Cumulative sum scoring for medical students

Context:  A variety of subjective techniques are used to assess clinical skills during medical training. The objective assessment of practical skill proficiency is not currently widespread. Cumulative sum charts have been used in several branches of medicine for the audit of practical procedural success. In this paper, we describe our use of cumulative sum scoring to present and determine competency in peripheral venous cannulation for medical students.

[1]  R Porcher,et al.  Quantitative and individualized assessment of the learning curve using LC‐CUSUM , 2008, The British journal of surgery.

[2]  C. Oliver.  Developing and maintaining an assessment system: A PMETB guide to good practice , 2007 .

[3]  S. Connor,et al.  Cumulative sum (Cusum) analysis provides an objective measure of competency during training in endoscopic retrograde cholangio-pancreatography (ERCP). , 2009, HPB : the official journal of the International Hepato Pancreato Biliary Association.

[4]  V. Naik,et al.  Cusum analysis is a useful tool to assess resident proficiency at insertion of labour epidurals , 2003, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[5]  I. Kestin,et al.  A statistical approach to measuring the competence of anaesthetic trainees at practical procedures. , 1995, British journal of anaesthesia.

[6]  M. Purva,et al.  CUSUM analysis to assess competence: what failure rate is acceptable? , 2010, The clinical teacher.

[7]  G. Grunkemeier,et al.  Cumulative sum techniques for assessing surgical results. , 2003, The Annals of thoracic surgery.

[8]  Getúlio Rodrigues de Oliveira Filho,et al.  The Construction of Learning Curves for Basic Skills in Anesthetic Procedures: An Application for the Cumulative Sum Method , 2002, Anesthesia and analgesia.

[9]  C. Runcie.  Assessing the performance of a consultant anaesthetist by control chart methodology * , 2009, Anaesthesia.

[10]  Stefan Steiner,et al.  Direct comparison of risk-adjusted and non-risk-adjusted CUSUM analyses of coronary artery bypass surgery outcomes. , 2006, The Journal of thoracic and cardiovascular surgery.

[11]  S M Williams,et al.  Quality control: an application of the cusum. , 1992, BMJ.

[12]  Get lio Rodrigues de Oliveira Filho,et al.  The construction of learning curves for basic skills in anesthetic procedures: an application for the cumulative sum method. , 2002 .

[13]  Luc Noyez,et al.  Control charts, Cusum techniques and funnel plots. A review of methods for monitoring performance in healthcare. , 2009, Interactive cardiovascular and thoracic surgery.

[14]  R. McCahon,et al.  Cumulative sum (CUSUM) assessment and medical education: a square peg in a round hole , 2011, Anaesthesia.