Journal of Critical Care
Volume 23, Issue 2 , Pages 167-172 , June 2008

Role of simulators, educational programs, and nontechnical skills in anesthesia resident selection, education, and competency assessment

References 

  1. American Board of Anesthesiology . Defining competence in anesthesiology. Hartford (Conn): American Board of Anesthesiology; 1993;
  2. Altmaier EM, From RP, Pearson KS, et al. A prospective study to select and evaluate anesthesiology residents: phase I. The critical incident technique. J Clin Anesth. 1997;9:629–636
  3. ACGME Outcomes Project . Accreditation Council for Graduate Medical Education Web site. Available at www.acgmc.org2006;Accessed December 11, 2006
  4. Baker JD, Bailey MK, Braken NH, et al. Selection of anesthesiology residents. Acad Med. 1993;68:161–163
  5. Berner ES, Brooks CM, Erdmann JB. Use of USMLE to select residents. Acad Med. 1993;68:778
  6. Blum RH, Raemer DB, Carroll JS, et al. Crisis resource management training for an anaesthesia faculty: a new approach to continuing education. Med Educ. 2004;38:45–55
  7. Boulet JR, Rebbecchi TA, Denton EC, et al. Assessing the written communication skills of medical school graduates. Adv Health Sci Educ Theory Pract. 2004;9:47–60
  8. Buerschaper C, Hofinger G. Patient safety and training in human factor—challenge for anaesthesia training. Z Arztl Forbild Qualitatssich. 2004;98:601–607
  9. Baker DP, Dismukes RK. A framework for understanding crew performance assessment issues. Int J Aviat Psychol. 2002;12:205–222
  10. Boulet JR, Murray DJ, Kras J, et al. Reliability and validity of a simulation-based acute care skills assessment for medical students and residents. Anesthesiology. 2003;99:1270–1280
  11. Chopra V, Bovill JG, Spierdijk J. Accidents, near accidents and complications during anesthesia: a retrospective analysis of a 10-year period in a teaching hospital. Anaesthesia. 1990;45:3–6
  12. Chopra V, Gesink BJ, de Jong J, et al. Does training on an anaesthesia simulator lead to improvement in performance?. Br J Anaesth. 1994;73:293–297
  13. Devitt JH, Karrek MM, Cohen MM, et al. Testing internal consistency and construct validity during evaluation of performance in a patient simulator. Anesth Analg. 1998;86:1160–1164
  14. Devitt JH, Kurrek MM, Cohen MM, et al. The validity of performance assessments using simulation. Anesthesiology. 2001;95:36–42
  15. Flin R, Fletcher G, McGeorge P, et al. Anaesthetist's attitudes to teamwork and safety. Anaesthesia. 2003;58:233–242
  16. Fletcher GC, McGeprge P, Flin RH, et al. The role of non-technical skills in anesthesia: a review of current literature. Br J Anaesth. 2002;88:418–429
  17. Fletcher GC, Flin R, McGeorge R, et al. Anaesthetist's non-technical skills (ANTS): evaluation of a behavioral marker system. Br J Anaesth. 2003;90:580–588
  18. Fletcher G, Flin R, McGeorge P, et al. Rating non-technical skills: developing a behavioral marker system for use in anesthesia. Cogn Tech Work. 2004;6:165–171
  19. Flin R, Fletcher G, Glavin R, et al. Anaesthetist's non-technical skills (ANTS) system handbook. UK: University of Aberdeen; 2003;Available from www.abdu.ac.uk/iprc/antsAccessed November 12, 2006.
  20. Flin R, Maran N. Identifying and training non-technical skills for teams in acute medicine. Qual Safe Health Care. 2004;13:80–84
  21. Freund PR, Posner KL. Sustained increases in productivity with maintenance of quality in an academic anesthesia practice. Anesth Analg. 2003;96:1104–1108
  22. Federation of State Medical Boards, Inc. , National Board of Medical Examiners . 2004 USMLE step 2 CS content description and general information booklet. Philadelphia: FSMB and NBME; 2003;
  23. Gaba D, Howard S, Small S. Situational awareness in anesthesiology. Hum Factors. 1995;5:20–31
  24. Gaba DM, Howard SK, Flanagan B, et al. Assessment of clinical performance during simulated crisis using both technical and behavioral ratings. Anesthesiology. 1998;89:8–18
  25. Good ML. Patient simulation for training basic and advanced clinical skills. Med Educ. 2003;37(Suppl 1):14–21
  26. Gaba DM. What makes a good anesthesiologist. Anesthesiology. 2004;101:1061–1063
  27. Gough HG, Bradley P, McDonald JS. Performance of residents in anesthesiology as related to measures of personality and interests. Psychol Rep. 1991;68(3 Pt 1):979–994
  28. Holzman RS, Cooper JB, Gaba DM, et al. Anesthesia crisis resource management: real-life simulation training in operating room crisis. J Clin Anesth. 1995;7:675–687
  29. Howard SK, Gaba DM, Fish KJ, et al. Anesthesia crisis resource management training: teaching anesthesiologists to handle critical incidents. Aviat Space Environ Med. 1992;63:763–770
