Skip to main content

Simulation-Based Training for Assessment of Competency, Certification, and Maintenance of Certification

  • Chapter
  • First Online:
Comprehensive Healthcare Simulation: InterProfessional Team Training and Simulation

Part of the book series: Comprehensive Healthcare Simulation ((CHS))

Abstract

Today’s clinical practice requires clinicians to collaborate and function in complex teams with other healthcare professionals to provide high quality, safe patient care. The interprofessional collaborative skills required for modern clinical practice are not easily taught nor assessed using traditional education methods but are well suited for simulation-based training. Traditional models of health professional education and training no longer adequately prepare clinicians for practice in the dynamic and ever-changing modern healthcare system. Traditional educational models were designed to ensure clinicians “knew” and “knew how” but offered no evidence that clinicians could “show” or “demonstrate” competency. Simulation-based training and assessment offers novice and expert clinicians an opportunity to practice and demonstrate their skills and competence in an environment that closely replicates clinical practice, yet poses minimal harm to patients. The competence-based education movement has shifted health professional education towards novel, experiential learning modalities such as simulation-based training. We can expect to see more simulation-based training and assessment in health professional education and development in the future.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Gaba DM. The future vision of simulation in health care. Qual Saf Health Care. 2004;13(suppl 1):i2–i10.

    PubMed  PubMed Central  Google Scholar 

  2. Cates LA, Wilson D. Acquisition and maintenance of competencies through simulation for neonatal nurse practitioners: beyond the basics. Adv Neonatal Care. 2011;11(5):321–7.

    PubMed  Google Scholar 

  3. World Health Organization. Framework for action on interprofessional education and collaborative practice (No. WHO/HRH/HPN/10.3): World Health Organization; 2010.

    Google Scholar 

  4. Boet S, Bould MD, Layat Burn C, Reeves S. Twelve tips for a successful interprofessional team-based high-fidelity simulation education session. Med Teach. 2014;36(10):853–7.

    PubMed  PubMed Central  Google Scholar 

  5. Lenburg CB. The framework, concepts and methods of the competency outcomes and performance assessment (COPA) model. Online J Issues Nurs. 1999;4(2):1–12.

    Google Scholar 

  6. Palaganas JC, Brunette V, Winslow B. Prelicensure simulation-enhanced interprofessional education: a critical review of the research literature. Simul Healthc. 2016;11(6):404–18.

    PubMed  Google Scholar 

  7. Hallenbeck VJ. Use of high-fidelity simulation for staff education/development: a systematic review of the literature. J Nurses Prof Dev. 2012;28(6):260–9.

    Google Scholar 

  8. D'amour D, Oandasan I. Interprofessionality as the field of interprofessional practice and interprofessional education: an emerging concept. J Interprof Care. 2005;19(sup1):8–20.

    PubMed  Google Scholar 

  9. Robertson J, Bandali K. Bridging the gap: enhancing interprofessional education using simulation. J Interprof Care. 2008;22(5):499–508.

    PubMed  Google Scholar 

  10. Gawande A. Cowboys and pit crews. The New Yorker. 2011;26.

    Google Scholar 

  11. Donaldson MS, Corrigan JM, Kohn LT, editors. To err is human: building a safer health system, vol. 6: National Academies Press; 2000

    Google Scholar 

  12. Villemure C, Tanoubi I, Georgescu LM, Dubé J-N, Houle J. An integrative review of in situ simulation training: implications for critical care nurses. Can J Crit Care Nurs. 2016;27:22–31.

    PubMed  Google Scholar 

  13. Leipzig RM, Hyer K, Ek K, Wallenstein S, Vezina ML, Fairchild S, et al. Attitudes toward working on interdisciplinary healthcare teams: a comparison by discipline. J Am Geriatr Soc. 2002;50(6):1141–8.

    PubMed  Google Scholar 

  14. Meurling L, Hedman L, Sandahl C, Felländer-Tsai L, Wallin C-J. Systematic simulation-based team training in a Swedish intensive care unit: a diverse response among critical care professions. BMJ Qual Saf. 2013:bmjqs-2012-000994.

