Comparison of High-Fidelity Medical Simulation to Short-Answer Written Examination in the Assessment of Emergency Medicine Residents in Medical Toxicology

Mo Med. 2017 Sep-Oct;114(5):396-399.


We compared high-fidelity medical simulation to short-answer written examination in the assessment of emergency medicine residents (EMR) on a month-long medical toxicology rotation. Knowledge-based assessment tools using cases of an aspirin overdose and a tricyclic antidepressant overdose were used to assess all consecutive rotating EMR (n=53). Assessment by simulation had similar accuracy and precision but higher satisfaction rates when compared to written examination. Incorporating simulation into the ABEM certifying examination warrants further study.

Publication types

  • Comparative Study

MeSH terms

  • Antidepressive Agents, Tricyclic / poisoning
  • Certification
  • Chicago
  • Clinical Competence / statistics & numerical data
  • Education, Medical / methods
  • Educational Measurement / methods*
  • Emergency Medicine / education*
  • Emergency Medicine / statistics & numerical data
  • Female
  • Humans
  • Internship and Residency / methods
  • Internship and Residency / trends
  • Male
  • Patient Simulation*
  • Pilot Projects
  • Salicylates / poisoning
  • Toxicology / education*
  • United States / epidemiology


  • Antidepressive Agents, Tricyclic
  • Salicylates