naa a22 4500 510743552 CHVBK 20180411083037.0 cr unu---uuuuu 180411e20130301xx s 000 0 eng 10.1007/s12630-012-9871-9 doi (NATIONALLICENCE)springer-10.1007/s12630-012-9871-9 "GIOSAT”: a tool to assess CanMEDS competencies during simulated crises [Elektronische Daten] [Victor Neira, M. Bould, Amy Nakajima, Sylvain Boet, Nicholas Barrowman, Philipp Mossdorf, Devin Sydor, Amy Roeske, Stephen Noseworthy, Viren Naik, Dermot Doherty, Hilary Writer, Stanley Hamstra] Le«GIOSAT»: un outil pour évaluer les compétences CanMEDS pendant des crises simulées Purpose: Our objective was to develop and evaluate a Generic Integrated Objective Structured Assessment Tool (GIOSAT) to integrate Medical Expert and intrinsic (non-medical expert) CanMEDS competencies with non-technical skills for crisis simulation. Methods: An assessment tool was designed and piloted using two pediatric anesthesia scenarios (laryngospasm and hyperkalemia). Following revision of the tool, we used previously recorded videos of anesthesia residents (n=50) who managed one of two intraoperative advanced cardiac life support (ACLS) scenarios (ventricular tachycardia or ventricular fibrillation). Four independent trained raters, blinded to the residents' level of training, analyzed the video recordings using the GIOSAT scale. Inter-rater reliability was calculated using intraclass correlations (ICCs) for single raters (single measure) and the average of the four raters (average measure), and construct validity was investigated by correlating GIOSAT scores with postgraduate year of residency (PGY). Results: Total GIOSAT scores for the ACLS scenarios had single measure ICCs of 0.62 and average measure ICCs of 0.85. Inter-rater reliability was substantial for both Medical Expert and intrinsic competencies (single measure ICCs 0.69 and 0.62, respectively; average measure ICCs 0.90 and 0.82, respectively). We found significant correlations between PGY level and total GIOSAT score (r=0.36; P=0.011) and between PGY level and Medical Expert competencies (r=0.42; P=0.003); however, correlations were not found between PGY level and intrinsic CanMEDS competencies (r=0.24; P=0.09). Conclusion: Inter-rater reliability of the total GIOSAT scores using four trained raters was substantial. Significant correlation between PGY and (i) total GIOSAT score and (ii) Medical Expert competencies supports construct validity. Evidence of validity was not obtained for intrinsic CanMEDS competencies. Canadian Anesthesiologists' Society, 2013 Neira Victor Department of Anesthesia, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, K1G 6W3, Ottawa, ON, Canada aut Bould M. Department of Anesthesia, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, K1G 6W3, Ottawa, ON, Canada aut Nakajima Amy Department of Obstetrics and Gynaecology, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada aut Boet Sylvain Department of Anesthesia, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada aut Barrowman Nicholas Research Institute, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada aut Mossdorf Philipp Department of Anesthesia, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, K1G 6W3, Ottawa, ON, Canada aut Sydor Devin Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada aut Roeske Amy Department of Anesthesia, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, K1G 6W3, Ottawa, ON, Canada aut Noseworthy Stephen Department of Pediatrics, Division of Emergency Medicine, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada aut Naik Viren Department of Anesthesia, The Civic Hospital, University of Ottawa, Ottawa, ON, Canada aut Doherty Dermot Department of Anesthesia, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, K1G 6W3, Ottawa, ON, Canada aut Writer Hilary Department of Pediatrics, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada aut Hamstra Stanley Departments of Anesthesia, Medicine and Surgery AIME, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/3(2013-03-01), 280-289 0832-610X 60:3<280 2013 60 12630 https://doi.org/10.1007/s12630-012-9871-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-012-9871-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Neira Victor Department of Anesthesia, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, K1G 6W3, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Bould M. Department of Anesthesia, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, K1G 6W3, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Nakajima Amy Department of Obstetrics and Gynaecology, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Boet Sylvain Department of Anesthesia, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Barrowman Nicholas Research Institute, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Mossdorf Philipp Department of Anesthesia, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, K1G 6W3, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Sydor Devin Department of Anesthesiology and Perioperative Medicine, Queen's University, Kingston, ON, Canada aut NATIONALLICENCE 700 1- Roeske Amy Department of Anesthesia, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, K1G 6W3, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Noseworthy Stephen Department of Pediatrics, Division of Emergency Medicine, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Naik Viren Department of Anesthesia, The Civic Hospital, University of Ottawa, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Doherty Dermot Department of Anesthesia, Children's Hospital of Eastern Ontario, University of Ottawa, 401 Smyth Road, K1G 6W3, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Writer Hilary Department of Pediatrics, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada aut NATIONALLICENCE 700 1- Hamstra Stanley Departments of Anesthesia, Medicine and Surgery AIME, Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer-Verlag 60/3(2013-03-01), 280-289 0832-610X 60:3<280 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer