Critical Emergency Medicine Procedural Skills: A Comparative Study of Methods for Teaching and Assessment.Reportar como inadecuado

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Three critical procedural skills in emergency medicine were evaluated using three assessment modalities--written, computer, and animal model. The effects of computer practice and previous procedure experience on skill competence were also examined in an experimental sequential assessment design. Subjects were six medical students, six residents, and six medical faculty members. They completed a survey of their prior experience with thoracotomy, were provided with standardized instruction in the procedures, and were tested with the three modalities. Competence was evaluated in terms of performance time and accuracy. Results indicated that critical emergency medical procedural skills can be evaluated most reliably and validly using an animal model assessment with sufficiently complex anatomy, as represented by the pig used in this study. Results also demonstrated that computer simulation practice using visual imagers and sequential ordering of procedural steps shows promise in teaching and assessment of competence. Previous thoracotomy experience was not an accurate predictor of competence. One figure and four tables present study findings. An appendix presents the procedural steps. (Contains 14 references.) (SLD)

Descriptors: Animals, Comparative Analysis, Competence, Computer Assisted Testing, Computer Simulation, Educational Assessment, Evaluation Methods, Experience, Medical Services, Medical Students, Performance, Physicians, Skills, Teaching Methods, Test Construction

Autor: Chapman, Dane M.; And Others


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