Assessment of clinical competence

Education and training in internal medicine in Europe

“…25 The ABIM has extensive experience in testing the validity of diVerent assessment models. Therefore cooperation with members of the EFIM who are active in this field of assessment will be very fruitful for European training programmes.…”

Assessment of procedural skills training and performance in anesthesia using cumulative sum analysis (cusum)

“…Examples include: The Objective Structured Assessment of Technical Skills, 7,8 which involves a task checklist and a global rating score; the McGill Inanimate System for Training and Evaluation of Laparoscopic Skills, 9 which tests generic laparoscopic skills; and the Imperial College Surgical Assessment Device, which tracks trainees' hand movements via sensors and provides an effective index of technical skill in both laparoscopic 10 and open 11,12 procedures. Anesthesia knowledge, clinical judgment, and communication skills are all tested in postgraduate exams, 13 but there is currently no formal evaluation of procedural skills. Given that numerous studies have shown that the time required to achieve competency at specific procedures varies widely depending on the individual learner, 4,14 there is a great need for a reliable and valid method for demonstrating procedural competency and for identifying struggling trainees who require additional support.…”

Review article: Assessment in anesthesiology education

“…Numerous articles have been written about the development and validation of MCQs and short answer questions, including patient management problems and other formats. 9,41,42 Since selected-response items take relatively little time to answer, measuring knowledge, from a testing perspective, can be efficient and yield reasonably precise estimates of ability. In anesthesiology, knowledge-based examinations are a fundamental part of the training, board certification, and maintenance of certification processes.…”