Competency assessment of residents of Intensive Care Medicine through a simulation-based objective structured clinical evaluation (OSCE). A multicenter observational study

Autores de IIS La Fe

• Álvaro Castellanos Ortega

  Autor

• María Jesús Broch Porcar

  Autor

• Carlos Vicent Perales

  Autor

• Maria Isabel Madrid López

  Autor

Participantes ajenos a IIS La Fe

• Palacios-Castaneda, D.
• Gomez-Tello, V
• Valdivia, M.
• Martinez, N.
• Parraga, M. J.
• Sancho, E.
• Fuentes-Dura, M. D. C.
• Sancerni-Beitia, M. D.
• Garcia-Ros, R.

Grupos

• Infecciones Respiratorias

• Medicina Intensiva

Abstract

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.

Keywords

• Training; Assessment; Simulation; Competency-based education; Intensive care