Applying a Web and Simulation-Based System for Adaptive Competence Assessment of Spinal Anaesthesia

Abstract

Abstract. The authors present an approach for implementing a system for the assessment of medical competences using a haptic simulation device. Based on Competence based Knowledge Space Theory (CbKST), information on the learners' competences is gathered from different sources (test questions, data from the simulator, and supervising experts' assessments).The envisaged architecture consists of three core modules, an LMS (Moodle) containing user model and content objects and realising the interface between system and user, a simulator interface as an own service connecting the LMS to the (external) simulator system, and a CbKST service offering the assessment logic and visualisations of the assessment result for learner and teacher.

Teaching and learning spinal anaesthesia: anaesthetists‘ attitudes

“…In 2006 a haptic training device for SA that simulates the ‘touch and feel’ encountered during the procedure was developed. The simulator has been further advanced by integrating it with a learning management system (LMS) to facilitate case‐based learning 4–6 . The user is presented with six scenarios consisting of case‐specific multiple‐choice questions and relevant simulated anatomy.…”

Defining a competency map for a practical skill

“…The output of the MedCAP assessment is therefore not a numerical score or pass/fail result, but a comprehensive personalised analysis of the competency state of the user. Thus future learning can be directed to competencies not yet achieved …”

Validation of a clinical assessment tool for spinal anaesthesia

“…8 Performs more than two skin punctures with the introducer or spinal needle at any one interspace. 9 The supervisor takes over the procedure. 10 Cerebrospinal fluid is seen to leak from the hub of the spinal needle during aspiration or injection.…”

“…6,8 The work described in this article was performed as part of the MedCAP (Medical Competence Assessment Procedure) project, the objective of which is the development of a computer/simulator-based assessment tool for the performance of spinal anaesthesia. 9,10 To compare MedCAP with performance in the operating theatre, it is necessary to have a valid means of assessing clinical performance. Content validity refers to whether an assessment tool tests appropriate content as defined by a group of experts.…”