  30. Issenberg SB, McGaghie WC, Petrusa ER, et al. Features and uses of high-fidelity medical simulators that lead to effective learning: a BEBE systematic review. Med Teach. 2005;27:10–28
  31. Jacobsen J, Lindekaer AL, Ostergaard HT, et al. Management of anaphylactic shock evaluated by using a full-scale anesthesia simulator. Acta Anaesthesiol Scand. 2001;45:315–319
  32. Klemob UM, Norros L. Analysis of the clinical behavior of anesthetists: recognition of uncertainty as a basis for practice. Med Educ 1997;31:449-1456.
  33. Keck JM, Arnold L, Willoughby L, et al. Efficacy of cognitive/noncognitive measures in predicting resident-physician performance. J Med Educ. 1979;54:759–765
  34. Katz RI, Lagasse RS. Factors influencing the reporting of adverse perioperative outcomes to a quality management program. Anesth Analg. 2000;90:344–354
  35. Leedal JM, Smith AF. Methodological approaches to anaesthetists' workload in the operating theatre. Br J Anaesth. 2005;94:702–709
  36. Lindekaer AL, Jacobson J, Andersen G, et al. Treatment of ventricular fibrillation during anaesthesia in an anaesthesia simulator. Acta Anaesth Scand. 1997;41:1280–1284
  37. Metro DG, Talarico JF, Patel RM, et al. The resident application process and its correlation to future performance as a resident. Anesth Analg. 2005;100:502–505
  38. McDonald JS, Lingam RP, Gupta B, et al. Psychologic testing as an aid to selection of residents in anesthesiology. Anesth Analg. 1994;78:542–547
  39. Morgan PJ, Cleave-Hogg D, Guest CB. A comparison of global ratings and checklist scores from an undergraduate assessment using an anesthesia simulator. Acad Med. 2001;76:1053–1055
  40. Morgan PJ, Cleave-Hogg DM, Guest CB, et al. Validity and reliability of undergraduate performance assessments in an anesthesia simulator. Can J Anaesth. 2001;48:225–233
  41. McGaghie WC, Issenberg SB, Petrusa ER. Simulation: savior or Satan? A rebuttal. Adv Health Sci Educ Theory Pract. 2003;8:97–103
  42. Murray D. Clinical simulation: measuring the efficacy of training. Curr Opin Anesthesiol. 2005;18:645–648
  43. Murray DJ, Boulet JR, Kras JF, et al. Acute care skills in anesthesia practice: a simulation-based resident performance assessment. Anesthesiology. 2004;101:1084–1095
  44. Mollemann A, Eberlein-Gouska M, Koch T, et al. Clinical risk management. Implementation of an anonymous error registration system in the anesthesia department of a university hospital. Anasthesist. 2005;54:299–300
  45. O'Donnell J, Fletcher J, Dixon B, et al. Planning and implementation an anesthesia crisis resource management course for student nurse anesthetists. CRNA. 1998;9:50–58
  46. Posner KL, Freund PR. Trends in quality of anesthesia care associated with changing staffing patterns, productivity, and concurrency of case supervision in a teaching hospital. Anesthesiology. 1999;91:839–847
  47. Posner KL, Freund PR. Resident training level and quality of anesthesia care in a university hospital. Anesth Analg. 2004;98:437–442
  48. Price PB, Taylor CW, Richards JM, et al. Measurement of physician performance. J Med Educ. 1964;39:203–211
  49. Reader T, Flin R, Lauche K, et al. Non-technical skills in the intensive care unit. Br J Anaesth. 2006;96:551–559
  50. Reich DL, Uysal S, Bodian C, et al. The relationship of cognitive, personality, and academic measures to anesthesiology resident clinical performance. Anesth Analg. 1999;88:1092–1100
  51. Schaefer JJ. Simulators and difficult airway management skills. Pediat Anesth. 2004;14:28–37
  52. Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: cross sectional surveys. Br Med J. 2000;320:745–749
  53. Schwid HA. Anesthesia simulators: technology and applications. Israel Med Assoc J. 2000;2:949–953
  54. Schwid HA, Rooke GA, Michalowski P, et al. Screen-based anesthesia simulation with debriefing improves performance in a mannequin-based anesthesia simulator. Teach Learn Med. 2001;13:92–96
  55. Schwid H, Rooke GA, Carline J, et al. Evaluation of anesthesia residents using mannequin-based simulation: a multi-institutional study. Anesthesiology. 2002;97:1434–1444
  56. Wingard JR, Willamson JW. Grades as predictors of physician's career performance: an evaluative literature review. J Med Educ. 1973;48:312–322
  57. Whalan G. High-stakes medical performance testing: the clinical skills assessment program (letter). JAMA. 2000;283:1748

☆ The preparation of this manuscript was supported by the Department of Anesthesiology, University of Florida College of Medicine, Gainesville, FL.

PII: S0883-9441(07)00199-2

doi: 10.1016/j.jcrc.2007.11.009

Journal of Critical Care
Volume 23, Issue 2 , Pages 167-172 , June 2008

Article Tools

* Image Usage & Resolution