Dataset Information

The Nightmares Course: A Longitudinal, Multidisciplinary, Simulation-Based Curriculum to Train and Assess Resident Competence in Resuscitation.

ABSTRACT:

Background?

Postgraduate medical education programs would benefit from a robust process for training and assessment of competence in resuscitation early in residency.

Objective?

To describe and evaluate the Nightmares Course, a novel, competency-based, transitional curriculum and assessment program in resuscitation medicine at Queen's University in Kingston, Ontario, Canada.

Methods?

First-year residents participated in the longitudinal Nightmares Course at Queen's University during the 2015-2016 academic year. An expert working group developed the entrustable professional activity and curricular design for the course. Formative feedback was provided following each simulation-based session, and we employed a summative objective structured clinical examination (OSCE) utilizing a modified Queen's Simulation Assessment Tool. A generalizability study and resident surveys were performed to evaluate the course and assessment process.

Results?

A total of 40 residents participated in the course, and 23 (58%) participated in the OSCE. Eight of 23 (35%) did not meet the predetermined competency threshold and required remediation. The OSCE demonstrated an acceptable phi coefficient of 0.73. The approximate costs were $240 per Nightmares session, $10,560 for the entire 44-session curriculum, and $3,900 for the summative OSCE.

Conclusions?

The Nightmares Course demonstrated feasibility and acceptability, and is applicable to a broad array of postgraduate medical education programs. The entrustment-based assessment detected several residents not meeting a minimum competency threshold, and directed them to additional training.

SUBMITTER: McMurray L

PROVIDER: S-EPMC5559248 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Publications

The Nightmares Course: A Longitudinal, Multidisciplinary, Simulation-Based Curriculum to Train and Assess Resident Competence in Resuscitation.

McMurray Lindsey L Hall Andrew Koch AK Rich Jessica J Merchant Stefan S Chaplin Timothy T

Journal of graduate medical education 20170801 4

<h4>Background</h4>Postgraduate medical education programs would benefit from a robust process for training and assessment of competence in resuscitation early in residency.<h4>Objective</h4>To describe and evaluate the Nightmares Course, a novel, competency-based, transitional curriculum and assessment program in resuscitation medicine at Queen's University in Kingston, Ontario, Canada.<h4>Methods</h4>First-year residents participated in the longitudinal Nightmares Course at Queen's University ...[more]

PMID: 28824766

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Dataset Information

The Nightmares Course: A Longitudinal, Multidisciplinary, Simulation-Based Curriculum to Train and Assess Resident Competence in Resuscitation.

Background?

Objective?

Methods?

Results?

Conclusions?

Publications

The Nightmares Course: A Longitudinal, Multidisciplinary, Simulation-Based Curriculum to Train and Assess Resident Competence in Resuscitation.

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