Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 365-369 |
| Number of pages | 5 |
| Journal | Medical Teacher |
| Volume | 28 |
| Issue number | 4 |
| DOIs | |
| State | Published - Jun 2006 |
Funding
This study was funded by the Excellence in Academic Medicine Act under the State of Illinois Department of Public Aid administered through Northwestern Memorial Hospital. The authors thank Ms. Stephanie Kerns and Ms. Ramune Kubilius for their assistance with library research. We acknowledge Drs. Charles Watts and J. Larry Jameson for their encouragement and support. We also thank the Northwestern University internal medicine residents for their dedication to patient care and education.
ASJC Scopus subject areas
- Education
