Procedural training and assessment of competency utilizing simulation.
This review examines the current environment of neonatal procedural learning, describes an updated model of skills training, defines the role of simulation in assessing competency, and discusses potential future directions for simulation-based competency assessment. In order to maximize impact, simulation-based procedural training programs should follow a standardized and evidence-based approach to designing and evaluating educational activities. Simulation can be used to facilitate the evaluation of competency, but must incorporate validated assessment tools to ensure quality and consistency. True competency evaluation cannot be accomplished with simulation alone: competency assessment must also include evaluations of procedural skill during actual clinical care. Future work in this area is needed to measure and track clinically meaningful patient outcomes resulting from simulation-based training, examine the use of simulation to assist physicians undergoing re-entry to practice, and to examine the use of procedural skills simulation as part of a maintenance of competency and life-long learning.
Division of Neonatology, Department of Pediatrics, Neonatal Education and Simulation-Based Training (NEST) Program, University of Washington School of Medicine and Seattle Children's Hospital, 1959 NE Pacific St, RR451 HSB, Box 356320, Seattle, WA. Electronic address: tlsawyer@uw.edu.
Taylor
T
Sawyer
Division of Neonatology, Department of Pediatrics, Neonatal Education and Simulation-Based Training (NEST) Program, University of Washington School of Medicine and Seattle Children's Hospital, 1959 NE Pacific St, RR451 HSB, Box 356320, Seattle, WA.
Megan M
MM
Gray
D002983:Clinical Competence / Q000592:standards*; D003162:Competency-Based Education / Q000379:methods; D003198:Computer Simulation; D003422:Critical Care / Q000592:standards; D004521:Educational Measurement; D019317:Evidence-Based Medicine; D006801:Humans; D007231:Infant, Newborn; D007858:Learning; D017145:Models, Educational; D009359:Neonatology / Q000193:education; D015397:Program Evaluation; D058996:Quality Improvement
Competency assessment; Neonatal procedures; Neonatal simulation; Procedural skills; Procedural training