Generalisability of behavioural skills in simulated anaesthetic emergencies

A reliable assessment of clinical performance requires multiple cases, as performance varies between cases depending on previous experiences and knowledge of the case. However, behavioural attributes, including communication and teamwork, may be expected to be less dependent on specific case knowled...

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Bibliographic Details
Published in:Anaesthesia and intensive care 2008-03, Vol.36 (2), p.185-189
Main Authors: WELLER, J. M, JOLLY, B, ROBINSON, B
Format: Article
Language:English
Subjects:
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthesiologists
Anesthesiology - education
Audiovisual Aids
Biological and medical sciences
Clinical Competence
Computer Simulation
Emergency Medical Services
Evaluation
Humans
Medical education
Medical sciences
Methods
Psychometrics
Training
Videotape Recording
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Summary:A reliable assessment of clinical performance requires multiple cases, as performance varies between cases depending on previous experiences and knowledge of the case. However, behavioural attributes, including communication and teamwork, may be expected to be less dependent on specific case knowledge and thus be more stable across cases. This has implications for training and assessment design. In this study we measured the psychometric properties of assessment of behaviour in simulated anaesthetic emergencies. Twenty anaesthesia trainees were rated in three simulated emergencies by four assessors. The psychometric properties of scores for behaviour were determined and were compared with scores for medical management and overall performance. We found that scores for behaviour were less dependent on the specific clinical context than the scores for overall performance and medical management, implying transferability of crisis management behaviours between cases.
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057x0803600208