Evidence map›Paper›PMID 29878608›Full record

ArticleJournal of evaluation in clinical practice2018

Analysis of the level of clinical skills of physician assistants tested with simulated intensive care patients.

Anneke J A H van Vught, Geert T W J van den Brink, Murielle G E C Hilkens, Jos A H van Oers

Open access · hybridAbstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Anneke J A H van VughtFaculty of Health, Behavior and Society, HAN University of Applied Sciences, Postbus 6960, Nijmegen, HG, 6503, Netherlands.ORCID 0000-0002-4266-744X
Geert T W J van den BrinkFaculty of Health, Behavior and Society, HAN University of Applied Sciences, Postbus 6960, Nijmegen, HG, 6503, Netherlands.
Murielle G E C HilkensDepartment of Intensive Care, Radboud University Medical Center, Postbus 9101, Nijmegen, HB, 6500, Netherlands.
Jos A H van OersDepartment of Intensive care, Elisabeth-TweeSteden Ziekenhuis, Postbus 90151, 5000, LC Tilburg, Netherlands.
HAN University of Applied Sciences · NLElisabeth-TweeSteden Ziekenhuis · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

RATIONALE, AIMS, AND

objectivesSince 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.

methodPhysician 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.

resultsA 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.

conclusionThis study showed equal performance of PAs and MRs on clinical skills in the simulated ICU setting.

Indexed as

Clinical CompetenceCritical CarePhysician AssistantsAdultHumansIntensive Care UnitsMiddle AgedPatient Simulationclinical skillscritical careICUintensive care unitphysician assistantsubstitution of care

Identifiers

PMID29878608
PMCPMC6001577
OpenAlexW2806322591

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.