Ahluwalia Tania, Gidwani Shweta, Douglass Katherine
Department of Pediatrics Division of Emergency Medicine Children's National Health System Washington District of Columbia USA.
Department of Emergency Medicine Chelsea and Westminster Hospital NHS Foundation Trust London UK.
AEM Educ Train. 2021 Oct 13;5(4):e10686. doi: 10.1002/aet2.10686. eCollection 2021 Aug.
Travel restrictions during the pandemic created a barrier to the traditional in-person, observed assessment final examination of our emergency medicine (EM) training programs in India. We conducted remote practical boards and telesimulation bringing examiners and learners from different geographical locations together using an online video conferencing platform. The goal of this paper is to describe the process of implementing a large-scale, international remote practical boards and telesimulation event. We aim to describe the evaluations of the feasibility and effectiveness of remote practical boards and telesimulation in an examination scenario and the feedback regarding the perception of fairness and attitudes from both examiners and examinees.
A total of 104 residents from 14 separate hospitals in eight cities across India were evaluated individually for practical board cases and in pairs for telesimulation. For practical boards, each examinee was evaluated twice, by two independent examiners. For telesimulation, each pair was evaluated by a local facilitator and a remote examiner via an online platform. There were 27 practical examiners and 14 local facilitators and 10 remote examiners for telesimulation. We obtained feedback in the form of a survey from local and remote examiners and examinees.
We implemented a large-scale, international remote practical boards and telesimulation event, connecting examinees and local examiners in eight cities in India with examiners in the United States and United Kingdom. Feedback was obtained from 24 examiners and 103 examinees. A total of 96.7% examiners and 96.9% of examinees felt that this examination was fair. All respondents agreed that this format saved time and costs.
This remote practical boards and telesimulation experience was a feasible and effective way to evaluate EM examinees medical knowledge, communication, and procedural skills. Technology issues was a limitation of our telesimulation experience. Future studies on telesimulation use in global EM training would be useful.
疫情期间的旅行限制给印度急诊医学（EM）培训项目传统的现场观察评估期末考试造成了障碍。我们利用在线视频会议平台开展了远程实践考核和远程模拟，将来自不同地理位置的考官和学员聚集在一起。本文旨在描述实施大规模国际远程实践考核和远程模拟活动的过程。我们旨在描述在考试场景中对远程实践考核和远程模拟的可行性和有效性的评估，以及考官和考生对公平性的看法和态度的反馈。
来自印度八个城市14家不同医院的104名住院医师分别接受实践考核案例的单独评估，并两两一组进行远程模拟。对于实践考核，每位考生由两名独立考官分别评估两次。对于远程模拟，每组由一名当地协调员和一名远程考官通过在线平台进行评估。共有27名实践考官、14名当地协调员和10名远程考官参与远程模拟。我们通过调查的形式获得了当地和远程考官以及考生的反馈意见。
我们实施了一项大规模的国际远程实践考核和远程模拟活动，将印度八个城市的考生和当地考官与美国和英国的考官联系起来。共收到24名考官和103名考生的反馈。共有96.7%的考官和96.9%的考生认为此次考试是公平的。所有受访者都认为这种形式节省了时间和成本。
这种远程实践考核和远程模拟经验是评估急诊医学考生医学知识、沟通能力和操作技能的一种可行且有效的方式。技术问题是我们远程模拟经验的一个限制因素。未来关于在全球急诊医学培训中使用远程模拟的研究将很有帮助。
