Time Isn’t Your FoCUS, Do Cardiac POCUS!

Methods: This planned secondary analysis of an IRB approved database enrolled EM residents from a PGY 1-4 residency.Both sims were toxic ingestions: an adult ACLS case conducted in the sim lab and a PALS case conducted in-situ in a pediatric ED.MSF feedback was generated using a Queens Simulation Assessment Tool (QSAT) specific to the case from self-evaluation, a junior resident, an EMS provider (adult), a nurse (2 peds) and two EM faculty.In both sims communication to a consulting toxicologist and admitting intensivist were measured using the 5C's model.The summed QSAT and 5C scores were correlated using Pearson's correlation coefficient with Fisher's z transformation; interpreted as weak (<0.3), moderate (0.3-0.7) and strong (>0.7).Significance was set at 0.05.Positive correlation indicates synchronous movement of scores.Results: In the adult sim, 32 residents were enrolled (Table 1).There was a moderate positive correlation between attending QSAT and intensivist 5C scores [r=0.332,95% CI (-0.032, 0.618)], the remaining correlation comparisons were weak, and all were without statistical significance.In the ped sims, 34 residents were enrolled.Those correlations, presented in Table 2, were all weak and without significance.Conclusions: Based on this single site cohort, there does not appear to be a correlation between clinical performance and communication skill among EM residents on sim cases.This negative finding could be influenced by the sample size, though use of the Fisher's z transformation was an attempt to control for type two error.If correct, this suggests that residency programs should ensure that clinical and communication skills are measured independently.