    Google Scholar 

  15. Reader TW, Flin R, Mearns K, Cuthbertson BH. Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347–52.

    CAS  PubMed  Google Scholar 

  16. Okuda Y, Bryson EO, DeMaria S, Jacobson L, Quinones J, Shen B, et al. The utility of simulation in medical education: what is the evidence? Mt Sinai J Med. 2009;76(4):330–43.

    PubMed  Google Scholar 

  17. Hodges BD. A tea-steeping or i-Doc model for medical education? Acad Med. 2010;85(9):S34–44.

    PubMed  Google Scholar 

  18. Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990;65(9):S63–7.

    CAS  PubMed  Google Scholar 

  19. Steadman RH, Burden AR, Huang YM, Gaba DM, Cooper JB. Practice improvements based on participation in simulation for the maintenance of certification in anesthesiology program. J Am Soc Anesthesiol. 2015;122(5):1154–69.

    Google Scholar 

  20. Bhandari M, Montori V, Devereaux PJ, Dosanjh S, Sprague S, Guyatt GH. Challenges to the practice of evidence-based medicine during residents’ surgical training: a qualitative study using grounded theory. Acad Med. 2003;78(11):1183–90.

    PubMed  Google Scholar 

  21. Curry L, Purkis IE. Validity of self-reports of behavior changes by participants after a CME course. Acad Med. 1986;61(7):579–84.

    CAS  Google Scholar 

  22. ten Cate O. Competency-based postgraduate medical education: past, present and future GMS. J Med Edu. 2017;34(5).

    Google Scholar 

  23. Koster A, Schalekamp T, Meijerman I. Implementation of competency-based pharmacy education (CBPE). Pharmacy. 2017;5(1):10.

    PubMed Central  Google Scholar 

  24. Foth T, Holmes D. Neoliberalism and the government of nursing through competency-based education. Nurs Inq. 2017;24(2).

    Google Scholar 

  25. Levine AI, Schwartz AD, Bryson EO, DeMaria S Jr. Role of simulation in US physician licensure and certification. Mt Sinai J Med. 2012;79(1):140–53.

    PubMed  Google Scholar 

  26. Ross BK, Metzner J. Simulation for maintenance of certification. Surg Clin N Am. 2015;95(4):893–905.

    PubMed  Google Scholar 

  27. Willis RE, Van Sickle KR. Current status of simulation-based training in graduate medical education. Surg Clin N Am. 2015;95(4):767–79.

    PubMed  Google Scholar 

  28. Langsley DG. Medical competence and performance assessment: a new era. JAMA. 1991;266(7):977–80.

    CAS  PubMed  Google Scholar 

  29. Hatala R, Kassen BO, Nishikawa J, Cole G, Issenberg SB. Incorporating simulation technology in a Canadian internal medicine specialty examination: a descriptive report. Acad Med. 2005;80(6):554–6.

    PubMed  Google Scholar 

  30. Holtschneider ME, Park CW. Interprofessional education: implications for nursing professional development practice. J Nurses Prof Dev. 2015;31(4):242–3.

    Google Scholar 

  31. Panel IECE. Core competencies for interprofessional collaborative practice: report of an expert panel. Washington, D.C.: Interprofessional Education Collaborative; 2011.

    Google Scholar 

  32. Aronowitz T, Aronowitz S, Mardin-Small J, Kim B. Using objective structured clinical examination (OSCE) as education in advanced practice registered nursing education. J Prof Nurs. 2017;33(2):119–25.

    PubMed  Google Scholar 

  33. Rushforth HE. Objective structured clinical examination (OSCE): review of literature and implications for nursing education. Nurse Educ Today. 2007;27(5):481–90.

    PubMed  Google Scholar 

  34. Hastie MJ, Spellman JL, Pagano PP, Hastie J, Egan BJ. Designing and implementing the objective structured clinical examination in anesthesiology. J Am Soc Anesthesiol. 2014;120(1):196–203.

    Google Scholar 

  35. Ziv A, Rubin O, Sidi A, Berkenstadt H. Credentialing and certifying with simulation. Anesthesiol Clin. 2007;25(2):261–9.

    PubMed  Google Scholar 

  36. Stocker M, Burmester M, Allen M. Optimisation of simulated team training through the application of learning theories: a debate for a conceptual framework. BMC Med Educ. 2014;14(1):69.

