Education & AdministrationAssessing Competency in Spasticity Management: A Method of Development and AssessmentEscaldi, Steven V. DO; Cuccurullo, Sara J. MD; Terzella, Matthew MD; Petagna, Ann Marie MA, PT; Strax, Thomas E. MDAuthor Information From the Department of Rehabilitation Medicine, UMDNJ-Robert Wood Johnson Medical School, JFK-Johnson Rehabilitation Institute, Edison, New Jersey. All correspondence and requests for reprints should be addressed to: Matthew Terzella, MD, Department of PM&R, JFK-Johnson Rehabilitation Institute, 65 James Street, Edison, NJ 08818-3059. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article. First presented at the Annual Meeting of the Association of Academic Physiatrists, Colorado Springs, CO, February 26, 2009, by Steven V. Escaldi as part of a course titled “Becoming the Best You Can Be: Up-To-Date Ways to Address Procedural Competency and Performance Improvement.” American Journal of Physical Medicine & Rehabilitation: March 2012 - Volume 91 - Issue 3 - p 243-253 doi: 10.1097/PHM.0b013e31823c73bf Buy SDC Metrics Abstract ABSTRACT This project endeavored to create an educational module including methodology to instruct physical medicine and rehabilitation residents in the evaluation and appropriate treatment of patients with spasticity and other sequelae of the upper motor neuron syndrome. It further sought to verify acquired competencies in spasticity management through objective evaluation methodology. A physical medicine and rehabilitation board–certified physician with 10 yrs clinical experience in spasticity management trained 16 residents using a standardized competency-based module. Assessment tools developed for this program address the basic competencies outlined by the Accreditation Council for Graduate Medical Education. The 16 residents successfully demonstrated proficiency in every segment of the evaluation module by the end of the Postgraduate Year 3 spasticity management rotation. Objective measures compared resident scores on an institution-specific standardized test administered before and after training. Resident proficiency in the skills and knowledge pertaining to spasticity management was objectively verified after completion of the standardized educational module. Validation of the assessment tool is evidenced by significantly improved postrotational institution-specific standardized test scores (mean pretest score, 61.1%; mean posttest score, 95.4%) as well as oral testing. In addition, the clinical development tool was validated by residents being individually observed performing skills and deemed competent by a board-certified physical medicine and rehabilitation physician specializing in spasticity management. The standardized educational module and evaluation methodology provide a potential framework for the definition of baseline competency in the clinical skill area of spasticity management. © 2012 Lippincott Williams & Wilkins, Inc.