Graduating internal medicine residents' self-assessment and performance of advanced cardiac life support skills

Internal medicine residents in the US must be competent to perform procedures including Advanced Cardiac Life Support (ACLS) to become board-eligible. Our aim was to determine if residents near graduation could assess their skills in ACLS procedures accurately. Participants were 40 residents in a un...

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Bibliographic Details
Published in:Medical teacher 2006-06, Vol.28 (4), p.365-369
Main Authors: Wayne, Diane B., Butter, John, Siddall, Viva J., Fudala, Monica J., Wade, Leonard D., Feinglass, Joe, Mcgaghie, William C.
Format: Article
Language:English
Subjects:
Advanced Cardiac Life Support
Cardio pulmonary resuscitation
Clinical Competence
Clinical skills
Competency tests
House officers
Humans
Internal Medicine
Internship and Residency
Life sustaining treatment
Medical residencies
Performance evaluation
Self-Assessment
Selfassessment
Studies
Surveys and Questionnaires
United States
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Summary:Internal medicine residents in the US must be competent to perform procedures including Advanced Cardiac Life Support (ACLS) to become board-eligible. Our aim was to determine if residents near graduation could assess their skills in ACLS procedures accurately. Participants were 40 residents in a university-based training program. Self-assessments of confidence in managing six ACLS scenarios were measured on a 0 (very low) to 100 (very high) scale. These were compared to reliable observational ratings of residents' performance on a high-fidelity simulator using published treatment protocols. Residents expressed strong self-confidence about managing the scenarios. Residents' simulator performance varied widely (range from 45% to 94%). Self-confidence assessments correlated poorly with performance (median r = 0.075). Self-assessment of performance by graduating internal medicine residents was not accurate in this study. The use of self-assessment to document resident competence in procedures such as ACLS is not a proxy for objective evaluation.
ISSN:0142-159X
1466-187X
DOI:10.1080/01421590600627821