medigraphic.com
SPANISH

Revista Latinoamericana de Simulación Clínica

ISSN 2683-2348 (Electronic)
Federación Latinoamericana de Simulación Clínica y Seguridad del Paciente
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
    • Send manuscript
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2019, Number 2

<< Back Next >>

Simulación Clínica 2019; 1 (2)

Simulation as a tool of competence’s evaluation and certification

Nazar JC, Bloch GN, Fuentes HR
Full text How to cite this article 10.35366/RSC192G

DOI

DOI: 10.35366/RSC192G
URL: https://dx.doi.org/10.35366/RSC192G

Language: Spanish
References: 40
Page: 104-110
PDF size: 225.02 Kb.


Key words:

Simulation, medical education, assessment, certification, competence.

ABSTRACT

The simulation has been defined as the technique of imitating the behavior, situation, procedure or process using a suitable apparatus or setting, with the purpose of teach-learning and personal training. It’s use in medical education has been progressively increasing over the years. The simulation has a well-established niche in teach-learning’s process of under and graduate medical students; however, for evaluation of competences and certification is still underutilized, especially in our country. The Anglo-Saxon countries, such as United States, Australia and Canada, have more experience in its use as instrument of evaluation and certification of competences, but with little publications about this topic. Certification is defined as an evaluation performed at the end of under or graduate medical education training, in order to ensure the achievement of the knowledge, skills and attitudes needed to properly exercise as doctors and specialists. The future challenge in Chile is to integrate in a standardized and validated way the simulation in educational assessment, certification and recertification of competences.


REFERENCES

  1. Bradley P. The history of simulation in medical education and possible future directions. Med Educ. 2006; 40 (3): 254-262.

  2. Scalese RJ, Obeso VT, Issenberg SB. Simulation technology for skills training and competency assessment in medical education. J Gen Intern Med. 2008; 23 (1 Suppl.): 46-49.

  3. Clede L, Nazar C, Montaña R. Simulación en educación médica. Investig en Educ Médica [Internet]. 2014; 3 (10): 100-105. Disponible en http://linkinghub.elsevier.com/retrieve/pii/S2007505714727334

  4. Rolfe I, Sanson-Fisher R. Professional development and ethics: translating learning principles into practice: a new strategy for learning clinical skills. Med Educ. 2002; 36 (4): 345-352.

  5. Okuda Y, Bond W, Bonfante G, McLaughlin S, Spillane L, Wang E, et ál, National growth in simulation training within emergency medicine residency programs, 2003-2008. Acad Emerg Med. 2008; 15 (11): 1113-1116.

  6. Via DK, Kyle RR, Trask JD, Shields CH, Mongan PD. Using high-fidelity patient simulation and an advanced distance education network to teach pharmacology to second-year medical students. J Clin Anesth. 2004; 16 (2): 144-151.

  7. Lucas S, Tuncel A, Bensalah K, Zeltser I, Jenkins A, Pearle M, et ál, Virtual reality training improves simulated laparoscopic surgery performance in laparoscopy naïve medical students. J Endourol. 2008; 22 (5): 1047-1052.

  8. Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. Anesthesiol Clin. 2007; 25 (2): 225-236.

  9. Kneebone R. Simulation in surgical training: educational issues and practical implications. Med Educ [Internet]. 2003; 37 (3): 267-277. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12603766

  10. Dupuis O, Moreau R, Silveira R, Pham MT, Zentner A, Cucherat M, et ál, A new obstetric forceps for the training of junior doctors: a comparison of the spatial dispersion of forceps blade trajectories between junior and senior obstetricians. Am J Obstet Gynecol. 2006; 194 (6): 1524-1531.

  11. Halamek LP, Kaegi DM, Gaba DM, Sowb YA, Smith BC, Smith BE, et ál, Time for a new paradigm in pediatric medical education: teaching neonatal resuscitation in a simulated delivery room environment. Pediatrics [Internet]. 2000; 106 (4): E45. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11015540

  12. Hunt EA, Shilkofski NA, Stavroudis TA, Nelson KL. Simulation: translation to improved team performance. Anesthesiol Clin. 2007; 25 (2): 301-319.

  13. Naik VN, Wong AK, Hamstra SJ. Review article: leading the future: guiding two predominant paradigm shifts in medical education through scholarship. Can J Anesth. 2012; 59 (2): 213-223.

  14. Ben-David MF. The role of assessment in expanding professional horizons. Med Teach. 2002; 22 (5): 472-477.

  15. Schuwirth L, van der Vleuten C. Merging views on assessment. Med Educ. 2004; 38 (12): 1208-1210.

  16. Miller GE. The assessment of clinical skills/competence/performance. Acad Med [Internet]. 1990 [citado 21 de mayo de 2019]; 65 (9 Suppl): S63-S67. Disponible en http://www.ncbi.nlm.nih.gov/pubmed/2400509

  17. Newble D. Techniques for measuring clinical competence: objective structured clinical examinations. Med Educ. 2004; 38 (2): 199-203.

  18. Harden R, Stevenson M, Downie W, Wilson G. Assessment of clinical competence using objective structured examination. Br Med J. 1975; 1 (5955): 447-451.

