Creating simulation-based performance assessment tools for practicing physicians

为执业医师创建基于模拟的绩效评估工具

基本信息

批准号：
8451221
负责人：
MATTHEW BRET WEINGER
金额：
$ 34.91万
依托单位：
VANDERBILT UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-04-01 至 2015-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8451221
关键词：
Creating simulation based performance assessment

项目摘要

DESCRIPTION (provided by applicant): Creating simulation-based performance assessment tools for practicing physicians A team of leading simulation researchers and educators propose a 10-center study of the applicability of mannequin-based simulation to high-stakes assessment of practicing clinicians who are seeking board recertification. This unique study will address important issues for performance evaluation of practicing clinicians, which include the development of standardized scenarios with associated reliable scoring instruments, distributed delivery and assessment of clinicians' performance using those scenarios across multiple testing sites, and a description of the distribution of medical/technical and behavioral performance of 200 practicing board- certified anesthesiologists (BCA). The results will inform competency assessment of physicians in other specialties as well as physicians-in-training. Using a network of experienced simulation instructors and programs already offering all-day simulation courses that are mandatory for BCA desiring Maintenance of Certification in Anesthesia (MOCA) provides a singular opportunity to address some of the challenges of measuring clinical competency using high-fidelity simulation. The Specific Aims are to: 1) Develop standardized, generalizable simulation scenarios with associated valid, reliable performance assessment tools to conduct simulation-based assessment of BCA; 2) Demonstrate that simulation-based clinical assessment can be reliably delivered across multiple national sites for the purpose of evaluating board-certified physicians seeking recertification; 3) Describe quantitatively and qualitatively the distribution of clinical performance during simulation from a large and diverse cross-section of board-certified physicians; and 4) Begin to address the remaining challenges and questions related to reliable and valid simulation-based assessment of practicing physicians' clinical competency. The products of Aim 1 will be 4 standardized scenarios, associated reliable performance rating instruments, and detailed methods for conducting clinical performance ratings. In Aim 2, we will conduct more than 100 MOCA(R) courses over a two-year period in 10 ASA-Endorsed centers; the clinical performance of 200 BCA will be assessed. We hypothesize that there will be a broad distribution of medical/technical and (especially) behavioral performance ratings from poor to excellent, reflecting a diverse cross-section of participants. Finally, we will hold a national stakeholders consensus conference to discuss the remaining challenges and questions related to reliable and valid simulation-based assessment of clinical competency. The results will delineate the requirements of future validation studies of clinical performance assessment and provide important guidance for simulation-based competency assessment across multiple specialties.

描述（由申请人提供）：创建基于模拟的绩效评估工具，以实践医生一组领先的模拟研究人员和教育工作者团队提出了10个中心的研究，对基于人体模拟的模拟对正在寻求董事会重新认证的实践临床医生的高风险评估的适用性进行了10个中心的研究。这项独特的研究将解决对实践临床医生进行绩效评估的重要问题，其中包括使用相关可靠评分工具的标准化场景，分布式交付和使用这些场景在多个测试站点进行的这些场景的描述，以及对200个实践董事会认证的董事会认证的医学和行为绩效的描述的描述。结果将为其他专业和培训医师的医生的能力评估提供信息。使用经验丰富的模拟讲师和计划网络，已经提供了全天模拟课程，这些课程是BCA希望维持麻醉认证（MOCA）（MOCA）的强制性的，这提供了一个单一的机会来解决使用高效率模拟测量临床能力的一些挑战。具体目的是：1）使用相关的有效，可靠的绩效评估工具来开发标准化的，可推广的模拟方案，以进行基于模拟的BCA评估； 2）证明，基于模拟的临床评估可以在多个国家地点可靠地进行，以评估寻求重新认证的董事会认证的医生； 3）从董事会认证的医生的大型横截面中的临床性能分布进行定量和定性地描述临床性能的分布； 4）开始解决与可靠和有效的基于实践医师的临床能力评估有关的剩余挑战和问题。 AIM 1的产品将是4种标准化场景，相关的可靠性能评级工具以及进行临床性能评级的详细方法。在AIM 2中，我们将在10个ASA认可中心的两年内开设100多个MOCA（R）课程；将评估200 BCA的临床性能。我们假设，医学/技术/技术绩效等级将大量分布，从贫困到优秀，这反映了参与者的各种横截面。最后，我们将举行一次国家利益相关者共识会议，讨论与可靠且有效的基于基于仿真的临床能力评估有关的挑战和问题。结果将描述临床绩效评估的未来验证研究的要求，并为跨多个专业的基于模拟的能力评估提供重要的指导。