    PubMed  PubMed Central  Google Scholar 

  37. Kolb DA, Boyatzis RE, Mainemelis C. Experiential learning theory: previous research and new directions. Perspectives on thinking, learning, and cognitive styles. 2001;1(2001):227–47.

    Google Scholar 

  38. Brunette V, Thibodeau-Jarry N. Simulation as a tool to ensure competency and quality of care in the cardiac critical care unit. Can J Cardiol. 2017;33(1):119–27.

    PubMed  Google Scholar 

  39. Bandura A, Walters RH. Social learning theory, vol. 1. Englewood Cliffs, NJ: Prentice-hall; 1977.

    Google Scholar 

  40. Larue C, Pepin J, Allard É. Simulation in preparation or substitution for clinical placement: a systematic review of the literature. J Nurs Educ Pract. 2015;5(9):p132.

    Google Scholar 

  41. Berragan L. Simulation: an effective pedagogical approach for nursing? Nurse Educ Today. 2011;31(7):660–3.

    PubMed  Google Scholar 

  42. Leigh GT. High-fidelity patient simulation and nursing students’ self-efficacy: a review of the literature. Int J Nurs Educ Scholarsh. 2008;5(1):1–17.

    Google Scholar 

  43. Berkenstadt H, Ziv A, Gafni N, Sidi A. Incorporating simulation-based objective structured clinical examination into the Israeli National Board Examination in Anesthesiology. Anesth Analg. 2006;102(3):853–8.

    PubMed  Google Scholar 

  44. Jensen JB, Torsher LC. Simulation and continuing professional development. Int Anesthesiol Clin. 2015;53(4):60–9.

    PubMed  Google Scholar 

  45. Ziv A, Wolpe PR, Small SD, Glick S. Simulation-based medical education: an ethical imperative. Acad Med. 2003;78(8):783–8.

    PubMed  Google Scholar 

  46. Steadman RH, Huang YM. Simulation for quality assurance in training, credentialing and maintenance of certification. Best Pract Res Clin Anaesthesiol. 2012;26(1):3–15.

    PubMed  Google Scholar 

  47. Ziv Stephen D Small Paul Root Wolpe A. Patient safety and simulation-based medical education. Med Teach. 2000;22(5):489–495.

    Google Scholar 

  48. Murphy JG, Torsher LC, Dunn WF. Simulation medicine in intensive care and coronary care education. J Crit Care. 2007;22(1):51–5.

    PubMed  Google Scholar 

  49. Gordon S, Mendenhall P, O’Connor BB. Beyond the checklist: What else health care can learn from aviation teamwork and safety: Cornell University Press; 2012.

    Google Scholar 

  50. Cant RP, Cooper SJ. Use of simulation-based learning in undergraduate nurse education: an umbrella systematic review. Nurse Educ Today. 2016.

    Google Scholar 

  51. Wayne DB, Butter J, Siddall VJ, Fudala MJ, Linquist LA, Feinglass J, et al. Simulation-based training of internal medicine residents in advanced cardiac life support protocols: a randomized trial. Teach Learn Med. 2005;17(3):202–8.

    Google Scholar 

  52. Wayne DB, Didwania A, Feinglass J, Fudala MJ, Barsuk JH, McGaghie WC. Simulation-based education improves quality of care during cardiac arrest team responses at an academic teaching hospital: a case-control study. Chest J. 2008;133(1):56–61.

    Google Scholar 

  53. Whelan GP, McKinley DW, Boulet JR, Macrae J, Kamholz S. Validation of the doctor–patient communication component of the Educational Commission for Foreign Medical Graduates Clinical Skills Assessment. Med Educ. 2001;35(8):757–61.

    CAS  PubMed  Google Scholar 

  54. DeMaria S Jr, Bryson EO, Mooney TJ, Silverstein JH, Reich DL, Bodian C, et al. Adding emotional stressors to training in simulated cardiopulmonary arrest enhances participant performance. Med Educ. 2010;44(10):1006–15.

    PubMed  Google Scholar 

  55. Boulet JR. Summative assessment in medicine: the promise of simulation for high-stakes evaluation. Acad Emerg Med. 2008;15(11):1017–24.

    PubMed  Google Scholar 

  56. Boulet JR, Swanson DB. Psychometric challenges of using simulations for high-stakes assessment. Simulations in critical care education and beyond. Des Plains: Society of Critical Care Medicine; 2004. p. 119–30.

