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Table 4 Key element structuring a summative assessment scenario

From: Simulation-based summative assessment in healthcare: an overview of key principles for practice

Elements

Recommendations

Duration

10 to 15 min

Short for technical skills

Longer for non-technical skills

Objectives

Accurate list of competencies and skills to be assessed

Essential items

Initial assessment

Diagnostic strategy

Situation management

Orientation strategy

Script

Computerized (programed if possible)

Rating scale

Checklist, Global Rating Scale

Scale (20 to 30 items)

Analytic score for technical skills

Analytic and holistic (e.g., ANTS) for non-technical skills

Validation

Pilot sessions (scenario testing and rater training)

1 or 2 cases per student during scenario testing

Assessment

Video rating

Cohen’s Kappa test for differences between raters

Student’s t test for the ability to discriminate between students