CHSOS PRACTICE CERTIFICATION
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ What are the 6 hierarchical levels of Bloom Taxonomy?.
Answer: The revised Bloom taxonomy has six hierarchical levels:
remember, understand, apply, analyze, evaluate, and createRemember-
Recall and understanding show basic knowledge of a topic. When a learner
moves to the evaluation phase, he/she has the ability to diagnose and treat
but move beyond that towards critically appraising other
methods.UnderstandApply- When a learner applies information, he/she can
show how they understand the knowledge and use it in clinical
practice.AnalyzeEvaluateCreate
◍ What type of simulation is stopped repeatedly during the scenario? When is
this type of simulation used?.
Answer: RAPID CYCLE DELIBERATIVE: Feedback in rapid cycle
deliberative practice comes during multiple pauses, and micro debriefs
within the scenario. Microdebriefing and the subsequent repetition of some
or all of the scenarios allow for the incorporation of this feedback during
iterative cycles of the simulation. Rapid cycle deliberative practice allows
for multiple learning points to be addressed during different micro debriefs.
Highly scripted, algorithmic cases, such as those in a resuscitation, have
been studied for use in rapid cycle deliberative practice.
◍ Electromagnetic Interference.
Answer: Disruption caused by one device affecting another.
◍ A medical simulation program has been started at a facility. While
participants seem to enjoy their simulation scenarios, the post-course
surveys suggest that they would like better-quality feedback on how they
, have done. Before the next simulation course, a literature review of recent
trends in simulation debriefing is done, and a new debriefing technique is
considered to improve the learning experience. Which of the following
innovations is most likely to improve the quality of debriefing for the
participants?.
Answer: Giving observers specific tasks to complete while they observe
their peers during a scenario and using these during the feedback session.
There is some evidence for the use of "collaboration scripts," which are
instructional tools with content-specific roles and activities for non-active
participants to complete while they watch others. These may result in better
quality feedback for the participants at the end of each scenario.
◍ Asystole.
Answer: Absence of heart and respiratory function.
◍ Under-exposed Image.
Answer: Insufficient light resulting in dark photographs.
◍ Over-exposed Image.
Answer: Excessive light leading to bright photographs.
◍ Inspection and Cleaning Schedule.
Answer: Routine checks to prevent major equipment issues.
◍ High-fidelity simulation is appropriate at all four levels of Miller's pyramid
of clinical competence. What are all four levels of Miller's pyramid of
clinical competence? And examples of how each level is tested..
Answer: An understanding of educational principles such as Miller's
pyramid of clinical competence and Benner's novice-to-expert model, guide
the determination of the appropriate level of fidelity."Shows how" refers to
the demonstration of clinical skills, which can be tested by OSCE,
standardized patients, clinical exams, etc. (competency)."Does" refers to the
top of the pyramid and correlates to daily patient care, which can be
assessed by direct observation in clinical settings (performance)."Knows
how" refers to the application of knowledge and can be tested by clinical
problem-solving."Knows" refers to the bottom of the pyramid and correlates
, with knowledge, which can be tested by written exams.
◍ Miller's pyramid and how it is tested (simplified).
Answer: Knows- written examsKnows how- clinical problem solvingShows
how- OSCE, clinical examsDoes- direct observation in clinical setting In
Miller's pyramidal model, a learner progresses from knowledge (having
knowledge about a procedure) to competence (having knowledge about how
to do a procedure) to performance (being able to demonstrate the procedure)
to action (actually performing the procedure in the field).
◍ What are latent organizational weaknesses?.
Answer: unknown human errors in a system from the past that do not
surface until triggered by another event. "If you pit a good performer against
a bad system, the system will win every time."
◍ what is deliberate practice?.
Answer: Deliberate practice is an educational framework that encompasses
defined and achievable learning objectives, focussed and repetitive practice,
and informative and personalized feedback in the form of a debrief. These
factors ensure that set tasks and skills can be practiced, and feedback can be
delivered in a consistent and highly educational format.Simulation with
deliberate practice has been shown to be more effective than traditional
methods of teaching in multiple studies. However, simulation cannot replace
the benefits of actual clinical experience.Deliberate practice is an insight
into the skills we are learning. This insight allows for further development,
and if performed several times, the learner becomes a teacher and can
modify the technique based on experience.Deliberate practice is a higher
level of understanding and learning where the mechanical part of a skill has
already being dominated as well as the functionality of the
procedure.Deliberate practice is not just a mechanical achievement. It is also
having an insight into the procedures we are performing as well as
understanding the steps.