    Google Scholar 

  57. Gaba DM, DeAnda A. A comprehensive anesthesia simulation environment: re-creating the operating room for research and training. Anesthesiology. 1988;69(3):387–94.

    CAS  PubMed  Google Scholar 

  58. Dillon G, Boulet J, Hawkins R, Swanson D. Simulations in the United States medical licensing examination™(USMLE™). Qual Saf Health Care. 2004;13(suppl 1):i41–i5.

    PubMed  PubMed Central  Google Scholar 

  59. Vincent C, Phillips A, Young M. Why do people sue doctors? A study of patients and relatives taking legal action. Lancet. 1994;343(8913):1609–13.

    CAS  PubMed  Google Scholar 

  60. Levine AI, Swartz MH. Standardized patients: the “other” simulation. J Crit Care. 2008;23(2):179–84.

    PubMed  Google Scholar 

  61. Cohen DS, Colliver JA, Marcy MS, Fried ED, Swartz MH. Psychometric properties of a standardized-patient checklist and rating-scale form used to assess interpersonal and communication skills. Acad Med. 1996;71(1):S87–9.

    CAS  PubMed  Google Scholar 

  62. Dillon GF, Clauser BE. Computer-delivered patient simulations in the United States Medical Licensing Examination (USMLE). Simul Healthc. 2009;4(1):30–4.

    PubMed  Google Scholar 

  63. Clauser BE, Subhiyah RG, Piemme TE, Greenberg L, Clyman SG, Ripkey D, et al. Using clinician ratings to model score weights for a computer-based clinical-simulation examination. Acad Med. 1993;68(10):S64–6.

    CAS  PubMed  Google Scholar 

  64. Clauser BE, Margolis MJ, Swanson DB. An examination of the contribution of computer-based case simulations to the USMLE step 3 examination. Acad Med. 2002;77(10):S80–S2.

    PubMed  Google Scholar 

  65. Dillon GF, Clyman SG, Clauser BE, Margolis MJ. The introduction of computer-based case simulations into the United States Medical Licensing Examination. Acad Med. 2002;77(10):S94–S6.

    PubMed  Google Scholar 

  66. Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system—rationale and benefits. N Engl J Med. 2012;366(11):1051–6.

    CAS  PubMed  Google Scholar 

  67. Schwid HA, Rooke GA, Carline J, Steadman RH, Murray WB, Olympio M, et al. Evaluation of anesthesia residents using mannequin-based simulation a multiinstitutional study. J Am Soc Anesthesiol. 2002;97(6):1434–44.

    Google Scholar 

  68. Bromley LM. The objective structured clinical exam-practical aspects. Curr Opin Anesthesiol. 2000;13(6):675–8.

    CAS  Google Scholar 

  69. McIndoe A. Modern anaesthesia training: is it good enough? Br J Anaesth. 2012;109(1):16–20.

    CAS  PubMed  Google Scholar 

  70. Levine MF, Shorten G. Competency-based medical education: its time has arrived. Can J Anesth. 2016;63(7):802–6.

    PubMed  Google Scholar 

  71. Buyske J. The role of simulation in certification. Surg Clin N Am. 2010;90(3):619–21.

    PubMed  Google Scholar 

  72. Watkins SC, Roberts DA, Boulet JR, McEvoy MD, Weinger MB. Evaluation of a simpler tool to assess nontechnical skills during simulated critical events. Simul Healthc. 2017;12(2):69–75.

    PubMed  Google Scholar 

  73. Studdert DM, Mello MM, Gawande AA, Gandhi TK, Kachalia A, Yoon C, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024–33.

    CAS  PubMed  Google Scholar 

  74. Fanning R, Gaba D. The role of debriefing in simulation-based learning. Simul Healthc. 2007;2(2):115–25.

    PubMed  Google Scholar 

  75. Specialties ABoM. Steps toward initial certification and MOC [cited 2017 05/15/2017]. Available from: http://www.abms.org/board-certification/steps-toward-initial-certification-and-moc/.

  76. McIvor W, Burden A, Weinger MB, Steadman R. Simulation for maintenance of certification in anesthesiology: the first two years. J Contin Educ Health Prof. 2012;32(4):236–42.

