Please join us Tuesday, September 13, 2016 5:30-7:00PM for the Boston Simulation Community Meeting hosted at the Center for Medical Simulation by Roxane Gardner and colleagues. At this meeting, we will learn Are we good at what we do? An evidence-based approach to improving doctors’ performance Presenter: George Shorten, MD PhD, Professor of Anaesthesia and Intensive Care Medicine and Immediate Past Director, the ASSERT Centre at University College Cork, Ireland.
Are we good at what we do?
Professional healthcare organisations around the world are attempting to change from time-based to “competence-based” training. This poses difficult questions, many of which have not been answered. Does some form of training reliably result in a doctor performing well ? What does “well” mean in that context? Do patients benefit as a result? How long does the improvement due to training last? The answers currently available to these questions are at best incomplete. An evidence deficit exists around what constitutes best practice in medical training and maintenance of professional competence.
Proficiency-Based Progression is a form of training that has been applied successfully to medical procedures. Its efficacy for non-technical skills remains to be proven. This approach defines a proficiency standard for a task or skill using objective and validated “metrics”. Learning, training and assessment are based thereafter entirely of a precise definition of proficiency” and an objectively established standard. The overall aim is to decrease medical error and improve patient safety by enabling trainees to engage in the deliberate practice of clinical skills to predefined proficiency standards. This takes place initially in the safety of a simulated environment. This presentation contains a description of how PBP is implemented and recent evidence of its efficacy.