- Title
- Lake Wobegon for anesthesia... where everyone is above average except those who aren't: variability in the management of simulated intraoperative critical incidents (editorial)
- Creator
- McIntosh, Catherine A.
- Relation
- Anesthesia and Analgesia Vol. 108, Issue 1, p. 6-9
- Publisher Link
- http://dx.doi.org/10.1213/ane.0b013e31818e5f91
- Publisher
- Lippincott Williams & Wilkins
- Resource Type
- journal article
- Date
- 2009
- Description
- The May 2008 edition of American Vogue magazine carried the cover headline, “When Good work goes bad... undoing medical mistakes.” Inside was a story on cosmetic surgery with several tips including, “Board certification is a key indication of skill.” There was no mention of the importance of the anesthesiologist despite entertainer Joan Rivers’ claim that the key is “to get a really good anesthesiologist...” The public perceives that board certification, or international equivalents like Fellow of the Australian and New Zealand College of Anesthetists, is the “gold standard” and, if a clinician possesses this credential, he or she has the knowledge and skills required to be competent. However, evidence is mixed as to whether successfully attaining these qualifications actually results in safe and competent practice. In this issue of Anesthesia & Analgesia, a research group, who have been working for many years towards a validated simulation-based test of performance ability of anesthesia providers, report that a group of board-certified anesthesiologists performed with variable, and overall mediocre, degrees of success during a mannequin-based assessment of management of simulated intra operative emergencies. These results are consistent with the findings of the last 20 yr of simulation-based research into the evaluation of human performance in anesthesia. In their study, the researchers included a comparison group of certified registered nurse anesthetists (CRNAs) who also performed with variable, and overall mediocre, degrees of success, and with only modestly (but statistically significantly) lower overall scores.
- Subject
- anesthesiologists; certification; skill level; performance ability
- Identifier
- http://hdl.handle.net/1959.13/916240
- Identifier
- uon:7931
- Identifier
- ISSN:0003-2999
- Language
- eng
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