Analysis of the level of clinical skills of physician assistants tested with simulated intensive care patients

Autor:	Murielle G.E.C. Hilkens, Geert van den Brink, Anneke J. A. H. van Vught, Jos A.H. van Oers
Rok vydání:	2018
Předmět:	Adult Critical Care education Staffing Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] law.invention 03 medical and health sciences All institutes and research themes of the Radboud University Medical Center 0302 clinical medicine law Intensive care Humans Medicine 030212 general & internal medicine Physician assistants business.industry 030503 health policy & services Health Policy Public Health Environmental and Occupational Health Clinical performance Human patient Middle Aged medicine.disease Intensive care unit Work experience Patient Simulation Intensive Care Units Physician Assistants Clinical Competence Medical emergency 0305 other medical science business Clinical skills
Zdroj:	Journal of Evaluation in Clinical Practice, 24, 3, pp. 580-584 Journal of Evaluation in Clinical Practice Journal of Evaluation in Clinical Practice, 24, 580-584
ISSN:	1365-2753 1356-1294
Popis:	RATIONALE, AIMS, AND OBJECTIVES Since adequate staffing in intensive care units (ICUs) is an increasing problem worldwide, we investigated whether physician assistants (PAs) are able to substitute medical residents (MR) in ICUs with at least the same quality of clinical skills. In this study, we analysed the level of clinical skills of PAs in direct comparison with those who traditionally performed these tasks, ie, MR with 6 to 24 months of work experience in the ICU. METHOD Physician assistants and MRs in the ICUs were observed on their clinical skills by means of a simulated ICU comprising 2 scenarios on a human patient simulator with typical ICU cases. The level of clinical skills of PAs and MRs was videotaped and scored with predefined checklists by 2 independent intensivists per scenario. Percentage of the total score was calculated, and means were compared by Student t test. RESULTS A total of 11 PAs and 10 MRs participated in the study. Physician assistants and MRs scored equal (PA 66% ± 13% vs MR 68% ± 9%, P = .86) on their clinical performance in the simulated ICU setting. CONCLUSION This study showed equal performance of PAs and MRs on clinical skills in the simulated ICU setting.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7e6f7b21df80dd0f9be8b44c95da46dd https://doi.org/10.1111/jep.12937 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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