  19. Karam VY, Soo Park Y, Tekian A, Youssef N. Evaluating the validity evidence of an OSCE: results from a new medical school. BMC, Med Educ [Internet]. 2018 [citado 21 de mayo de 2019]; 18 (1): 313. Disponible en https://doi.org/10.1186/s12909-018-1421-x

  20. Daniels VJ, Pugh D. Twelve tips for developing an OSCE that measures what you want. Med Teach [Internet]. 2018; 40 (12): 1208-1213. Disponible en https://doi.org/10.1080/0142159X.2017.1390214

  21. Martínez-Carretero J. Los métodos de evaluación de la competencia profesional: la evaluación clínica objetiva estructurada (ECOE). Educ Med [Internet]. 2005 [citado 21 de mayo de 2019]; 8 (Suppl 2): 18-22. Disponible en http://scielo.isciii.es/pdf/edu/v8s2/metodos.pdf

  22. Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA [Internet]. 2002 [citado 23 de mayo de 2019]; 287 (2): 226-235. Disponible en http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.287.2.226

  23. Rethans JJ, Sturmans F, Drop R, Van Der Vleuten C. Assessment of the performance of general practitioners by the use of standardized (simulated) patients. Br J Gen Pract [Internet]. 1991 [citado 21 de mayo de 2019]; 41 (344): 97-99. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1371620/pdf/brjgenprac00070-0011.pdf

  24. Ley-20267 25-jun-2008 Ministerio del Trabajo y Previsión Social, Subsecretaría Del Trabajo -Ley Chile- Biblioteca del Congreso Nacional [Internet]. 2008 [citado 23 de mayo de 2019]. Disponible en https://www.leychile.cl/Navegar?idNorma=272829

  25. Muñoz-Seco E. Evaluación de la competencia de los médicos de familia en la práctica clínica en situación real. Barcelona: Universitat Autónoma de Barcelona; 2016. p. 184.

  26. Okuda Y, Bryson EO, DeMaria S, Jacobson L, Quinones J, Shen B, et ál. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med A J Transl Pers Med [Internet]. 2009 [citado 21 de mayo de 2019]; 76 (4): 330-343. Disponible en http://doi.wiley.com/10.1002/msj.20127

  27. American Heart Association. ACLS Provider course [Internet]. 2019 [citado 23 de mayo de 2019]. Disponible en: https://international.heart.org/es/our-courses/acls-provider-course

  28. Steadman RH, Huang YM. Simulation for quality assurance in training, credentialing and maintenance of certification. Best Pract Res Clin Anaesthesiol [Internet]. 2012; 26 (1): 3-15. Disponible en http://dx.doi.org/10.1016/j.bpa.2012.01.002.

  29. Wayne DB, Siddall VJ, Butter J, Fudala MJ, Wade LD, Feinglass J, et ál. A longitudinal study of internal medicine residents’ retention of advanced cardiac life support skills. Acad Med [Internet]. 2006 [citado 23 de mayo de 2019]; 81 (10 Suppl): S9-S12. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/17001145

  30. Barsuk JH, McGaghie WC, Cohen ER, Balachandran JS, Wayne DB. Use of simulation-based mastery learning to improve the quality of central venous catheter placement in a medical intensive care unit. J Hosp Med. 2009; 4 (7): 397-403.

  31. Young JS, DuBose JE, Hedrick TL, Conaway MR, Nolley B. The use of “war games” to evaluate performance of students and residents in basic clinical scenarios: A disturbing analysis. J Trauma. 2007; 63 (3): 556-564.

  32. Stefanidis D, Korndorffer JR, Sierra R, Touchard C, Dunne JB, Scott DJ. Skill retention following proficiency-based laparoscopic simulator training. Surgery. 2005; 138 (2): 165-170.

  33. Korndorffer JR, Dunne JB, Sierra R, Stefanidis D, Touchard CL, Scott DJ. Simulator training for laparoscopic suturing using performance goals translates to the operating room. J Am Coll Surg. 2005; 201 (1): 23-29.

  34. Dillon GF, Boulet JR, Hawkins RE, Swanson DB. Simulations in the United States Medical Licensing Examination (USMLE). Qual Saf Health Care [Internet]. 2004 [citado 23 de mayo de 2019]; 13 (Suppl 1): i41-i45. Disponible en http://www.ncbi.nlm.nih.gov/pubmed/15465954

  35. Hagen MD, Sumner W, Roussel G, Rovinelli R, Xu J. Computer-based testing in family practice certification and recertification. J Am Board Fam Med. 2009; 16 (3): 227-232.

  36. Hatala R, Barry K, Nishikawa. J Incorporating simulation technology in a Canadian internal medicine specialty examination: a descriptive report. Acad Med [Internet]. 2005 [citado 23 de mayo de 2019]; 80 (6): 554-556. Disponible en https://insights.ovid.com/pubmed?pmid=15917358

  37. The American Board of Anesthesiology. About MOCA 2.0 [Internet]. [citado 23 de mayo de 2019]. Disponible en http://www.theaba.org/MOCA/About-MOCA-2-0

  38. Berkenstadt H, Ziv A, Gafni N, Sidi A. Incorporating simulation-based objective structured clinical examination into the Israeli National Board examination in anesthesiology. Anesth Analg. 2006; 102 (3): 853-858.

  39. Corvetto M, Bravo MP, Montaña R, Utili F, Escudero E, Boza C, et ál. Simulación en educación médica: Una sinopsis. Rev Med Chil. 2013; 141 (1): 70-79.

  40. ASOFAMECH. Examen Único Nacional de Conocimientos de Medicina [Internet]. 2019 [citado 23 de mayo de 2019]. Disponible en http://www.eunacom.cl/organizacion/organizacion.html




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Simulación Clínica. 2019;1