    PubMed  Google Scholar 

  77. Iglehart JK, Baron RB. Ensuring physicians’ competence—is maintenance of certification the answer? 2012. p. 2543–9.

    Google Scholar 

  78. Weinger MB, Burden AR, Steadman RH, Gaba DM. This is not a test! Misconceptions surrounding the maintenance of certification in anesthesiology simulation course. J Am Soc Anesthesiol. 2014;121(3):655–9.

    Google Scholar 

  79. Adam Levine, Arna Banerjee, Wendy Bernstein, Lawrence Chu, Samuel DeMaria, Ronald Levy, Rebecca Minehart, John Rask. Anesthesia SimSTAT: Amercian Society of Anesthesiologists and CAE Healthcare; 2017 [cited 2018 2/26/18]. Available from: http://www.asahq.org/education/simulation-education/anesthesia-simstat.

  80. Weller J, Morris R, Watterson L, Garden A, Flanagan B, Robinson B, et al. Effective management of anaesthetic crises: development and evaluation of a college-accredited simulation-based course for anaesthesia education in Australia and New Zealand. Simul Healthc. 2006;1(4):209–14.

    PubMed  Google Scholar 

  81. Weller J, Wilson L, Robinson B. Survey of change in practice following simulation-based training in crisis management. Anaesthesia. 2003;58(5):471–3.

    CAS  PubMed  Google Scholar 

  82. Arriaga AF, Gawande AA, Raemer DB, Jones DB, Smink DS, Weinstock P, et al. Pilot testing of a model for insurer-driven, large-scale multicenter simulation training for operating room teams. Ann Surg. 2014;259(3):403–10.

    PubMed  Google Scholar 

  83. Hamman WR, Beaudin-Seiler BM, Beaubien JM, Gullickson AM, Orizondo-Korotko K, Gross AC, et al. Using simulation to identify and resolve threats to patient safety. Am J Manag Care. 2010;16(6):e145–50.

    PubMed  Google Scholar 

  84. Riley W, Meredith LW, Price R, Miller KK, Begun JW, McCullough M, et al. Decreasing malpractice claims by reducing preventable perinatal harm. Health Serv Res. 2016;51(S3):2453–71.

    PubMed  PubMed Central  Google Scholar 

  85. Surgeons SoAGaE. Fundamentals of laparoscopic surgery 2018 [cited 2018 2/26/2018]. Available from: http://www.flsprogram.org/.

  86. Dawson DL. Training in carotid artery stenting: do carotid simulation systems really help? Vascular. 2006;14(5):256–63.

    PubMed  Google Scholar 

  87. Van Herzeele I, Aggarwal R, Choong A, Brightwell R, Vermassen FE, Cheshire NJ. Virtual reality simulation objectively differentiates level of carotid stent experience in experienced interventionalists. J Vasc Surg. 2007;46(5):855–63.

    PubMed  Google Scholar 

  88. Broderick R, Langness S, Ramamoorthy S. Training and credentialing in robotics. In: Robotic colon and rectal surgery. Cham: Springer; 2017. p. 17–22.

    Google Scholar 

  89. Leigh G. The simulation revolution: what are the implications for nurses in staff development? J Nurses Prof Dev. 2011;27(2):54–7.

    Google Scholar 

  90. Cato DL, Murray M. Use of simulation training in the intensive care unit. Crit Care Nurs Q. 2010;33(1):44–51.

    PubMed  Google Scholar 

  91. Beyea SC, Slattery MJ, von Reyn LJ. Outcomes of a simulation-based nurse residency program. Clin Simul Nurs. 2010;6(5):e169–e75.

    Google Scholar 

  92. Ackermann AD, Kenny G, Walker C. Simulator programs for new nurses’ orientation: a retention strategy. J Nurses Prof Dev. 2007;23(3):136–9.

    Google Scholar 

  93. Jung D, Lee SH, Kang SJ, Kim J-H. Development and evaluation of a clinical simulation for new graduate nurses: a multi-site pilot study. Nurse Educ Today. 2017;49:84–9.

    PubMed  Google Scholar 

  94. Bisholt BK. The learning process of recently graduated nurses in professional situations—experiences of an introduction program. Nurse Educ Today. 2012;32(3):289–93.

