Competencies to Assess Anesthesiologist Clinical Performance in Simulator

Intrinsic Competencies
Communicator	Clear/concise, verbal and nonverbal, closed loop technique, share information -- "think aloud," orient new members, exchange information, listen to team input.
Collaborator	Should stay calm and in control during crisis, demonstrate authority and leadership or respond appropriately to leadership.
	Clear understanding of his/her roles within the team. Support each other.
Manager	Formulate a plan in advance; establish priorities with appropriate use of key resources.
	Ask for help appropriately.
Professional	Maintain standards of care, mutual respect, ethics and legal codes.
	Team members refer to established protocols.
	Disagreements or conflicts among team members are addressed.
Health advocate	Attention to patient/team safety risks and needs.
Scholar	Teaching and demonstrating reflective learning.
	Application and translation of medical knowledge beyond algorithms (eg, critically evaluate information and its sources; apply this appropriately to practice decisions).
Medical Expert Competencies
Situation awareness	Attention/vigilance. Frequent scan of environment (monitors).
	Anticipate likely events.
Medical history	Gather information, medical history.
Examine patient/equipment	Quick problem-directed physical exam.
	Quick check of equipment/monitors.
Diagnosis/differentials	Recognize the problem and communicate.
	Consider differentials.
Confirmation/investigations	Order and interpret appropriately pertinent labs/images/monitors.
Medical therapeutic	Compensatory and specific agent or medication, time, dose, route, and response.
	May use checklists and reminders.
Procedure therapeutic	Compensatory and specific procedure/intervention, time, technique, and response.
Deal with changing situations	Reassess/re-evaluate. Recognize changes.

http://www.medscape.com/viewarticle/805274?nlid=31745_921