Simulation-Based Assessment Emily M. Hayden, MD, MHPE Associate Director for Curricular Integration Gilbert Program in Medical Simulation Harvard Medical.

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Presentation transcript:

Simulation-Based Assessment Emily M. Hayden, MD, MHPE Associate Director for Curricular Integration Gilbert Program in Medical Simulation Harvard Medical School Director of Simulation Faculty Development Division of Medical Simulation Department of Emergency Medicine Massachusetts General Hospital Simulation-Based Assessment Emily M. Hayden, MD, MHPE Associate Director for Curricular Integration Gilbert Program in Medical Simulation Harvard Medical School Director of Simulation Faculty Development Division of Medical Simulation Department of Emergency Medicine Massachusetts General Hospital

Disclosure Nothing to Disclose Nothing to Disclose

Goals and Objectives Goal: To Discuss Simulation- Based Assessment (SBA)

Goals and Objectives Objectives: 1. Describe reasons for SBA 2. Describe the current state of SBA

Why use SBA? Procedural training Procedural training Chance-events of apprenticeships Chance-events of apprenticeships Rare events Rare events Reduced work hours Reduced work hours Teamwork Teamwork

Current State of SBA Formative Formative Summative Summative High-stakes High-stakes Recurrent Recurrent

Levels of Medical Training Undergraduate medical education (UME) Undergraduate medical education (UME) Graduate medical education (GME) Graduate medical education (GME) Continuing medical education (CME) Continuing medical education (CME)

Formative SBA Trainees want feedback Trainees want feedback Trainees want to be observed Trainees want to be observed Debriefing component of simulation Debriefing component of simulation

Formative SBA UME UME –HMS preclinical simulation GME GME –MGH Department of Medicine CME CME –Center for Medical Simulation Crisis Resource Management courses

Example of UME Formative SBA

Formative SBA UME UME –HMS preclinical simulation GME GME –MGH Department of Medicine CME CME –Center for Medical Simulation Crisis Resource Management courses

Summative SBA UME: less often used UME: less often used GME: GME: –ACGME Competencies CME: CME: –Workplace-based assessments

Summative SBA in GME ACGME Competencies ACGME Competencies –Patient Care –Medical Knowledge –Practice-based Learning and Improvement –Interpersonal and Communication Skills –Professionalism –Systems-based Practice

High-stakes SBA UME: UME: –USMLE Clinical Skills Step 2 GME: GME: –Surgical training CME: CME: –Oral boards –Carotid artery stenting

Recurrent SBA Ericsson’s Model of Acquisition of Expertise Ericsson’s Model of Acquisition of Expertise –Deliberate practice with immediate feedback –Opportunities for repeated performance Ericsson, KA. Deliberate Practice and Acquisition of Expert Performance: a General Overview. Academic Emergency Medicine. 2008; 15(11),