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Emergency medicine resident crisis resource management ability: a simulation-based longitudinal study.

Clarke S, Horeczko T, Carlisle M, Barton JD, Ng V, Al-Somali S, Bair AE - Med Educ Online (2014)

Bottom Line: There was a significant gain in all Ottawa GRS components between postgraduate years 1 and 2, but no significant difference in GRS performance between years 2 and 3.In summary, CRM skills are progressive abilities, and simulation is a useful modality for tracking their development.Modification of this tool may be needed to assess advanced learners' gains in performance.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, UC Davis School of Medicine, Sacramento, CA, USA; samuel.clarke@ucdmc.ucdavis.edu.

ABSTRACT

Background: Simulation has been identified as a means of assessing resident physicians' mastery of technical skills, but there is a lack of evidence for its utility in longitudinal assessments of residents' non-technical clinical abilities. We evaluated the growth of crisis resource management (CRM) skills in the simulation setting using a validated tool, the Ottawa Crisis Resource Management Global Rating Scale (Ottawa GRS). We hypothesized that the Ottawa GRS would reflect progressive growth of CRM ability throughout residency.

Methods: Forty-five emergency medicine residents were tracked with annual simulation assessments between 2006 and 2011. We used mixed-methods repeated-measures regression analyses to evaluate elements of the Ottawa GRS by level of training to predict performance growth throughout a 3-year residency.

Results: Ottawa GRS scores increased over time, and the domains of leadership, problem solving, and resource utilization, in particular, were predictive of overall performance. There was a significant gain in all Ottawa GRS components between postgraduate years 1 and 2, but no significant difference in GRS performance between years 2 and 3.

Conclusions: In summary, CRM skills are progressive abilities, and simulation is a useful modality for tracking their development. Modification of this tool may be needed to assess advanced learners' gains in performance.

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Related in: MedlinePlus

Ottawa Crisis Resource Management Global Rating Scale (Ottawa GRS)
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Related In: Results  -  Collection

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Figure 0003: Ottawa Crisis Resource Management Global Rating Scale (Ottawa GRS)


Emergency medicine resident crisis resource management ability: a simulation-based longitudinal study.

Clarke S, Horeczko T, Carlisle M, Barton JD, Ng V, Al-Somali S, Bair AE - Med Educ Online (2014)

Ottawa Crisis Resource Management Global Rating Scale (Ottawa GRS)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4262767&req=5

Figure 0003: Ottawa Crisis Resource Management Global Rating Scale (Ottawa GRS)
Bottom Line: There was a significant gain in all Ottawa GRS components between postgraduate years 1 and 2, but no significant difference in GRS performance between years 2 and 3.In summary, CRM skills are progressive abilities, and simulation is a useful modality for tracking their development.Modification of this tool may be needed to assess advanced learners' gains in performance.

View Article: PubMed Central - PubMed

Affiliation: Department of Emergency Medicine, UC Davis School of Medicine, Sacramento, CA, USA; samuel.clarke@ucdmc.ucdavis.edu.

ABSTRACT

Background: Simulation has been identified as a means of assessing resident physicians' mastery of technical skills, but there is a lack of evidence for its utility in longitudinal assessments of residents' non-technical clinical abilities. We evaluated the growth of crisis resource management (CRM) skills in the simulation setting using a validated tool, the Ottawa Crisis Resource Management Global Rating Scale (Ottawa GRS). We hypothesized that the Ottawa GRS would reflect progressive growth of CRM ability throughout residency.

Methods: Forty-five emergency medicine residents were tracked with annual simulation assessments between 2006 and 2011. We used mixed-methods repeated-measures regression analyses to evaluate elements of the Ottawa GRS by level of training to predict performance growth throughout a 3-year residency.

Results: Ottawa GRS scores increased over time, and the domains of leadership, problem solving, and resource utilization, in particular, were predictive of overall performance. There was a significant gain in all Ottawa GRS components between postgraduate years 1 and 2, but no significant difference in GRS performance between years 2 and 3.

Conclusions: In summary, CRM skills are progressive abilities, and simulation is a useful modality for tracking their development. Modification of this tool may be needed to assess advanced learners' gains in performance.

Show MeSH
Related in: MedlinePlus