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:

Results: A total of 277 trainees were registered, all of them resident physicians in the last year of the specialty. Of the 277 supporters, 178 (64.3%) men and 99 (35.7%) women, 91% came from public university hospitals, 9% (n=25) from private campuses, Mexico City - metropolitan area with 140 (50.5%) and interior of the Mexican Republic with 137 (40.5%). The states of the Mexican Republic that had the highest number of supporters were Mexico City with 104 (37.5%). The group result had a median of 88 points (79 - 96) (RIQ), the maximum score was 100 and the minimum of 33. The students who obtained a score ≥ of 96 were 95 (34.3%), those who obtained a score of 80 - 95 were 111 (40.1%), while the students who had a score of less than 80 were 71, which is equivalent to 25.6%. The best performance was obtained in the mater code evaluation group with a median score of 94.00 (84.75 - 100.00).
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