Instructor in Medicine, Harvard Medical School and Division of Pulmonary and Critical Care Medicine, Mount Auburn Hospital.
Instructor in Medicine, Harvard Medical School and Division of Pulmonary, Critical Care and Sleep Medicine, Beth Israel Deaconess Medical Center; Director of Simulation Research, Carl J. Shapiro Center for Education and Research, Beth Israel Deaconess Medical Center.
MedEdPORTAL. 2021 Mar 4;17:11114. doi: 10.15766/mep_2374-8265.11114.
Given barriers to learner assessment in the authentic clinical environment, simulated patient encounters are gaining attention as a valuable opportunity for competency assessment across the health professions. Simulation-based assessments offer advantages over traditional methods by providing realistic clinical scenarios through which a range of technical, analytical, and communication skills can be demonstrated. However, simulation for the purpose of assessment represents a paradigm shift with unique challenges, including preservation of a safe learning environment, standardization across learners, and application of valid assessment tools. Our goal was to create an interactive workshop to equip educators with the knowledge and skills needed to conduct assessments in a simulated environment.
Participants engaged in a 90-minute workshop with large-group facilitated discussions and small-group activities for practical skill development. Facilitators guided attendees through a simulated grading exercise followed by in-depth analysis of three types of assessment tools. Participants designed a comprehensive simulation-based assessment encounter, including selection or creation of an assessment tool.
We have led two iterations of this workshop, including an in-person format at an international conference and a virtual format at our institution during the COVID-19 pandemic, with a total of 93 participants. Survey responses indicated strong overall ratings and impactfulness of the workshop.
Our workshop provides a practical, evidence-based framework to guide educators in the development of a simulation-based assessment program, including optimization of the environment, design of the simulated case, and utilization of meaningful, valid assessment tools.
由于在真实临床环境中对学习者进行评估存在障碍，模拟患者就诊正作为一种评估各健康专业人员能力的有价值机会而受到关注。基于模拟的评估通过提供真实的临床场景，展示了一系列技术、分析和沟通技能，具有超越传统方法的优势。然而，出于评估目的的模拟代表了一种范式转变，具有独特的挑战，包括维护安全的学习环境、学习者之间的标准化以及应用有效的评估工具。我们的目标是创建一个互动研讨会，为教育者提供在模拟环境中进行评估所需的知识和技能。
参与者参加了一个 90 分钟的研讨会，包括小组讨论和小组活动，以培养实际技能。主持人指导与会者进行模拟评分练习，然后深入分析三种评估工具。参与者设计了一个全面的基于模拟的评估体验，包括选择或创建评估工具。
我们已经进行了两次这样的研讨会，包括在国际会议上的面对面形式和在 COVID-19 大流行期间在我们机构的虚拟形式，共有 93 名参与者。调查回复表明，该研讨会的总体评价和影响力都很强。
我们的研讨会提供了一个实用的、基于证据的框架，指导教育者开发基于模拟的评估计划，包括优化环境、设计模拟案例以及利用有意义的、有效的评估工具。
