Performance of Certified Registered Nurse Anesthetists and Anesthesiologists in a Simulation-Based Skills Assessment — Henrichs et al. 108 (1): 255 — Anesthesia & Analgesia

Another good example to using simulation for assessment (beyond education training).  Also see the EDITORIAL in the same issue.  It  remind me Dr. Gaba’s paper again for the future vision of simulation in health care

Performance of Certified Registered Nurse Anesthetists and Anesthesiologists in a Simulation-Based Skills Assessment — Henrichs et al. 108 (1): 255 — Anesthesia & Analgesia

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A randomized trial using medical simulation.

A randomized trial using medical simulation technology beyond medical education.  This is a great example using simulation applications for human factors and system evaluation suggested by Dr. Small.

High-stake Clinical Skill Assessment

One example of using medication simulation for clinician skill assessment by NBOME which includign both physical exam, history taking and communications, professionalism, etc.  This allow the examination conducted in a controlled simulation environment without any risk to patients.

Simulation Education and Assessment

It is important to recognize the difference between formative assessment and summative assessment. Simulation based education activity always involve some forms of assessment. Those assessments are normally not happened at same physical location. During scenario based course, the debriefing session lead by the instructor gives formative assessment to the learner (a in process assessment with PDSA context). The clinical based assessment (eg. checklist ) is a form summative assessment. For learner, it will give their direction what skill they need to improve by more exercise/practice.  For instructor, it will help to guide the improvement of the instruction and course development.  There is need to distinguish the difference between assessment of education activity itself and assessment of individual learner (clinical sill).

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