USMLE Scores Do Not Predict Ultimate Clinical Performance in an Emergency Medicine Residency Program

Le résumé fourni par la source

Background: The Accreditation Council for Graduate Medical Education (ACGME) lists multi-source feedback (MSF) as a suggested evaluation method for 10 of the 23 Emergency Medicine (EM) Milestones.To date, there has been little study comparing EM resident MSF on a specific patient encounter.The Queen's Simulation Assessment Tool (QSAT) has been validated as being able to, with faculty feedback, discriminate between resident performances in a simulation setting.Objectives: Using the QSAT, this simulation study seeks to determine the degree of agreement of MSF on a single simulation case.Methods: This IRB approved study was conducted at a single, dually approved, four year EM residency which trains 13 residents a year.An adult simulation resuscitation case was developed with specific behavioral anchors on the QSAT, which provides feedback on a 1-5 scale in each of 5 categories.Performance on the simulation case was gathered from each of 6 participants or observers in the simulation.The resident leading the case self-evaluated.The resident received MSF feedback from each of a junior resident peer, a nurse, an EMS provider, and two attending faculty members.Reported are the mean scores and standard deviation for each.Results: A total of 34 (12 female, 22 male) residents were enrolled to serve as the case leader.At the time of enrollment, 4 were PGY 2, 10 were PGY 3, and 20 were PGY 4. The single peer evaluator began the study as a PGY 1.The 34 nurses (30 female, 4 male) averaged 6.4 years of experience.The EMS provider has 13 years of experience.

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