Critical care competency evaluation through high fidelity simulation in México
- Journal of Anesthesia & Critical Care: Open Access
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Nancy Allin Canedo Castillo,1 Blanca Estela Herrera Morales,2 Ariana Cerón Apipilhuasco,3 Juan Carlos Sánchez Suárez,4 Ricardo Muñoz Grande,5 Noé Paredes Morales,6 Iván Hernández San Germán,7Alberto Alvarado Echavarria,4 Salvador Calleja Alarcon6
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Abstract
Introduction: The CMMC is an academic body recognized by CONACEM, empowered to certify and recertify physicians specializing in critical medicine. High-fidelity standardized clinical simulation allows the evaluation of aspects that cannot be directly observed during the development of activities in intensive care units, especially for patient safety and the neutrality of the evaluation.
Objective: To evaluate the practical phase of the competency certification exam of 277 applicants through high-fidelity clinical simulation. The examination consisted of six clinical scenarios: high-risk postoperative surgery, sepsis, septic shock, obstetric critical care (mater code), hypovolemic shock, and mechanical ventilation. Method: The PE developed by the CCMC was carried out on January 12 - 13, 2024 at the CASIC, through five stages, the development of 16 clinical scenarios, checklists, ICTs for the management of checklists and scores, the construction and feeding of the management folder of the exam, the external review of the scenarios and checklists, the training of facilitators and synod members, the piloting of the exam; Regarding the applicants:
Conclusion: The evaluation of competencies for certification purposes with the simulation strategy is feasible, feasible both logistically and economically, and extremely useful.
Keywords
evaluation, certification, competencies, simulation, critical medicine