Standardized patient and standardized interdisciplinary team meeting: validation of a new performance-based assessment tool.

Autor: Yuasa M; Department of Geriatric Medicine, John A. Hartford Foundation Center of Excellence in Geriatrics, Honolulu, Hawaii., Nagoshi M, Oshiro-Wong C, Tin M, Wen A, Masaki K
Jazyk: angličtina
Zdroj: Journal of the American Geriatrics Society [J Am Geriatr Soc] 2014 Jan; Vol. 62 (1), pp. 171-4. Date of Electronic Publication: 2014 Jan 02.
DOI: 10.1111/jgs.12604
Abstrakt: The interdisciplinary team (IDT) approach is critical in the care of elderly adults. Performance-based tools to assess IDT skills have not been well validated. A novel assessment tool, the standardized patient (SP) and standardized interdisciplinary team meeting (SIDTM), consisting of two stations, was developed. First, trainees evaluate a SP hospitalized after a fall. Second, trainees play the role of the physician in a standardized IDT meeting with a standardized registered nurse (SRN) and standardized medical social worker (SMSW) for discharge planning. The SP-SIDTM was administered to 52 fourth-year medical students (MS4s) and six geriatric medicine fellows (GMFs) in 2011/12. The SP, SRN, and SMSW scored trainee performance on dichotomous checklists of clinical tasks and Likert scales of communication skills, which were compared according to level of training using t-tests. Trainees rated the SP-SIDTM experience as moderately difficult, length of time about right, and believability moderate to high. Reliability was high for both cases (Cronbach α = 0.73-0.87). Interobserver correlation between SRN and SMSW checklist scores (correlation coefficient (r) = 0.82, P < .001) and total scores (r = 0.69, P < .001) were high. The overall score on the SP-SIDTM case was significantly higher for GMF (75) than for MS4 (65, P = .002). These observations support the validity of this novel assessment tool.
(© 2013, Copyright the Authors Journal compilation © 2013, The American Geriatrics Society.)
Databáze: MEDLINE
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