Simulation-Based Assessment Emily M. Hayden, MD, MHPE Associate Director for Curricular Integration...
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Transcript of Simulation-Based Assessment Emily M. Hayden, MD, MHPE Associate Director for Curricular Integration...
Simulation-Based Simulation-Based Assessment Assessment
Emily M. Hayden, MD, MHPEEmily M. Hayden, MD, MHPE
Associate Director for Curricular Associate Director for Curricular IntegrationIntegration
Gilbert Program in Medical SimulationGilbert Program in Medical SimulationHarvard Medical SchoolHarvard Medical School
Director of Simulation Faculty DevelopmentDirector of Simulation Faculty DevelopmentDivision of Medical SimulationDivision of Medical Simulation
Department of Emergency MedicineDepartment of Emergency MedicineMassachusetts General HospitalMassachusetts General Hospital
DisclosureDisclosure
Nothing to DiscloseNothing to Disclose
Goals and ObjectivesGoals and Objectives
Goal: To Discuss Goal: To Discuss Simulation-Based Simulation-Based Assessment (SBA)Assessment (SBA)
Goals and ObjectivesGoals and Objectives
Objectives:Objectives:
1. Describe reasons for 1. Describe reasons for SBASBA
2. Describe the current 2. Describe the current state state of SBAof SBA
Why use SBA?Why use SBA?
Procedural trainingProcedural training Chance-events of Chance-events of
apprenticeshipsapprenticeships Rare eventsRare events Reduced work hoursReduced work hours TeamworkTeamwork
Current State of SBACurrent State of SBA
FormativeFormative SummativeSummative High-stakesHigh-stakes RecurrentRecurrent
Levels of Medical Levels of Medical TrainingTraining Undergraduate medical Undergraduate medical
education (UME)education (UME) Graduate medical education Graduate medical education
(GME)(GME) Continuing medical education Continuing medical education
(CME)(CME)
Formative SBAFormative SBA
Trainees want feedbackTrainees want feedback Trainees want to be observedTrainees want to be observed Debriefing component of Debriefing component of
simulationsimulation
Formative SBAFormative SBA
UMEUME– HMS preclinical simulationHMS preclinical simulation
GMEGME– MGH Department of MedicineMGH Department of Medicine
CMECME– Center for Medical Simulation Crisis Center for Medical Simulation Crisis
Resource Management coursesResource Management courses
Example of UME Example of UME Formative SBAFormative SBA
Formative SBAFormative SBA
UMEUME– HMS preclinical simulationHMS preclinical simulation
GMEGME– MGH Department of MedicineMGH Department of Medicine
CMECME– Center for Medical Simulation Crisis Center for Medical Simulation Crisis
Resource Management coursesResource Management courses
Summative SBASummative SBA
UME: less often usedUME: less often used GME: GME:
– ACGME CompetenciesACGME Competencies CME: CME:
– Workplace-based assessmentsWorkplace-based assessments
Summative SBA in Summative SBA in GMEGME ACGME CompetenciesACGME Competencies
– Patient CarePatient Care– Medical KnowledgeMedical Knowledge– Practice-based Learning and Practice-based Learning and
ImprovementImprovement– Interpersonal and Communication Interpersonal and Communication
SkillsSkills– ProfessionalismProfessionalism– Systems-based PracticeSystems-based Practice
High-stakes SBAHigh-stakes SBA
UME: UME: – USMLE Clinical Skills Step 2USMLE Clinical Skills Step 2
GME:GME:– Surgical trainingSurgical training
CME: CME: – Oral boardsOral boards– Carotid artery stentingCarotid artery stenting
Recurrent SBARecurrent SBA
Ericsson’s Model of Ericsson’s Model of Acquisition of ExpertiseAcquisition of Expertise– Deliberate practice with Deliberate practice with
immediate feedbackimmediate feedback– Opportunities for repeated Opportunities for repeated
performanceperformanceEricsson, KA. Deliberate Practice and Acquisition of Expert Performance: a General Overview. Academic Emergency Medicine. 2008; 15(11), 988-994.