Simulation-Based Assessment and the Regulation of Healthcare Professionals

Abstract

Although we still have much to learn about incorporating simulation into regulatory-based assessments, the authors believe that sufficient evidence exists to further advance the use of simulation-based assessments as part of the regulatory systems for healthcare professionals. This position article reviews the current use of simulation-based assessment for credentialing, licensing, and certification programs in medicine, nursing, and dentistry. The findings support the view that simulation-based assessments can make a meaningful and positive difference in credentialing, licensing, and certification programs now.

State-of-the-art usage of simulation in anesthesia

“…As Holmboe et al [76] notes: 'There is a deep culture of conservatism around testing which contrasts with the accelerating pace of innovation in education and practice, creating a widening gap between current approaches to assessment and what healthcare providers actually do in practice'. Causes for this skepticism are multifactorial.…”

“…Causes for this skepticism are multifactorial. They most likely consist of costs, reliability/validity issues [11], and last but not least 'change in practice' in general [76].…”

Simulación clínica y quirúrgica en la educación médica: aplicación en obstetricia y ginecología

“…Las simulaciones utilizadas para abordar la falta de comunicación y otras fuentes de error, especialmente en el contexto del entrenamiento en equipo y la práctica basada en sistemas, son un componente crucial para mejorar los resultados de los pacientes (34) . Además de los métodos tradicionales, la simulación se utiliza cada vez más como una herramienta para la acreditación de los profesionales y el mantenimiento de la certificación (35,36,37) . La capacitación y evaluación basada en simulación ya han sido incorporadas en algunas especialidades en diversos países para exámenes y los organismos de certificación están escrudiñando formas de incorporar la simulación a los requisitos de certificación inicial, educación continua y certificación continua (38,39) .…”

Privileging and credentialing for interventional cardiology procedures

“…Yet how standards are set for credentialing and privileging is poorly understood by most interventional cardiologists, including those responsible for credentialing and privileging [6]. The surgical and radiologic literature is replete with discussions of credentialing and privileging [7][8][9][10][11], and professional cardiology societies have published recommendations for credentialing for individual procedures [4,[12][13][14][15][16]. However, few resources are available to interventional cardiologists facing credentialing/privileging issues.…”