A CanMEDS Competency-Based Assessment Tool for High-Fidelity Simulation in Internal Medicine: The Montreal Internal Medicine Evaluation Scale (MIMES)

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Patrice Chrétien Raymer http://orcid.org/0000-0002-5501-5299
Jean-Paul Makhzoum
Robert Gagnon
Arielle Levy
Jean-Pascal Costa


High-Fidelity simulation, Evaluation Scale, Medical Evaluation, Acute Care, CanMEDS


Introduction: High-fidelity simulation is an efficient and holistic teaching method. However, assessing simulation performances remains a challenge. We aimed to develop a CanMEDS competency-based global rating scale for internal medicine trainees during simulated acute care scenarios.

 Methods: Our scale was developed using a formal Delphi process. Validity was tested using six videotaped scenarios of two residents managing unstable atrial fibrillation, rated by 6 experts. Psychometric properties were determined using a G-study and a satisfaction questionnaire.

Results: Most evaluators favorably rated the usability of our scale, and attested that the tool fully covered CanMEDS competencies. The scale showed low to intermediate generalization validity.

Conclusions: This study demonstrated some validity arguments for our scale. The best assessed aspect of performance was communication; further studies are planned to gather further validity arguments for our scale and to compare assessment of teamwork and communication during scenarios with multiple versus single residents.

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