Abstract
In 2018, Canadian post-graduate Emergency Medicine (EM) programs transitioned to Competence-by-Design. Residents are now assessed using Entrustable Professional Activities (EPAs). We developed and implemented simulation for assessment to mitigate anticipated challenges with residents completing the required number of observations of resuscitation-based EPAs. Our survey of trainees who participated in these sessions suggests that it may be a feasible and acceptable method for EPA assessment.
Résumé
En 2018, les programmes canadiens d'études supérieures en médecine d'urgence (MU) sont passés à la Compétence par Conception. Les résidents sont désormais évalués à l'aide d'activités professionnelles confiables (APC). Nous avons développé et mis en œuvre une simulation pour l'évaluation afin d'atténuer les défis anticipés avec les résidents effectuant le nombre requis d'observations des APC basés sur la réanimation. Notre enquête auprès des stagiaires ayant participé à ces sessions suggère qu'il s'agit d'une méthode réalisable et acceptable pour l'évaluation de l'APE.
References
Sherbino J, Bandiera G, Doyle K, Frank JR, Holroyd BR, Jones G, et al. The competency-based medical education evolution of Canadian emergency medicine specialist training. CJEM. 2020;22(1):95–102. https://doi.org/10.1017/cem.2019.417.
Thoma B, Hall AK, Clark K, Meshkat N, Cheung WJ, Desaulniers P, et al. Evaluation of a national competency-based assessment system in Emergency Medicine: a CanDREAM Study. J Grad Med Educ. 2020;12(4):425–34. https://doi.org/10.4300/JGME-D-19-00803.1.
Emergency Medicine Specialty Committee. EPA Guide: Emergency Medicine. Ottawa: Royal College of Physicians and Surgeons of Canada; 2018.
Colmers-Gray IN, Walsh K, Chan TM. Assessment of emergency medicine residents: a systematic review. Can Med Educ J. 2017;8(1):106–22. https://doi.org/10.36834/cmej.36770.
Dwyer T, Wadey V, Archibald D, Kraemer W, Shantz JS, Townley J, et al. Cognitive and psychomotor Entrustable Professional Activities: can simulators help assess competency in trainees? Clin Orthop Relat Res. 2016;474:926–34. https://doi.org/10.1007/s11999-015-4553-x.
Russell E, Hall AK, Hagel C, Petrosoniak A, Dagnone JD, Howes D. Simulation in Canadian postgraduate emergency medicine training- a national survey. CJEM. 2018;20(1):132–41. https://doi.org/10.1017/cem.2017.24 (Epub 2017 May 17 PMID: 28511730).
Weersink K, Hall AK, Rich J, Szulewski A, Dagnone JD. Simulation versus real-world performance: a direct comparison of emergency medicine resident resuscitation entrustment scoring. Adv Simul. 2019. https://doi.org/10.1186/s41077-019-0099-4.
Hall AK, Dagnone JD, Lacroix L, Pickett W, Klinger DA. Queen’s simulation assessment tool: development and validation of an assessment tool for resuscitation objective structured clinical examination stations in emergency medicine. Simul Healthc. 2015;10(2):98–105. https://doi.org/10.1097/SIH.0000000000000076.
Prudhomme N, O’Brien M, McConnell M, Dudek N, Cheung WJ. Relationship between ratings of performance in the simulated and workplace environments among emergency medicine residents. CJEM. 2020;22(6):811–8. https://doi.org/10.1017/cem.2020.388.
Shalhoub J, Marshall DC, Ippolito K. Perspectives on procedure-based assessments: a thematic analysis of semistructured interviews with 10 UK surgical trainees. BMJ Open. 2017;7: e013417. https://doi.org/10.1136/bmjopen-2016-013417.
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Pandya, A., Patocka, C. & Huffman, J. Simulation for assessment of Entrustable Professional Activities in an emergency medicine residency program. Can J Emerg Med 24, 84–87 (2022). https://doi.org/10.1007/s43678-021-00209-5
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DOI: https://doi.org/10.1007/s43678-021-00209-5