Correlation of Simulation Examination to Written Test Scores for Advanced Cardiac Life Support Testing: Prospective Cohort Study
Introduction: Traditional Advanced Cardiac Life Support (ACLS) courses are evaluated using written multiple-choice tests. High-fidelity simulation is a widely used adjunct to didactic content, and has been used in many specialties as a training resource as well as an evaluative tool. There are no...
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doaj-d7b088c08af84fd8a6726a74efd517272020-11-24T23:30:16ZengeScholarship Publishing, University of CaliforniaWestern Journal of Emergency Medicine1936-900X1936-90182015-11-0116690791210.5811/westjem.2015.10.26974Correlation of Simulation Examination to Written Test Scores for Advanced Cardiac Life Support Testing: Prospective Cohort StudySuzanne L. Strom0Craig L. Anderson1Luanna Yang,2Cecilia Canales3Alpesh Amin4Shahram Lotfipour5C. Eric McCoy6Mark I. Langdorf7University of California Irvine School of Medicine, Department of Anesthesia and Perioperative Care, Irvine, CaliforniaUniversity of California Irvine School of Medicine, Department of EmergencyUniversity of California Irvine School of Medicine, Department of EmergencyUniversity of California Irvine School of Medicine, Department of Emergency University of California Irvine, Irvine, CaliforniaUniversity of California Irvine School of Medicine, Department of Emergency University of California Irvine School of Medicine, Department of Emergency University of California Irvine School of Medicine, Department of Emergency Introduction: Traditional Advanced Cardiac Life Support (ACLS) courses are evaluated using written multiple-choice tests. High-fidelity simulation is a widely used adjunct to didactic content, and has been used in many specialties as a training resource as well as an evaluative tool. There are no data to our knowledge that compare simulation examination scores with written test scores for ACLS courses. Objective: To compare and correlate a novel high-fidelity simulation-based evaluation with traditional written testing for senior medical students in an ACLS course. Methods: We performed a prospective cohort study to determine the correlation between simulationbased evaluation and traditional written testing in a medical school simulation center. Students were tested on a standard acute coronary syndrome/ventricular fibrillation cardiac arrest scenario. Our primary outcome measure was correlation of exam results for 19 volunteer fourth-year medical students after a 32-hour ACLS-based Resuscitation Boot Camp course. Our secondary outcome was comparison of simulation-based vs. written outcome scores. Results: The composite average score on the written evaluation was substantially higher (93.6%) than the simulation performance score (81.3%, absolute difference 12.3%, 95% CI [10.6-14.0%], p<0.00005). We found a statistically significant moderate correlation between simulation scenario test performance and traditional written testing (Pearson r=0.48, p=0.04), validating the new evaluation method. Conclusion: Simulation-based ACLS evaluation methods correlate with traditional written testing and demonstrate resuscitation knowledge and skills. Simulation may be a more discriminating and challenging testing method, as students scored higher on written evaluation methods compared to simulation.http://escholarship.org/uc/item/89m374cgSimulationsimulation trainingAdvanced Cardiac Life Supporteducationevaluation tool |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Suzanne L. Strom Craig L. Anderson Luanna Yang, Cecilia Canales Alpesh Amin Shahram Lotfipour C. Eric McCoy Mark I. Langdorf |
spellingShingle |
Suzanne L. Strom Craig L. Anderson Luanna Yang, Cecilia Canales Alpesh Amin Shahram Lotfipour C. Eric McCoy Mark I. Langdorf Correlation of Simulation Examination to Written Test Scores for Advanced Cardiac Life Support Testing: Prospective Cohort Study Western Journal of Emergency Medicine Simulation simulation training Advanced Cardiac Life Support education evaluation tool |
author_facet |
Suzanne L. Strom Craig L. Anderson Luanna Yang, Cecilia Canales Alpesh Amin Shahram Lotfipour C. Eric McCoy Mark I. Langdorf |
