[Task shifting and quality of care in practice; physician assistants compared with anaesthesiology residents in the preoperative anaesthesiology outpatient clinic]
SourceNederlands Tijdschrift voor Geneeskunde, 157, 19, (2013), pp. A5518
Article / Letter to editor
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Nederlands Tijdschrift voor Geneeskunde
SubjectDCN MP - Plasticity and memory N4i 1: Pathogenesis and modulation of inflammation; NCEBP 14: Cardiovascular diseases; DCN MP - Plasticity and memory N4i 1: Pathogenesis and modulation of inflammation
OBJECTIVE: To compare the clinical competencies of second-year anaesthesiology residents and physician assistants (PA) in the preoperative anaesthesiology outpatient clinic. DESIGN: Comparative qualitative observational study. METHOD: The two study groups were compared using 5 test stations representing 5 different cases of varying degrees of complexity with standardized patients. For each case, the patients and two anaesthesiologists assessed the results of the PAs and the residents using a quantitative scoring system for 4 clinical skills relevant to the preoperative anaesthesiology outpatient clinic. These skills were history-taking, physical examination, communication, and reporting. At each station, a score was calculated for each skill. The groups' scores were subsequently compared. RESULTS: 9 PAs and 11 residents carried out the station tests. There were no significant differences between the two groups of participants. CONCLUSION: In this study in a preoperative anaesthesiology outpatient clinic no difference in clinical competencies was found between PAs and second-year anaesthesiology residents.
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