Emergency medicine resident crisis resource management ability: a simulation-based longitudinal study.

TitleEmergency medicine resident crisis resource management ability: a simulation-based longitudinal study.
Publication TypeJournal Article
Year of Publication2014
AuthorsClarke S, Horeczko T, Carlisle M, Barton JD, Ng V, Al-Somali S, Bair AE
JournalMed Educ Online
Date Published2014
ISSN Number1087-2981
KeywordsAcademic Medical Centers, Adult, California, Education, Medical, Graduate, Emergency Medicine, Female, Health Resources, Humans, Internship and Residency, Longitudinal Studies, Male, Professional Competence

BACKGROUND: Simulation has been identified as a means of assessing resident physicians' mastery of technical skills, but there is a lack of evidence for its utility in longitudinal assessments of residents' non-technical clinical abilities. We evaluated the growth of crisis resource management (CRM) skills in the simulation setting using a validated tool, the Ottawa Crisis Resource Management Global Rating Scale (Ottawa GRS). We hypothesized that the Ottawa GRS would reflect progressive growth of CRM ability throughout residency.

METHODS: Forty-five emergency medicine residents were tracked with annual simulation assessments between 2006 and 2011. We used mixed-methods repeated-measures regression analyses to evaluate elements of the Ottawa GRS by level of training to predict performance growth throughout a 3-year residency.

RESULTS: Ottawa GRS scores increased over time, and the domains of leadership, problem solving, and resource utilization, in particular, were predictive of overall performance. There was a significant gain in all Ottawa GRS components between postgraduate years 1 and 2, but no significant difference in GRS performance between years 2 and 3.

CONCLUSIONS: In summary, CRM skills are progressive abilities, and simulation is a useful modality for tracking their development. Modification of this tool may be needed to assess advanced learners' gains in performance.

Alternate JournalMed Educ Online
PubMed ID25499769
PubMed Central IDPMC4262767
Faculty Reference: 
Vivienne Ng, MD, MPH