This article is part of Bridging the Gap Between Medical School & Residency, 秘密研究所 School of Medicine Reports, 秘密研究所 School of Medicine 2017 Report.
The lack of trusted methods to assess readiness for residency inspired , and her team at 秘密研究所 School of Medicine to develop Night-OnCall, a competency-based training module that uses standardized patients, nurses, and actual attending physicians to simulate the experience of a hectic night on call. Launched in spring 2016, the pilot program has so far been used to assess the 鈥渆ntrustability鈥 of both three- and four-year medical students in their final year with a host of clinical tasks and responsibilities, commonly referred to as 鈥渆ntrustable professional activities鈥 or EPAs. 鈥淲e built the experiences to measure all 13 core EPAs of the Association of American Medical Colleges, either across many cases or within one case, depending on the task,鈥 explains Dr. Kalet, director of medical education research, program for medical education and technology.
鈥淲e believe that the Night-OnCall simulation will provide a reliable means of assessing preparedness for residency.鈥濃擳homas S. Riles, MD
Associate Dean for Medical Education and Technology
What have they discovered? There were no competency differences between student groups, save for one exception: four-year students were better at managing clinical notes. 鈥淎dmittedly, we鈥檙e assessing a small sample of students,鈥 says collaborator Thomas S. Riles, MD, associate dean for medical education and technology. 鈥淏ut with further validation, we believe that the Night-OnCall simulation will provide a reliable means of assessing preparedness for residency that can address all 13 EPAs, identify students in need of remediation, and serve as a guide for curriculum development with respect to the EPAs.鈥