author_sort |
Suzanne L. Strom |
title |
Correlation of Simulation Examination to Written Test Scores for Advanced Cardiac Life Support Testing: Prospective Cohort Study |
title_short |
Correlation of Simulation Examination to Written Test Scores for Advanced Cardiac Life Support Testing: Prospective Cohort Study |
title_full |
Correlation of Simulation Examination to Written Test Scores for Advanced Cardiac Life Support Testing: Prospective Cohort Study |
title_fullStr |
Correlation of Simulation Examination to Written Test Scores for Advanced Cardiac Life Support Testing: Prospective Cohort Study |
title_full_unstemmed |
Correlation of Simulation Examination to Written Test Scores for Advanced Cardiac Life Support Testing: Prospective Cohort Study |
title_sort |
correlation of simulation examination to written test scores for advanced cardiac life support testing: prospective cohort study |
publisher |
eScholarship Publishing, University of California |
series |
Western Journal of Emergency Medicine |
issn |
1936-900X 1936-9018 |
publishDate |
2015-11-01 |
description |
Introduction: Traditional Advanced Cardiac Life Support (ACLS) courses are evaluated using written
multiple-choice tests. High-fidelity simulation is a widely used adjunct to didactic content, and has been
used in many specialties as a training resource as well as an evaluative tool. There are no data to our
knowledge that compare simulation examination scores with written test scores for ACLS courses.
Objective: To compare and correlate a novel high-fidelity simulation-based evaluation with
traditional written testing for senior medical students in an ACLS course.
Methods: We performed a prospective cohort study to determine the correlation between simulationbased
evaluation and traditional written testing in a medical school simulation center. Students
were tested on a standard acute coronary syndrome/ventricular fibrillation cardiac arrest scenario.
Our primary outcome measure was correlation of exam results for 19 volunteer fourth-year medical
students after a 32-hour ACLS-based Resuscitation Boot Camp course. Our secondary outcome
was comparison of simulation-based vs. written outcome scores.
Results: The composite average score on the written evaluation was substantially higher (93.6%)
than the simulation performance score (81.3%, absolute difference 12.3%, 95% CI [10.6-14.0%],
p<0.00005). We found a statistically significant moderate correlation between simulation scenario
test performance and traditional written testing (Pearson r=0.48, p=0.04), validating the new
evaluation method.
Conclusion: Simulation-based ACLS evaluation methods correlate with traditional written testing
and demonstrate resuscitation knowledge and skills. Simulation may be a more discriminating and
challenging testing method, as students scored higher on written evaluation methods compared to
simulation. |
topic |
Simulation simulation training Advanced Cardiac Life Support education evaluation tool |
url |
http://escholarship.org/uc/item/89m374cg |
work_keys_str_mv |
AT suzannelstrom correlationofsimulationexaminationtowrittentestscoresforadvancedcardiaclifesupporttestingprospectivecohortstudy AT craiglanderson correlationofsimulationexaminationtowrittentestscoresforadvancedcardiaclifesupporttestingprospectivecohortstudy AT luannayang correlationofsimulationexaminationtowrittentestscoresforadvancedcardiaclifesupporttestingprospectivecohortstudy AT ceciliacanales correlationofsimulationexaminationtowrittentestscoresforadvancedcardiaclifesupporttestingprospectivecohortstudy AT alpeshamin correlationofsimulationexaminationtowrittentestscoresforadvancedcardiaclifesupporttestingprospectivecohortstudy AT shahramlotfipour correlationofsimulationexaminationtowrittentestscoresforadvancedcardiaclifesupporttestingprospectivecohortstudy AT cericmccoy correlationofsimulationexaminationtowrittentestscoresforadvancedcardiaclifesupporttestingprospectivecohortstudy AT markilangdorf correlationofsimulationexaminationtowrittentestscoresforadvancedcardiaclifesupporttestingprospectivecohortstudy |
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