Key result
Self-confidence assessments of graduating internal medicine residents correlated poorly with their actual ACLS simulator performance (median r = 0.075).
Why the study?
Does self-assessment accurately reflect objective performance of ACLS skills in graduating internal medicine residents?
Cross-Sectional (n=40)
No
Does self-assessment accurately reflect objective performance of ACLS skills in graduating internal medicine residents?
Effect estimate: median r = 0.075
Self-assessment of ACLS skills by internal medicine residents correlates poorly with objective simulator performance, indicating it is not a reliable proxy for competence evaluation.
Self-assessment may not indicate true ACLS competency in residents; leaves open the need for validated objective metrics in training.
Internal medicine residents in the US must be competent to perform procedures including Advanced Cardiac Life Support (ACLS) to become board-eligible. Our aim was to determine if residents near graduation could assess their skills in ACLS procedures accurately. Participants were 40 residents in a university-based training program. Self-assessments of confidence in managing six ACLS scenarios were measured on a 0 (very low) to 100 (very high) scale. These were compared to reliable observational ratings of residents' performance on a high-fidelity simulator using published treatment protocols. Residents expressed strong self-confidence about managing the scenarios. Residents' simulator performance varied widely (range from 45% to 94%). Self-confidence assessments correlated poorly with performance (median r = 0.075). Self-assessment of performance by graduating internal medicine residents was not accurate in this study. The use of self-assessment to document resident competence in procedures such as ACLS is not a proxy for objective evaluation.
No takes yet. Share an insight, caveat, or question.
Wayne et al. (2006) conducted a cross-sectional in Internal medicine residents near graduation (n=40). Self-assessment of ACLS skills vs. Objective evaluation on a high-fidelity simulator was evaluated on Correlation between self-confidence assessments and simulator performance (median r = 0.075). Self-confidence assessments of graduating internal medicine residents correlated poorly with their actual ACLS simulator performance (median r = 0.075).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: