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4. First-Year Results of the American Board of Anesthesiology's Objective Structured Clinical Examination for Initial Certification.

Author

Warner, David O, Lien, Cynthia A, Wang, Ting, Zhou, Yan, Isaak, Robert S, Peterson-Layne, Cathleen, Harman, Ann E, Macario, Alex, Gaiser, Robert R, Suresh, Santhanam, Culley, Deborah J, Rathmell, James P, Keegan, Mark T, Cole, Daniel J, Fahy, Brenda G, Dainer, Rupa J, and Sun, Huaping

Subjects
Reproductive Medicine, Biomedical and Clinical Sciences, Clinical Research, Anesthesiology, Certification, Clinical Competence, Communication, Educational Measurement, Humans, Internship and Residency, Learning, Professional Role, Quality Improvement, Specialty Boards, Ultrasonography, United States, Clinical Sciences, Neurosciences, Clinical sciences
Abstract

In 2018, the American Board of Anesthesiology (ABA) became the first US medical specialty certifying board to incorporate an Objective Structured Clinical Examination (OSCE) into its initial certification examination system. Previously, the ABA's staged examination system consisted of 2 written examinations (the BASIC and ADVANCED examinations) and the Standardized Oral Examination (SOE). The OSCE and the existing SOE are now 2 separate components of the APPLIED Examination. This report presents the results of the first-year OSCE administration. A total of 1410 candidates took both the OSCE and the SOE in 2018. Candidate performance approximated a normal distribution for both the OSCE and the SOE, and was not associated with the timing of the examination, including day of the week, morning versus afternoon session, and order of the OSCE and the SOE. Practice-based Learning and Improvement was the most difficult station, while Application of Ultrasonography was the least difficult. The correlation coefficient between SOE and OSCE scores was 0.35 ([95% confidence interval {CI}, 0.30-0.39]; P < .001). Scores for the written ADVANCED Examination were modestly correlated with scores for the SOE (r = 0.29 [95% CI, 0.25-0.34]; P < .001) and the OSCE (r = 0.15 [95% CI, 0.10-0.20]; P < .001). Most of the candidates who failed the SOE passed the OSCE, and most of the candidates who failed the OSCE passed the SOE. Of the 1410 candidates, 77 (5.5%) failed the OSCE, 155 (11.0%) failed the SOE, and 25 (1.8%) failed both. Thus, 207 (14.7%) failed at least 1 component of the APPLIED Examination. Adding an OSCE to a board certification examination system is feasible. Preliminary evidence indicates that the OSCE measures aspects of candidate abilities distinct from those measured by other examinations used for initial board certification.

Published
2020

5. Development of an Objective Structured Clinical Examination as a Component of Assessment for Initial Board Certification in Anesthesiology.

Author

Warner, David O, Isaak, Robert S, Peterson-Layne, Cathleen, Lien, Cynthia A, Sun, Huaping, Menzies, Anna O, Cole, Daniel J, Dainer, Rupa J, Fahy, Brenda G, Macario, Alex, Suresh, Santhanam, and Harman, Ann E

Subjects
Reproductive Medicine, Biomedical and Clinical Sciences, Anesthesiologists, Anesthesiology, Clinical Competence, Curriculum, Education, Medical, Graduate, Educational Measurement, Educational Status, Humans, Specialty Boards, Clinical Sciences, Neurosciences, Clinical sciences
Abstract

With its first administration of an Objective Structured Clinical Examination (OSCE) in 2018, the American Board of Anesthesiology (ABA) became the first US medical specialty certifying board to incorporate this type of assessment into its high-stakes certification examination system. The fundamental rationale for the ABA's introduction of the OSCE is to include an assessment that allows candidates for board certification to demonstrate what they actually "do" in domains relevant to clinical practice. Inherent in this rationale is that the OSCE will capture competencies not well assessed in the current written and oral examinations-competencies that will allow the ABA to judge whether a candidate meets the standards expected for board certification more properly. This special article describes the ABA's journey from initial conceptualization through first administration of the OSCE, including the format of the OSCE, the process for scenario development, the standardized patient program that supports OSCE administration, examiner training, scoring, and future assessment of reliability, validity, and impact of the OSCE. This information will be beneficial to both those involved in the initial certification process, such as residency graduate candidates and program directors, and others contemplating the use of high-stakes summative OSCE assessments.

