2022
All clinical stressors are not created equal: Differential task stress in a simulated clinical environment
Joseph M, Ray JM, Chang J, Cramer LD, Bonz JW, Yang TJ, Wong AH, Auerbach MA, Evans LV. All clinical stressors are not created equal: Differential task stress in a simulated clinical environment. AEM Education And Training 2022, 6: e10726. PMID: 35368506, PMCID: PMC8923648, DOI: 10.1002/aet2.10726.Peer-Reviewed Original ResearchEM residentsEmergency medicineHeart rate variabilitySimulation-based medical educationSimulated patient encountersSimulated clinical environmentInterpersonal challengesClinical stressorsPatient encountersSimulated encountersIncreased distressEmergency departmentMedical educationMedical difficultiesMeasuring heart rate variabilityClinical environmentControlled trialsRate variabilityResponses of participantsState QuestionnaireStatistically significant differenceSmart shirtResidentsDistressParticipants
2020
A Novel Application of the Modified Angoff Method to Rate Case Difficulty in Simulation-Based Research
Joseph MN, Chang J, Buck SG, Auerbach MA, Wong AH, Beardsley TD, Reeves PM, Ray JM, Evans LV. A Novel Application of the Modified Angoff Method to Rate Case Difficulty in Simulation-Based Research. Simulation In Healthcare The Journal Of The Society For Simulation In Healthcare 2020, 16: e142-e150. PMID: 33273423, DOI: 10.1097/sih.0000000000000530.Peer-Reviewed Original ResearchConceptsModified Angoff methodPostgraduate year 3Angoff methodHeart rate variabilityMixed effects analysis of varianceEmergency medicine physiciansParticipants' heart rate variabilityIntraclass correlation coefficientTwenty-five residentsPercentage of participantsResident physiciansMixed effects analysisSimulation educationPredictors of heart rate variabilityMedicine physiciansEstimated percentageComparing scoresExpert consensusHeart rate variability changesMedical simulationAnalysis of varianceYear 3Angoff ratingsSimulation usePhysicians