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A Standardized Model for Team-Based Simulation Training and Assessment of Third-Year Medical Students in the Acute Care Setting

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Abstract

Purpose

The aim of this study was to describe a standardized model through which simulation can be used to evaluate competency trends for clinical education objectives in the acute care setting. The proposed model will be employed to examine the ability of medical students to identify and initiate treatment of a critical patient.

Activity

A standardized severe sepsis case was used to assess clinical skills and competency in a variety of roles with an adaptive algorithm and critical objectives.

Results

The study enrolled 210 third-year medical students divided into 42 groups. Groups were divided into various roles and evaluated based on critical objectives. Performance was significantly better in the roles of history, physical exam, and team leader than scribe and procedures.

Conclusions

This study demonstrates the model as a framework for standardized evaluation of clinical competency using medical simulation.

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Acknowledgments

The authors wish to thank the students of the Doctor of Osteopathic Medicine class of 2015 at Des Moines University for their participation in this study. The authors also wish to thank Thomas Green, DO; Gavin Gardner, MAEd.; Gregory Kolbinger, MPAS, PA-C; Matthew Charnetski; William Enfinger; Angela Grundmeyer, MPAS, PA-C; Jayne Strathe; JD Polk, DO; Kara Thompson, DO; David Plundo, DO; Andrew Terry, DO; Alan Hilgerson, DO; and Donald Shumate, DO, for participating in case trials and Holly DeJong for providing technical support.

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Authors and Affiliations

  1. Des Moines University, Des Moines, IA, USA

    Laura P. Stearns, Thomas W. Eales & Kelly A. Halt

  2. Department of Specialty Medicine, Des Moines University, 3200 Grand Avenue, Des Moines, IA, 50312, USA

    J. Michael Metts

  3. Department of Physiology/Pharmacology, Des Moines University, Des Moines, IA, USA

    Edward P. Finnerty

  4. Department of Emergency Medicine, Mercy Medical Center, Des Moines, IA, USA

    Dustin Derflinger

Authors
  1. Laura P. Stearns
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  2. Thomas W. Eales
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  3. J. Michael Metts
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  4. Edward P. Finnerty
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  5. Kelly A. Halt
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  6. Dustin Derflinger
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Corresponding author

Correspondence to J. Michael Metts.

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Stearns, L.P., Eales, T.W., Metts, J.M. et al. A Standardized Model for Team-Based Simulation Training and Assessment of Third-Year Medical Students in the Acute Care Setting. Med.Sci.Educ. 26, 25–29 (2016). https://doi.org/10.1007/s40670-015-0195-6

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  • DOI: https://doi.org/10.1007/s40670-015-0195-6

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