Validity of Simulation-Based Assessment for Accreditation Council for Graduate Medical Education Milestone Achievement

@article{Isaak2018ValidityOS,
  title={Validity of Simulation-Based Assessment for Accreditation Council for Graduate Medical Education Milestone Achievement},
  author={Robert S. Isaak and Fei Chen and Susan M. Martinelli and Harendra Arora and David A. Zvara and Gene W. Hobbs and Marjorie Podraza Stiegler},
  journal={Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare},
  year={2018},
  volume={13},
  pages={201–210}
}
Introduction The Accreditation Council for Graduate Medical Education requires biannual evaluation of anesthesiology residents on 25 subcompetency milestones. Some milestone domains are particularly challenging to repeatedly and reliably observe during clinical care. Simulation-Based Milestones Assessment (SBMA) may help overcome these challenges. However, few studies have examined the external validation of simulation assessment scores (ie, the relationships between simulation-based assessment… Expand
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References

SHOWING 1-10 OF 27 REFERENCES
Standardized Mixed-Fidelity Simulation for ACGME Milestones Competency Assessment and Objective Structured Clinical Exam Preparation
TLDR
A full-scale, standardized, mixed-fidelity simulation training program for residents that serves multiple functions including the following: efficient and reliable means to meet the bi-annual ACGME reporting standards for milestone competency assessments. Expand
External Validation of Simulation-Based Assessments With Other Performance Measures of Third-Year Anesthesiology Residents
TLDR
It is hypothesized that technical and nontechnical performance in the simulated environment is related to other various criterion measures, providing evidence to support the validity of the scores from the performance-based assessment. Expand
Simulation-based Assessment in Anesthesiology: Requirements for Practical Implementation
TLDR
A broad overview of the use of simulation for measuring physician skills and competencies is provided to provide a model for those individuals and organizations that are responsible for developing, scoring, or validating simulation-based education and assessment programs in anesthesiology. Expand
Simulation-based Assessment to Identify Critical Gaps in Safe Anesthesia Resident Performance
TLDR
Evidence supporting the reliability and validity of the assessment scores was procured, including a high generalizability coefficient (&rgr;2 = 0.81) and expected performance differences between first-year resident and fellow participants. Expand
Simulation for Anesthesiology Milestones
  • E. Sinz
  • Medicine
  • International anesthesiology clinics
  • 2015
The new Milestones requirement for all Accreditation Council for Graduate Medical Education (ACGME)-approved residency training was introduced by the ACGME with the goal of changing programExpand
Simulated and standardized patients in OSCEs: achievements and challenges 1992-2003
  • G. Adamo
  • Psychology, Medicine
  • Medical teacher
  • 2003
TLDR
The author discusses achievements and challenges in the use of the objective structured clinical examination (OSCE) and simulated patient (SP) for medical education and assessment and the founding of the Association of Standardized Patient Educators (ASPE), a specialist professional organization. Expand
Mapping Direct Observations From Objective Structured Clinical Examinations to the Milestones Across Specialties.
TLDR
The ICS-OSCE scores for PGY-1 residents appear to relate to beginner-level milestones for physician-patient communication across multiple specialties. Expand
Barriers to use of simulation-based education
PurposeBarriers to simulation-based education in postgraduate and continuing education for anesthesiologists have not been well studied. We hypothesized that the level of training may influenceExpand
Designing and Implementing the Objective Structured Clinical Examination in Anesthesiology
TLDR
The history of OSCE and its current application in medical education and in different medical and surgical specialties are reviewed and the psychometrics of test design and implementation with emphasis on reliability and validity measures as they relate to OSCE are discussed. Expand
Simulation-based assessment of pediatric anesthesia skills.
TLDR
A multiple-scenario, simulation-based assessment of pediatric perioperative care was designed and administered to residents and fellows and indicated the content was relevant and that raters could reliably score the scenarios. Expand
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