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Analysis of the level of clinical skills of physician assistants tested with simulated intensive care patients
RATIONALE, AIMS, AND OBJECTIVES: Since adequate staffing in intensive care units (ICUs) is an increasing problem worldwide, we investigated whether physician assistants (PAs) are able to substitute medical residents (MR) in ICUs with at least the same quality of clinical skills. In this study, we an...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001577/ https://www.ncbi.nlm.nih.gov/pubmed/29878608 http://dx.doi.org/10.1111/jep.12937 |
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author | van Vught, Anneke J.A.H. van den Brink, Geert T.W.J. Hilkens, Murielle G.E.C. van Oers, Jos A.H. |
author_facet | van Vught, Anneke J.A.H. van den Brink, Geert T.W.J. Hilkens, Murielle G.E.C. van Oers, Jos A.H. |
author_sort | van Vught, Anneke J.A.H. |
collection | PubMed |
description | RATIONALE, AIMS, AND OBJECTIVES: Since adequate staffing in intensive care units (ICUs) is an increasing problem worldwide, we investigated whether physician assistants (PAs) are able to substitute medical residents (MR) in ICUs with at least the same quality of clinical skills. In this study, we analysed the level of clinical skills of PAs in direct comparison with those who traditionally performed these tasks, ie, MR with 6 to 24 months of work experience in the ICU. METHOD: Physician assistants and MRs in the ICUs were observed on their clinical skills by means of a simulated ICU comprising 2 scenarios on a human patient simulator with typical ICU cases. The level of clinical skills of PAs and MRs was videotaped and scored with predefined checklists by 2 independent intensivists per scenario. Percentage of the total score was calculated, and means were compared by Student t test. RESULTS: A total of 11 PAs and 10 MRs participated in the study. Physician assistants and MRs scored equal (PA 66% ± 13% vs MR 68% ± 9%, P = .86) on their clinical performance in the simulated ICU setting. CONCLUSION: This study showed equal performance of PAs and MRs on clinical skills in the simulated ICU setting. |
format | Online Article Text |
id | pubmed-6001577 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-60015772018-06-21 Analysis of the level of clinical skills of physician assistants tested with simulated intensive care patients van Vught, Anneke J.A.H. van den Brink, Geert T.W.J. Hilkens, Murielle G.E.C. van Oers, Jos A.H. J Eval Clin Pract Original Articles RATIONALE, AIMS, AND OBJECTIVES: Since adequate staffing in intensive care units (ICUs) is an increasing problem worldwide, we investigated whether physician assistants (PAs) are able to substitute medical residents (MR) in ICUs with at least the same quality of clinical skills. In this study, we analysed the level of clinical skills of PAs in direct comparison with those who traditionally performed these tasks, ie, MR with 6 to 24 months of work experience in the ICU. METHOD: Physician assistants and MRs in the ICUs were observed on their clinical skills by means of a simulated ICU comprising 2 scenarios on a human patient simulator with typical ICU cases. The level of clinical skills of PAs and MRs was videotaped and scored with predefined checklists by 2 independent intensivists per scenario. Percentage of the total score was calculated, and means were compared by Student t test. RESULTS: A total of 11 PAs and 10 MRs participated in the study. Physician assistants and MRs scored equal (PA 66% ± 13% vs MR 68% ± 9%, P = .86) on their clinical performance in the simulated ICU setting. CONCLUSION: This study showed equal performance of PAs and MRs on clinical skills in the simulated ICU setting. John Wiley and Sons Inc. 2018-06 2018-05-28 /pmc/articles/PMC6001577/ /pubmed/29878608 http://dx.doi.org/10.1111/jep.12937 Text en © 2018 The Authors Journal of Evaluation in Clinical Practice Published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Articles van Vught, Anneke J.A.H. van den Brink, Geert T.W.J. Hilkens, Murielle G.E.C. van Oers, Jos A.H. Analysis of the level of clinical skills of physician assistants tested with simulated intensive care patients |
title | Analysis of the level of clinical skills of physician assistants tested with simulated intensive care patients |
title_full | Analysis of the level of clinical skills of physician assistants tested with simulated intensive care patients |
title_fullStr | Analysis of the level of clinical skills of physician assistants tested with simulated intensive care patients |
title_full_unstemmed | Analysis of the level of clinical skills of physician assistants tested with simulated intensive care patients |
title_short | Analysis of the level of clinical skills of physician assistants tested with simulated intensive care patients |
title_sort | analysis of the level of clinical skills of physician assistants tested with simulated intensive care patients |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001577/ https://www.ncbi.nlm.nih.gov/pubmed/29878608 http://dx.doi.org/10.1111/jep.12937 |
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