• Ned Tijdschr Geneeskd · Jan 2013

    Comparative Study

    [Task shifting and quality of care in practice; physician assistants compared with anaesthesiology residents in the preoperative anaesthesiology outpatient clinic].

    • Reinier C Tromp Meesters, Aggie M Hettinga, Geert van den Brink, Cornelis T Postma, and Gertjan Scheffer.
    • Diakonessenhuis, afd. Anesthesiologie, Utrecht, the Netherlands. rtromp@diakhuis.nl
    • Ned Tijdschr Geneeskd. 2013 Jan 1;157(19):A5518.

    ObjectiveTo compare the clinical competencies of second-year anaesthesiology residents and physician assistants (PA) in the preoperative anaesthesiology outpatient clinic.DesignComparative qualitative observational study.MethodThe two study groups were compared using 5 test stations representing 5 different cases of varying degrees of complexity with standardized patients. For each case, the patients and two anaesthesiologists assessed the results of the PAs and the residents using a quantitative scoring system for 4 clinical skills relevant to the preoperative anaesthesiology outpatient clinic. These skills were history-taking, physical examination, communication, and reporting. At each station, a score was calculated for each skill. The groups' scores were subsequently compared.Results9 PAs and 11 residents carried out the station tests. There were no significant differences between the two groups of participants.ConclusionIn this study in a preoperative anaesthesiology outpatient clinic no difference in clinical competencies was found between PAs and second-year anaesthesiology residents.

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