Clinical Development Grid

This tool is designed to capture real-time assessment of a simulation participants’ performance. The tool is based on Miller's Pyramid^[1]. It should be used to capture what is happening during a simulation or live patient encounter and is a tool to help debreif the event. Helping the learner reflect on their gaps in knowledge or practice.

As the grid is designed, bear in mind, the purpose of each column:

• Knows: attests the participant has baseline knowledge, example: Attends didactic learning associated with topic.
• Knows How: indicates the participant can utilize the knowledge, example: Can Identify abnormal vital signs.
• Shows How: stipulates the participant matched knowledge to a situation, example: Establishes Safety net: places patient on cardiac monitor, obtains IV access.
• Does:reveals the participant exercises clinical judgement, they can use knowledge in the appropriate situation and initiate the next steps, example: Identifies a patient in critical condition, obtains an MD, communicates concerns.

This tool is designed to measure performance from basic knowledge (Knows) on the left to more advanced practice application on the right (Does). Each column can display up to 10 items. Items can be captured as True/False or a count of how many times that action was witnessed. Each item can be commented on. Comments are timestamped. 

The default view contains two List Views, both can be sorted and searched, the first lists the grids, the next includes completed grids.