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Proximity to primary board certification and prior crisis management experience are associated with anesthesiologists' performance in high-fidelity acute care scenarios
By Weinger MB, McIvor WR, Slagle JM and 4 others.
Abstract
Introduction
Consistent high-level performance during perioperative critical events is essential for achieving optimal patient outcomes. We sought to better understand factors associated with anesthesiologists' performance during simulated crisis management.
Methods
Sixty clinically active board-certified anesthesiologists (BCAs), 22 junior (6 to 18 mo. training) and 19 senior (24 to 48 mo.) anesthesia trainees participated in standardized, high-fidelity simulated out-of-OR crisis events. Participants completed demographic and practice attributes surveys, and then performed four different 15-minute scenarios. Trained, board-certified raters scored randomly assigned video-recorded performances using checklists and holistic scaled ratings. A principal component analysis summarized survey responses related to participants' clinical, simulation, and crisis management experience. Mixed-effects regression was used to examine the relationship of performance ratings to the summarized variables, adjusting for participant attributes, study site, and scenario.