    PubMed  Google Scholar 

  95. Wu T-Y, Fox DP, Stokes C, Adam C. Work-related stress and intention to quit in newly graduated nurses. Nurse Educ Today. 2012;32(6):669–74.

    PubMed  Google Scholar 

  96. Shin S, Park J-H, Kim J-H. Effectiveness of patient simulation in nursing education: meta-analysis. Nurse Educ Today. 2015;35(1):176–82.

    PubMed  Google Scholar 

  97. Cant RP, Cooper SJ. The value of simulation-based learning in pre-licensure nurse education: a state-of-the-art review and meta-analysis. Nurse Educ Pract. 2017;27:45–62.

    PubMed  Google Scholar 

  98. Safriet BJ. Federal options for maximizing the value of advanced practice nurses in providing quality, cost-effective health care. The future of nursing: leading change, advancing health. Washington, DC: Institute of Medicine; 2011. p. 443–75.

    Google Scholar 

  99. LeFlore JL, Thomas PE. Educational changes to support advanced practice nursing education. J Perinat Neonatal Nurs. 2016;30(3):187–90.

    PubMed  PubMed Central  Google Scholar 

  100. Kardong-Edgren S, Willhaus J, Bennett D, Hayden J. Results of the National Council of State Boards of Nursing national simulation survey: part II. Clin Simul Nurs. 2012;8(4):e117–e23.

    Google Scholar 

  101. Fehr JJ, Shepard M, McBride ME, Mehegan M, Reddy K, Murray DJ, et al. Simulation-based assessment of ECMO clinical specialists. Simul Healthc. 2016;11(3):194–9.

    PubMed  Google Scholar 

  102. Smith SJ, Farra SL. National Disaster Health Consortium: competency-based training and a report on the American nurses credentialing center disaster certification development. Nurs Clin. 2016;51(4):555–68.

    Google Scholar 

  103. Evans AB, Hulme JM, Nugus P, Cranmer HH, Coutu M, Johnson K. An electronic competency-based evaluation tool for assessing humanitarian competencies in a simulated exercise. Prehosp Disaster Med. 2017;32(3):253–60.

    PubMed  Google Scholar 

  104. Kotora JG, Clancy T, Manzon L, Malik V, Louden RJ, Merlin MA. Active shooter in the emergency department: a scenario-based training approach for healthcare workers. Am J Disaster Med. 2014;9(1):39–51.

    PubMed  Google Scholar 

  105. Kaddoura MA. New graduate nurses’ perceptions of the effects of clinical simulation on their critical thinking, learning, and confidence. J Continuing Edu Nursing. 2010;41(11):506–16.

    Google Scholar 

  106. Rosenblatt MA, Abrams KJ. The use of a human patient simulator in the evaluation of and development of a remedial prescription for an anesthesiologist with lapsed medical skills. Anesth Analg. 2002;94(1):149–53.

    PubMed  Google Scholar 

  107. Hafford ML, Van Sickle KR, Willis RE, Wilson TD, Gugliuzza K, Brown KM, et al. Ensuring competency: are fundamentals of laparoscopic surgery training and certification necessary for practicing surgeons and operating room personnel? Surg Endosc. 2013;27(1):118–26.

    PubMed  Google Scholar 

  108. Sinz EH. Anesthesiology national CME program and ASA activities in simulation. Anesthesiol Clin. 2007;25(2):209–23.

    PubMed  Google Scholar 

  109. Zwarenstein M, Goldman J, Reeves S. Interprofessional collaboration: effects of practice-based interventions on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2009;3(3).

    Google Scholar 

  110. Cook DA, Hatala R, Brydges R, Zendejas B, Szostek JH, Wang AT, et al. Technology-enhanced simulation for health professions education: a systematic review and meta-analysis. JAMA. 2011;306(9):978–88.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Scott C. Watkins .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Watkins, S.C. (2020). Simulation-Based Training for Assessment of Competency, Certification, and Maintenance of Certification. In: Paige, J., Sonesh, S., Garbee, D., Bonanno, L. (eds) Comprehensive Healthcare Simulation: InterProfessional Team Training and Simulation. Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-030-28845-7_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-28845-7_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-28844-0

  • Online ISBN: 978-3-030-28845-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics