISSN:	0142-159X
Date:	January 2010
Volume:	Vol.32
Number:	No.1
Number of Pages:	6
Page Range:	E12-E17
Identification Number:	10.3109/01421590903199643
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
References:	Beilock SL, Bertenthal BI, McLay AM, Carr TH. 2004. Haste does not always make waste: Expertise, direction of attention, and speed versus accuracy in performing psychomotor skills. Psychon Bull Rev 11:373–379. Bond WF, Spillane L. 2002. The use of simulation for emergency medicine resident assessment. Acad Emerg Med 9(11):1295–1299. Boulet JR, Murray D, Kras J, Woodhouse J, McAllister J, Ziv A. 2003. Reliability and validity of a simulation-based acute care skills assessment for medical students and residents. Anesthesiology 99(6):1270–1280. Bradley P. 2006. The history of simulation in medical education and possible future directions. Med Educ 40(3):254–262. Byrne AJ, Greaves JD. 2001. Assessment instruments used during anaesthetic simulation: Review of published studies. Br J Anaesth 86(3):445–450. Cronbach LJ. 2004. My current thoughts on coefficient alpha and successor procedures. Educ Psychol Meas 64(3):391–418. Cullinane M, Findlay G, Hargraves C, Lucas S. 2005. National Confidential Enquiry into Patient Outcome and Death. An Acute Problem [Internet]. Available from http://www.ncepod.org.uk/2005report/. Accessed 25 October 2008. Devitt JH, Kurrek MM, Cohen MM, Fish K, Fish P, Noel AG, Szalai JP. 1998. Testing internal consistency and construct validity during evaluation of performance in a patient simulator. Anesth Analg 86(6):1160–1164. Devitt JH, Kurrek MM, Cohen MM, Cleave-Hogg D. 2001. The validity of performance assessments using simulation. Anesthesiology 95(1):36–42. Franklin C, Mathew J. 2002. Developing strategies to prevent in-hospital cardiac arrest: Analysing responses of physicians and nurses in the hours before the event. Crit Care Med 22:244–247. General Medical Council 2003. Tomorrow’s doctors. London: General Medical Council. Gordon JA, Tancredi DN, Binder WD, Wilkerson WM, Shaffer DW. 2003. Assessment of a clinical performance evaluation tool for use in a simulator-based testing environment: A pilot study. Acad Med 78(Suppl 10):S45–47. Guilford JP. 1954. Psychometric methods. 2nd ed. New York: McGraw-Hill Book Co. Hodgetts TJ, Kenward G, Vlackonikolis I, Payne S, Castle N, Crouch R, Ineson N, Shaikh L. 2002. Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital. Resuscitation 54:115–123. MacDowall J. 2006. The assessment and treatment of the acutely ill patient – The role of the patient simulator as a teaching tool in the undergraduate programme. Med Teach 28(4):326–329. Maran NJ, Glavin RJ. 2003. Low- to high-fidelity simulation – A continuum of medical education? Med Educ 37(Suppl 1):22–28. McQuillan P, Pilkington S, Allan A, Taylor B, Short A, Morgan G, Nielson M, Barrett D, Smith G. 1998. Confidential inquiry into quality of care before admission to intensive care. BMJ 316:1853–1858. Miller GE. 1990. The assessment of clinical skills/competence/performance. Acad Med 65(9):S63–67. Morgan PJ, Cleave-Hogg D. 2000a. A Canadian simulation experience: Faculty and student opinions of a performance evaluation study. Br J Anaesth 85(5):779–781. Morgan PJ, Cleave-Hogg D. 2000b. Evaluation of medical students’ performance using the anaesthesia simulator. Med Educ 34(1):42–45. Morgan PJ, Cleave-Hogg D, Guest GB. 2001a. A comparison of global ratings and checklist scores from an undergraduate assessment using an anesthesia simulator. Acad Med 76(10):1053–1055. Morgan PJ, Cleave-Hogg DM, Guest CB, Herold J. 2001b. Validity and reliability of undergraduate performance assessments in an anesthesia simulator. Can J Anaesth 48(3):225–233. Morgan PJ, Cleave-Hogg D, DeSousa S, Tarshis J. 2004. High-fidelity patient simulation: Validation of performance checklists. Br J Anaesth 92(3):388–392. Murray D, Boulet J, Ziv A, Woodhouse J, Kras J, Mcallister J. 2002. An acute care skills evaluation for graduating medical students: A pilot study using clinical simulation. Med Educ 36(9):833–841. Mushquash C, O’Connor BP. 2006. SPSS and SAS programs for generalizability theory analyses. Behav Res Methods 38(3):542–547. Perkins GD, Barret H, Bullock I, Gabbott DA, Nolan JP, Mitchell S, Short A, Smith CM, Smith GB, Todd S, Bion JF. 2005. The Acute Care Undergraduate TEaching (ACUTE) initiative: Consensus development of core competencies in acute care for undergraduates in the United Kingdom. Intensive Care Med 31(12):1627–1633. Schuwirth LWT, Van der Vleuten CPM. 2003. The use of clinical simulations in assessment. Med Educ 37(Suppl 1):65–71. Weller J, Robinson B, Larsen P, Caldwell C. 2004. Simulation-based training to improve acute care skills in medical undergraduates. N Z Med J 117(1204):U1119.
URI:	http://wrap.warwick.ac.uk/id/eprint/6543

Data sourced from Thomson Reuters' Web of Knowledge

Request changes to a record

Actions (login required)

View Item