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Another technology-enabled assessment approach might allow assessment of the doctor s ability to acquire appropriate information in an area of de cit When the test taker fails to answer one or more questions in a single domain correctly, the test system would make available a variety of reference resources The examinee would seek information to answer the question The computer would track the use of information, allowing assessment of the quality of information retrieval and use to answer the initial questions Virtual reality techniques offer the potential, particularly in complex psychomotor procedural skills, to test skills not now tested Endoscopic diagnostic and surgical simulators using virtual reality techniques, including realistic visual and haptic feedback, are now available and ready to be studied for use in training and assessment (Westwood, Hoffman, Mogel, Robb, & Stredney, 2000) With no patient present, the computer-controlled endoscope responds to test taker manipulation by displaying the appropriate visualization drawn from a digital reconstruction of the relevant anatomic structures This visualization is fully responsive to the device, allowing the technique of the operator to be assessed and the skill in detecting or treating lesions to be evaluated Using even more complex devices, including VR goggles and haptic feedback surgical instruments , the test taker can visualize an operative eld that actually is not there and feel instruments encounter tissues that exist only within the computer While these virtual reality technologies are available now, more complex virtual reality environments are likely to emerge based on similar environments under development for other purposes These range from multi-player, internet-based simulated environment games to fully immersive virtual reality environments, such as CAVETM (cave automatic virtual environment) These technologies offer to provide virtual environments in which interactions among healthcare professionals and patients can be fully simulated Such high- delity simulation may someday allow learning and assessment for healthcare professionals like that now available for pilots in sophisticated ight simulators In the not too distant future, most hospitals and many doctors of ces will collect all information in an electronic format When this is the case, these standardized electronic records can be sampled to provide real life transaction lists By analyzing the observed behavior of healthcare professionals with real patients, it may be possible to develop reliable and valid measures of actual performance, providing evidence of practice-based learning and guidance for professional development Finally, technology makes systematic collection of ratings whether from peers, coworkers, patients, teachers, or others more practical Research indicates that a moderate sized sample of raters can produce stable measures of traits that are otherwise dif cult to assess, traits such as professionalism Touch-tone telephony, web-based forms, and database-driven periodic automated sampling may make rating-based assessments feasible in the near future The American Board of Internal Medicine is already implementing peer ratings as part of its maintenance of competence initiative (wwwabimorg).



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