Published
2020

21. Spinal Anesthesia

Author

Spencer, Adam O., Suresh, Santhanam, Tsui, Ban C. H., Tsui, Ban C.H., editor, and Suresh, Santhanam, editor

Published
2016
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27. Contributors

Author

Adams, Trevor L., primary, Adler, Adam C., additional, Ames, Warwick A., additional, Anderson, Brian J., additional, Andropoulos, Dean B., additional, Anixter, Martin B., additional, Arnold, Philip, additional, Baker, Robert, additional, Bender, M.A., additional, Berde, Charles B., additional, Berenstain, Laura K., additional, Blasiole, Brian, additional, Bösenberg, Adrian T., additional, Brown, Karen A., additional, Brusseau, Roland, additional, Cain, James Gordon, additional, Chidambaran, Vidya, additional, Cladis, Franklyn P., additional, Claure, Rebecca E., additional, Cooper, Jeffrey B., additional, Coté, Charles J., additional, Cravero, Joseph P., additional, Crean, Peter M., additional, Davidson, Andrew J., additional, Davis, Peter J., additional, DiNardo, James A., additional, Eisses, Michael J., additional, Fiadjoe, John E., additional, Firth, Paul G., additional, Foreman, John W., additional, Forshaw, Natalie, additional, Fortier, Michelle A., additional, Gangadharan, Sandeep, additional, Gertler, Ralph, additional, Ghazal, Elizabeth A., additional, Goldschneider, Kenneth, additional, Gottlieb, Erin A., additional, Grabowski, Eric F., additional, Grogan, Kelly L., additional, Gulur, Padma, additional, Haberkern, Charles M., additional, Hammer, Gregory B., additional, Hannallah, Raafat S., additional, Hansen, Tom G., additional, Havidich, Jeana E., additional, Henneberg, Steen W., additional, Houghton, James, additional, Jaichenco, Andre L., additional, Kain, Zeev N., additional, Kaplan, Richard F., additional, Karmakar, Manoj K., additional, Kinane, T. Bernard, additional, Krane, Elliot J., additional, Kwok, Wing H., additional, Rolo, Vasco Laginha, additional, Lam, Jennifer E., additional, Landrigan-Ossar, Mary, additional, Latham, Gregory J., additional, Lerman, Jerrold, additional, Lima, Luciana Cavalcanti, additional, Litman, Ronald S., additional, Loepke, Andreas W., additional, Mai, Christine L., additional, Marciniak, Bruno, additional, Martyn, J.A. Jeevendra, additional, Mason, Linda J., additional, Mayes, Linda C., additional, McClain, Craig D., additional, McEwan, Angus, additional, McManus, Michael L., additional, Mendoza, Julianne, additional, Mihm, Frederick G., additional, Miller-Hance, Wanda C., additional, Nawathe, Pooja, additional, Parness, Jerome, additional, Polaner, David M., additional, Rawlinson, Ellen, additional, Rhodes, Erinn T., additional, Ross, Faith J., additional, Ross, Patrick A., additional, Rowe, Echo, additional, Sadhasivam, Senthilkumar, additional, Schleien, Charles L., additional, Schure, Annette Y., additional, Serber, Julia F., additional, Shank, Erik S., additional, Soriano, Sulpicio G., additional, Spaeth, James P., additional, Squires, James E., additional, Squires, Robert H., additional, Stowell, Christopher P., additional, Stricker, Paul A., additional, Suresh, Santhanam, additional, Szabova, Alexandra, additional, Szyld, Demian, additional, Taenzer, Andreas H., additional, Tirupathi, Sandya, additional, Tobin, Joseph R., additional, Vadi, Marissa G., additional, Verghese, Susan T., additional, Waisel, David B., additional, Wald, Samuel H., additional, Walker, Benjamin J., additional, Weaver, R. Grey, additional, Wesson, David E., additional, Wigfall, Delbert R., additional, Wilton, Niall C., additional, Wolfsdorf, Joseph I., additional, and Young, David A., additional

Published
2019
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35. Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council

Author

Chou, Roger, Gordon, Debra B., de Leon-Casasola, Oscar A., Rosenberg, Jack M., Bickler, Stephen, Brennan, Tim, Carter, Todd, Cassidy, Carla L., Chittenden, Eva Hall, Degenhardt, Ernest, Griffith, Scott, Manworren, Renee, McCarberg, Bill, Montgomery, Robert, Murphy, Jamie, Perkal, Melissa F., Suresh, Santhanam, Sluka, Kathleen, Strassels, Scott, Thirlby, Richard, Viscusi, Eugene, Walco, Gary A., Warner, Lisa, Weisman, Steven J., and Wu, Christopher L.

Published
2016
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41. List of Contributors

Author

Abdel-Aziz, Samer, primary, Adams, Meredith C.B., additional, Ahmed, Moustafa, additional, Al-Qamari, Abbas, additional, Anitescu, Magdalena, additional, Asenjo, Juan Francisco, additional, Ault, Michael Lynn, additional, Bauchat, Jeanette, additional, Beckerly, Rena, additional, Belvis, Dawn, additional, Benzon, Honorio T., additional, Benzon, Hubert A., additional, Berde, Charles B., additional, Bhatia, Anuj, additional, Bhayani, Sadiq, additional, Bicket, Mark C., additional, Birmingham, Patrick K., additional, Boyette-Davis, Jessica, additional, Brannagan, Thomas H., additional, Brummett, Chad, additional, Camacho-Soto, Alejandra, additional, Chekka, Kiran, additional, Christiansen, Sandy, additional, Chung, Brian A., additional, Clark, Michael R., additional, Clauw, Daniel J., additional, Cohen, Marc Samuel, additional, Cohen, Steven P., additional, Conlin, Nikki, additional, Crooks, Matthew, additional, Day, Miles, additional, DeCaria, Sheetal K., additional, Deer, Timothy R., additional, Dougherty, Patrick M., additional, Durbhakula, Shravani, additional, Dworkin, Robert H., additional, Edwards, Robert R., additional, Elbaridi, Nick, additional, Endrizzi, Sarah A., additional, Erdek, Michael, additional, Ferrante, F. Michael, additional, Finnerup, Nanna Brix, additional, Flamer, David, additional, Furnish, Timothy J., additional, Gilson, Aaron M., additional, Gofeld, Michael, additional, Grant, Michael C., additional, Gritsenko, Karina, additional, Guarino, Anthony, additional, Halawa, Omar I., additional, Hale, Charity, additional, Hameed, Haroon, additional, Hameed, Mariam, additional, Hanes, Michael C., additional, Haroutounian, Simon, additional, Haythornthwaite, Jennifer, additional, Henderson, Kimberly J., additional, Hernandez, Gabriel A., additional, Hobelmann, J. Gregory, additional, Holtsman, Mark, additional, Hosey, Megan, additional, Hsu, Eric S., additional, Huang-Lionnet, Julie H., additional, Huntoon, Marc Alan, additional, Hurley, Robert W., additional, Ilfeld, Brian M., additional, Issa, Mohammed A., additional, Jacobs, Michael B., additional, Jamison, David E., additional, Justiz, Rafael, additional, Khan, Dost, additional, Krodel, David J., additional, Lai, Brian, additional, Lazaridou, Asimina, additional, Lerman, Sheera F., additional, Liu, Benjamin P., additional, Liu, Spencer S., additional, Lookabaugh, Britni L., additional, Mahajan, Gagan, additional, Malik, Khalid, additional, Mariano, Edward R., additional, Marshall, Zwade, additional, Mathews, James, additional, McCartney, Colin J.L., additional, McWhorter, Jessica Wolfman, additional, Minieka, Michael M., additional, Moore, Arthur, additional, Nader, Antoun, additional, Narouze, Samer, additional, Nelson, Ariana, additional, Nicol, Andrea L., additional, Nishida, Takashi, additional, Nouri, Kent H., additional, Osuagwu, Uzondu, additional, Paice, Judith A., additional, Peng, Philip, additional, Peterson, Stacy, additional, Pope, Jason E., additional, Prather, Heidi, additional, Press, Joel, additional, Provenzano, David A., additional, Rahangdale, Rohit, additional, Raja, Srinivasa N., additional, Rathmell, James P., additional, Rich, Ben A., additional, Ringkamp, Matthias, additional, Rivers, W. Evan, additional, Rodes, Meghan, additional, Rosenow, Joshua, additional, Rozental, Jack M., additional, Russell, Eric J., additional, Rydberg, Leslie, additional, Saeed, Kashif, additional, Schmader, Kenneth, additional, Scholten, Paul, additional, Shah, Ravi D., additional, Shankar, Hariharan, additional, Sheth, Samir, additional, Soffin, Ellen M., additional, Sowa, Gwendolyn A., additional, Spitzer, Eric M., additional, Spofford, Christina M., additional, Stacey, Brett, additional, Stanos, Steven P., additional, Suresh, Santhanam, additional, Tremblay, Steven, additional, Tureanu, Luminita, additional, Van Buyten, Jean Pierre, additional, Veeramani, Murugusundaram, additional, Von Gunten, Charles F., additional, Walega, David Richard, additional, Walker, Matthew T., additional, Wallace, Mark S., additional, Wasan, Ajay D., additional, Webster, Lynn R., additional, Wegener, Stephen T., additional, Weiner, Debra K., additional, Wilkinson, Indy, additional, Williams, Bryan S., additional, Williams, Kayode, additional, Wong, Cynthia A., additional, Wu, Christopher L., additional, Wu, Irene, additional, Wu, Jiang, additional, and Zheng, Sophy C., additional

Published
2018
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47. List of Contributors

