296 Implementation of Tactical Breathing During Simulated Stressful Situations and Effects on Clinical Performance

Abstract

simulation 88% vs 67% of BA; CL verbal 62% vs 44% of BA; LP simulation 100% vs 67% of BA; verbal 100% vs 80% of BA). Conclusion: Our data suggest that a simulation-based assessment technique may provide a more robust assessment of ongoing physician competence in medical procedures than verbal assessment. Additionally, above average checklist performance appears to correlate with higher expert rater confidence regarding physician proficiency. Using a simulated setting for assessment may provide a better assessment of physician proficiency in the same environment where remedial training may be immediately provided.