Development of a Clinical Simulation Video to Evaluate Multiple Domains of Clinical Competence: Cross-Sectional Study

• DOI: 10.2196/54401
• Publication Date: 2024-01-29T01:03:38Z
• Authors: Kiyoshi Shikino; Yuji Nishizaki; Sho Fukui; Daiki Yokokawa; Yu Yamamoto; Hiroyuki Kobayashi; Taro Shimizu; Yasuharu Tokuda
• Keywords: Cross-sectional study

Background Medical students in Japan undergo a 2-year postgraduate residency program to acquire clinical knowledge and general medical skills. The General Medicine In-Training Examination (GM-ITE) assesses residents’ knowledge. A simulation video (CSV) may assess learners’ interpersonal abilities. Objective This study aimed evaluate the relationship between GM-ITE scores resident physicians’ diagnostic skills by having them watch CSV explore perceptions of CSV’s realism, educational value, impact on their motivation learn. Methods participants included 56 residents who took January 21 28, 2021; watched CSV; then provided diagnosis. were compared, validity simulations was examined using discrimination indices, wherein ≥0.20 indicated high discriminatory power >0.40 very good measure subject’s qualifications. Additionally, we administered an anonymous questionnaire ascertain participants’ views realism value its Results Of participants, 6 (11%) correct diagnosis, all from second year. All domains power. (anonymous) follow-up responses that format more suitable than conventional for assessing competence. survey revealed 12 (52%) found competence, 18 (78%) affirmed simulation, 17 (74%) experience increased Conclusions findings modules simulating real-world examinations successful examinees’ competence across multiple domains. demonstrated not only augmented assessment but also positively impacted motivation, suggesting multifaceted role education.