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Simulation as a high stakes assessment tool in emergency medicine
Author(s) -
O'Leary Fenton
Publication year - 2015
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/1742-6723.12370
Subject(s) - medicine , emergency medicine , medical emergency , medical physics , intensive care medicine
The A ustralasian C ollege for E mergency M edicine ( ACEM ) will introduce high stakes simulation‐based summative assessment in the form of O bjective S tructured C linical E xaminations ( OSCEs ) into the F ellowship E xamination from 2015. Miller's model emphasises that, no matter how realistic the simulation, it is still a simulation and examinees do not necessarily behave as in real life. OSCEs are suitable for assessing the C an MEDS domains of M edical E xpert, C ommunicator, C ollaborator and M anager. However, the need to validate the OSCE is emphasised by conflicting evidence on correlation with long‐term faculty assessments, between essential actions checklists and global assessment scores and variable interrater reliability within individual OSCE stations and for crisis resource management skills. Although OSCEs can be a valid, reliable and acceptable assessment tool, the onus is on the examining body to ensure construct validity and high interrater reliability.