The Evaluation of Clinical Skill Levels of Emergency Medicine Residents in Medical Toxicology With Simulation

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The purpose of the present study was to design and apply simulation-based Objective Structured Clinical Examinations (OSCE) to evaluate the clinical skill levels of emergency medicine residents in Medical Toxicology, clinical decision-making and medical management process and to determine the existing deficiencies. Five OSCE stations were created to test residents in medical toxicology. These included two simulated case videos, one standardized patient scenario and two high-fidelity realistic models and applied to the participants within two days. The clinical skill levels of the participants were evaluated at each station with a standardized form by the assessors. All the data were analyzed by transferring to the SPSS 26.0 statistical program. A total of 51 emergency medicine residents were included in the study. The number of people who were successful at a minimum of one station was found to be 19 (37.3%) and the number of people who were not successful at any station was 32 (62.7%). Statistically significant factors between those who were successful at a minimum of one station and those who were unsuccessful at any station were: participation in the simulation study, working in an institution with a medical toxicology unit and working as a resident for > 24 months. This study is one of the few studies conducted with this measurement and evaluation method in the field of medical toxicology. The results highlight the importance of having a standard medical toxicology training curriculum and rotation for emergency medicine residents for the care of poisoned patients.