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FEM: Revista de la Fundación Educación Médica

On-line version ISSN 2014-9840Print version ISSN 2014-9832


GONZALEZ, Antonio M.  and  CABALLERO, Angelina R.. Simulation summative assessment of the residents: usefulness of high fidelity simulators. FEM (Ed. impresa) [online]. 2013, vol.16, n.1, pp.41-47. ISSN 2014-9840.

Introduction: The assessment of residents' clinical skills is an important element of their training. To successfully promote effective learning, this assessment should be both formative and summative. The usefulness of high-fidelity medical simulation on formative education is very well established, but it's unclear the role of simulation in the summative process. Aim: To use the anesthesia high fidelity simulator to evaluate anesthesia residents, checking the construct-related validity and criterion-related validity. Subjects and methods: Several clinical conditions that residents should handle competitively were developed and, incorporated into a scenario using high fidelity simulator. To asses the performance in each scenario, we addressed a checklist according a rigid format, on the basic of 'done/not done'. Our six fourth degree residents participated in the program. They had previous experience in simulation and were evaluated for two independent examiners. Results: The global performance on the residents were very similar. We did not found neither possibility of discriminate between resident nor we be able to predict the performance in the next scenario. Scenario discrimination showed up a global coefficient (r = 0.44). Assessing the reliability of the scores we found a poor correlation (r = 0.22) against Direct Procedural Observation Score (DOPS). Conclusion: Further improvements are necessary before simulation-based clinical examination is used for summative evaluation.

Keywords : High fidelity simulators; Medical education; Summative assessment.

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