Simulation for Licensure and Certification

  • Amitai Ziv
  • Haim Berkenstadt
  • Orit Eisenberg


In the past two decades, there is a growing recognition of the power of simulation-based assessment (SBA) to serve as a complimentary method to the traditional examination methods used for licensure and certification in medical education.

This chapter deals with the role SBA can and should play in regulatory-driven assessment programs. We introduce the main challenges that accompany SBA programs and suggest ways to overcome these challenges. The challenges are discussed in reference to a few key questions regarding SBA: Does SBA really simulate reality? Can SBA really measure what we want it to measure? Can examinees in SBA show their real ability? and Does SBA worth the huge investment? In the answers suggested, the keys to successful SBA are presented, with a focus on the unique multi-professional collaboration that is required for sound SBA: the collaboration between content experts, simulation experts, and measurement experts—psychometricians. Finally, the chapter describes the Israeli experience in SBA at MSR—the Israel Center for Medical Simulation—and highlights the authors’ insights from 10 years of experience in high-stakes SBA programs, such as the Israeli Board Examination in Anesthesiology, Paramedics Certification Exam, National Registration Exam for Nurse Specialists, and the “MOR” assessment center—selection of candidates to medical schools.


Licensure Certification High-stakes assessment Patients’ safety Simulation-based assessment 


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Amitai Ziv
    • 1
    • 2
  • Haim Berkenstadt
    • 3
    • 4
  • Orit Eisenberg
    • 5
    • 6
  1. 1.Medical Education, Sackler School of MedicineTel Aviv UniversityTel AvivIsrael
  2. 2.Patient Safety and Risk ManagementIsrael Center for Medical Simulation (MSR), Chaim Sheba Medical CenterTel HashomerIsrael
  3. 3.Department of Anesthesiology and Intensive Care, Sackler Faculty of MedicineTel Aviv UniversityTel AvivIsrael
  4. 4.Department of AnesthesiologySheba Medical CenterRamat GanIsrael
  5. 5.MAROM—Assessment and Admissions Centers, National Institute for Testing and EvaluationJerusalemIsrael
  6. 6.Assessment UnitThe Israel Center for Medical SimulationTel HashomerIsrael

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