Emergencies Clinical Trial
— OPPE16Official title:
Development and Assessment of a Simulation Model of Focused and Ongoing Professional Practice Evaluations
Verified date | July 2017 |
Source | Rush University Medical Center |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Since 2007, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has
required evaluation of practicing attending physicians by management to ensure that
procedural skills and medical care are meeting the accepted standards of care as assessed by
each individual institution. This assessment is known as the ongoing professional practice
evaluation (OPPE). There are several methods by which this can be accomplished, including
through chart review of clinician practice and by verbally assessing knowledge of the steps
required to do a particular procedure. However, for infrequently performed or complicated
procedures, these methods may not allow objective evaluation on a regular basis. Simulation
using task trainers or manikin models offers an alternative method of objective evaluation in
a standardized setting.
The goal of this study is to develop two simulated scenarios to assess physician skill in
relatively uncommon procedures and compare the data obtained against the verbal assessment
and chart review model previously used at our institution. Two raters will assess each
practitioner's verbal and simulated procedures. They will also assess globally their
confidence that the physician is capable of performing the procedure safely and correctly
based on the verbal or simulated trial.
The investigators anticipate that using a simulated experience for assessment will increase
the ability of raters to assess proficiency for the purposes of an OPPE, specifically by
increasing the number of critical procedural components that can be objectively evaluated.
The investigators hypothesize that there will not be a strong relationship between the scores
obtained on the verbal assessment and the scores obtained on the task trainer assessment. The
investigators anticipate that there will be a portion of study participants that do not meet
a minimum passing standard and may require additional deliberate practice and further
testing.
Status | Completed |
Enrollment | 17 |
Est. completion date | May 1, 2016 |
Est. primary completion date | May 1, 2016 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - Emergency Medicine physician Exclusion Criteria: - Not Emergency Medicine physician |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Rush University Medical Center |
Barsuk JH, Cohen ER, Caprio T, McGaghie WC, Simuni T, Wayne DB. Simulation-based education with mastery learning improves residents' lumbar puncture skills. Neurology. 2012 Jul 10;79(2):132-7. doi: 10.1212/WNL.0b013e31825dd39d. Epub 2012 Jun 6. — View Citation
Barsuk JH, Cohen ER, Nguyen D, Mitra D, O'Hara K, Okuda Y, Feinglass J, Cameron KA, McGaghie WC, Wayne DB. Attending Physician Adherence to a 29-Component Central Venous Catheter Bundle Checklist During Simulated Procedures. Crit Care Med. 2016 Oct;44(10):1871-81. doi: 10.1097/CCM.0000000000001831. — View Citation
Barsuk JH, Cohen ER, Potts S, Demo H, Gupta S, Feinglass J, McGaghie WC, Wayne DB. Dissemination of a simulation-based mastery learning intervention reduces central line-associated bloodstream infections. BMJ Qual Saf. 2014 Sep;23(9):749-56. doi: 10.1136/bmjqs-2013-002665. Epub 2014 Mar 14. — View Citation
Barsuk JH, McGaghie WC, Cohen ER, O'Leary KJ, Wayne DB. Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit. Crit Care Med. 2009 Oct;37(10):2697-701. — View Citation
Kerr B, Hawkins TL, Herman R, Barnes S, Kaufmann S, Fraser K, Ma IW. Feasibility of scenario-based simulation training versus traditional workshops in continuing medical education: a randomized controlled trial. Med Educ Online. 2013 Jul 18;18:21312. doi: 10.3402/meo.v18i0.21312. — View Citation
McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? A meta-analytic comparative review of the evidence. Acad Med. 2011 Jun;86(6):706-11. doi: 10.1097/ACM.0b013e318217e119. Review. — View Citation
McQuillan RF, Clark E, Zahirieh A, Cohen ER, Paparello JJ, Wayne DB, Barsuk JH. Performance of Temporary Hemodialysis Catheter Insertion by Nephrology Fellows and Attending Nephrologists. Clin J Am Soc Nephrol. 2015 Oct 7;10(10):1767-72. doi: 10.2215/CJN.01720215. Epub 2015 Sep 25. — View Citation
OPPE and FPPE: Tools to help make privileging decisions 2013. Wise RA. (Accessed Jul 19, 2017, at http://www.jointcommission.org/jc_physician_blog/oppe_fppe_tools_privileging_decisions/).
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Performance on Procedural Checklist | A 29-item procedural checklist for Central Line and a 21-item procedural checklist for Lumbar puncture will be used to assess performance by clinicians on Central Venous Catheter insertion and Lumbar Puncture performance. | Immediate | |
Secondary | Acceptance of simulated training and assessment format | A survey tool will be used to query participants on their preferred way of both practicing and being assessed on procedural skill. It will also assess whether participants feel inclined to complete a future simulated procedural training session. | Immediate |
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