Simulation curriculum evaluation and development in a postgraduate emergency medicine programme: a 2-year logic model follow-up
Bibliographic record
Abstract
Simulation is an educational tool most valuable when implemented by trained individuals.1 Having regular simulation-based educational (SBE) activities leads to skill acquisition transferable to real-life situations.2 Emergency medicine (EM) residents at the University of British Columbia (UBC) have a variety of SBE opportunities across the four training sites (Vancouver, Fraser Valley, Victoria and Kelowna). We previously completed step two of Kern’s six-step model for curriculum development; a formal learner-targeted needs assessment.3 The assessment found a desire for increased SBE and concerns around prebrief inconsistency that may have contributed to the 19% rate of reported lack of psychological safety. This project was the second stage in an iterative curricular improvement process using a logic model.4 We chose to use a logic model as it allowed us to analyse our current programme and how it relates to the outcomes we are trying to achieve. In doing so, we were able to construct a theory of change by mapping our logical assumptions about how resource inputs into our programme result in deliverable outputs.5 The main advantage to this approach was to gain a high-level understanding of our simulation programme so that we could target specific inputs as a way to modify outputs. Our inputs into the logic model (figure 1) included simulation facilitators, technologists and labs, a recently …
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How this classification was reachedexpand
Direct model labels (unvalidated)
Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.
| Model arm | Categories | Study design | Confidence |
|---|---|---|---|
| gemma | Metaresearch Domain: Evaluation · Genre: Empirical About the Canadian research system: no · About a Canadian topic: no | Observational | high |
| gpt | no category Domain: not available · Genre: Empirical About the Canadian research system: no · About a Canadian topic: no | Observational | medium |
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.023 | 0.030 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.002 |
| Bibliometrics | 0.003 | 0.001 |
| Science and technology studies | 0.004 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.003 | 0.006 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedLabeled directly by 2 models reading the full record.
The models disagree on parts of this classification; every voice is preserved in the section at the end of the page.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".