Graduating internal medicine residents' self-assessment and performance of advanced cardiac life support skills.
Internal medicine residents in the US must be competent to perform procedures including Advanced Cardiac Life Support (ACLS) to become board-eligible. Our aim was to determine if residents near graduation could assess their skills in ACLS procedures accurately. Participants were 40 residents in a university-based training program. Self-assessments of confidence in managing six ACLS scenarios were measured on a 0 (very low) to 100 (very high) scale. These were compared to reliable observational ratings of residents' performance on a high-fidelity simulator using published treatment protocols. Residents expressed strong self-confidence about managing the scenarios. Residents' simulator performance varied widely (range from 45% to 94%). Self-confidence assessments correlated poorly with performance (median r = 0.075). Self-assessment of performance by graduating internal medicine residents was not accurate in this study. The use of self-assessment to document resident competence in procedures such as ACLS is not a proxy for objective evaluation.
Wayne
Diane B
DB
Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA. dwayne@northwestern.edu
Butter
John
J
Siddall
Viva J
VJ
Fudala
Monica J
MJ
Wade
Leonard D
LD
Feinglass
Joe
J
McGaghie
William C
WC
D022561:Advanced Cardiac Life Support; D002983:Clinical Competence; D006801:Humans; D007388:Internal Medicine; D007396:Internship and Residency; D012647:Self-Assessment; D011795:Surveys and Questionnaires; D014481:United States