Author

Abbasi, Rania K., Adams, Trevor L., Adler, Adam C., Ames, Warwick A., Anderson, Brian J., Andropoulos, Dean B., Anninger, William, Arnold, Philip, Awad, Motaz, Bailey, Philip D., Jr., Bender, M.A., Berenstain, Laura K., Bösenberg, Adrian T., Braunold, Daniel, Sinai, Yitzhak Brzezinski, Burgart, Alyssa M., Butler, Carolyn G., Carr, Michele M., Carter, Harmony F., Lima, Luciana Cavalcanti, Chidambaran, Vidya, Chua, Annabelle N., Cooper, Jeffrey B., Coté, Charles J., Cravero, Joseph P., Damian, Daniela, Davidson, Andrew J., DiNardo, James A., Docquier, Marie-Agnès, Earley, Timothy M., Eisses, Michael J., Ferschl, Marla B., Fiadjoe, John E., Firth, Paul G., Flannery, Kaitlin M., Gertler, Ralph, Ghazal, Elizabeth A., Goldschneider, Kenneth, Gottlieb, Erin A., Grabowski, Eric F., Hamilton, A. Rebecca L., Hammer, Gregory B., Hansen, Tom G., Havidich, Jeana E., Houghton, James, Hunter, Samuel A., Hylton, Jared R.E., Jaichenco, Andre L., Sr., Jones, Cathie T., Kanmanthreddy, Siri, Karmakar, Manoj Kumar, Kinane, T. Bernard, Kumar, Reeti, Rolo, Vasco Laginha, Lam, Jennifer E., Landrigan-Ossar, Mary, Latham, Gregory J., Lehavi, Amit, Lerman, Jerrold, Loepke, Andreas W., Mai, Christine L., Mandell, Iris, Martin, Lizabeth D., Martyn, J.A. Jeevendra, Masip, Nuria, Mason, Linda J., McClain, Craig D., McEwan, Angus, McManus, Michael L., Mendoza, Julianne, Miller-Hance, Wanda C., Murto, Kimmo, Nassogne, Marie-Cécile, Nawathe, Pooja, Nelson, Olivia, Nichols, John H., Ojo, Bukola, Olbrecht, Vanessa A., Packiasabapathy, Senthil, Pan, Stephanie J., Polaner, David M., Quinlan, Casey A., Rawlinson, Ellen, Rhodes, Erinn T., Rollins, Mark D., Rowe, Echo, Ross, Faith J., Sadhasivam, Senthil, Schleien, Charles L., Schure, Annette Y., Sequera-Ramos, Luis, Sheffy, Nadav, Simhi, Eliahu, Skowno, Justin J., Sloan, Steven R., Soriano, Sulpicio G., Spaeth, James P., Squires, James E., Srivatsa, Abhinash, Stein, Mary Lyn, Stocki, Daniel, Stricker, Paul A., Sunder, Rani, Suresh, Santhanam, Szabova, Alexandra, Taenzer, Andreas H., Vetterly, Carol, Veyckemans, Francis, Waisel, David B., Walker, Benjamin, Wang, Jue Teresa, Welch, John C., Wilton, Niall C., Wolfsdorf, Joseph I., and Yip, Peggy

Published
2025
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48. Complications in Pediatric Regional Anesthesia: An Analysis of More than 100,000 Blocks from the Pediatric Regional Anesthesia Network

Author

Walker, Benjamin J., Long, Justin B., Sathyamoorthy, Madhankumar, Birstler, Jennifer, Wolf, Christine, Bosenberg, Adrian T., Flack, Sean H., Krane, Elliot J., Sethna, Navil F., Suresh, Santhanam, Taenzer, Andreas H., Polaner, David M., Martin, Lynn, Anderson, Corrie, Sunder, Rani, Adams, Trevor, Martin, Lizabeth, Pankovich, Martha, Sawardekar, Amod, Birmingham, Patrick, Marcelino, Ryan, Ramarmurthi, R.J., Szmuk, Peter, Ungar, Galit Kastner, Lozano, Sara, Boretsky, Karen, Jain, Ranu, Matuszczak, Maria, Petersen, Timothy R., Dillow, Jennifer, Power, Robert, Nguyen, Kim, Lee, Benjamin H., Chan, Lisa, Pineda, Jorge, Hutchins, Jacob, Mendoza, Kimberly, Spisak, Kristen, Shah, Aali, DelPizzo, Kathryn, Dong, Naomi, Yalamanchili, Vidya, Venable, Claudia, Williams, Cassandra Armstead, Chaudahari, Reena, Ohkawa, Susumu, Usljebrka, Helga, Bhalla, Tarun, Vanzillotta, Pedro Paulo, Apiliogullari, Seza, Franklin, Andrew D., Ando, Akiko, Pestieau, Sophie R., Wright, Caroline, Rosenbloom, Julia, and Anderson, Tony

Published
2018
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