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Queen's University Emergency Medicine Simulation OSCE: an Advance in Competency-Based Assessment.

The use of high-fidelity simulation in emergency medicine (EM) training programs is increasing at a rapid pace. There is abundant evidence supporting the use of simulation-based training for medical education and a growing body of literature demonstrating that simulation is a valid tool for competency assessment. Simulation has the potential to satisfy the need for valid competency-based assessment tools as clinical expertise assessment moves away from traditional knowledgebased examination and towards competency-based methods. We describe the development and experience of the Queen’s University EM post-graduate training program with a simulation-based Objective Structured Clinical Examination (OSCE) for resuscitation and procedural skill competency assessment.