◍ Crowd-Sourced Assessment of Technical Skills (C-SATS).
Answer: Crowdsourcing refers to a model used by an organization in which
, unbiased observers or "the crowd" perform a service. In procedural skills
assessment, a video recording of the performance is shared with the crowd,
and then they are asked to evaluate the performance using an assessment
instrument.The crowd is usually comprised of a big number of observers
that are trained to examine the videos using the same instructions.Increasing
evidence is showing that the crowd assessment correlates with surgical
experts demonstrating that crowd-sourcing can be used as an objective
evaluation method.
◍ What is a global rating scale?.
Answer: Global rating scales (GRS) uses a rating scale to evaluate the
quality of the skill developed during the training. GRS can be developed to
evaluate both objective and subjective criteria for evaluation. GRS can be
used for evaluating non-technical skills like coordination and
communication skills, which are essential for enhancing the outcomes in
disaster medicine.
◍ EP vs SP.
Answer: The ideal use of EPs (embedded Simulation Personnel) includes
scripting and training all roles and teaching them the timing of the scenario
as well as its learning objectives. EPs should also be included in rehearsal
simulation scenarios and offered feedback on their role.Vs Standardized
Patient
◍ Direct Cost vs Opportunity Cost vs Material Cost vs Indirect Cost.
Answer: This is a prime example of an opportunity cost (Physician
volunteers 10 hrs each week doing sim). The physician is presumably giving
up some clinical time in order to teach. This clinical time given up, unless
compensated in otherways represents lost income. This is an opportunity
cost to the physician that is not realized by the simulation center; however, it
should be considered.A material cost would supply such as central line kits,
mannequin, endotracheal tubes and etc.An indirect cost can be thought of as
a cost that is realized but not directly spent on simulation such as building
maintenance, upkeep, utilities, etc.
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ What are the 6 hierarchical levels of Bloom Taxonomy?.
Answer: The revised Bloom taxonomy has six hierarchical levels:
remember, understand, apply, analyze, evaluate, and createRemember-
Recall and understanding show basic knowledge of a topic. When a learner
moves to the evaluation phase, he/she has the ability to diagnose and treat
but move beyond that towards critically appraising other
methods.UnderstandApply- When a learner applies information, he/she can
show how they understand the knowledge and use it in clinical
practice.AnalyzeEvaluateCreate
◍ What type of simulation is stopped repeatedly during the scenario? When is
this type of simulation used?.
Answer: RAPID CYCLE DELIBERATIVE: Feedback in rapid cycle
deliberative practice comes during multiple pauses, and micro debriefs
within the scenario. Microdebriefing and the subsequent repetition of some
or all of the scenarios allow for the incorporation of this feedback during
iterative cycles of the simulation. Rapid cycle deliberative practice allows
for multiple learning points to be addressed during different micro debriefs.
Highly scripted, algorithmic cases, such as those in a resuscitation, have
been studied for use in rapid cycle deliberative practice.
◍ Electromagnetic Interference.
Answer: Disruption caused by one device affecting another.
◍ A medical simulation program has been started at a facility. While
participants seem to enjoy their simulation scenarios, the post-course
surveys suggest that they would like better-quality feedback on how they
, have done. Before the next simulation course, a literature review of recent
trends in simulation debriefing is done, and a new debriefing technique is
considered to improve the learning experience. Which of the following
innovations is most likely to improve the quality of debriefing for the
participants?.
Answer: Giving observers specific tasks to complete while they observe
their peers during a scenario and using these during the feedback session.
There is some evidence for the use of "collaboration scripts," which are
instructional tools with content-specific roles and activities for non-active
participants to complete while they watch others. These may result in better
quality feedback for the participants at the end of each scenario.
◍ Asystole.
Answer: Absence of heart and respiratory function.
◍ Under-exposed Image.
Answer: Insufficient light resulting in dark photographs.
◍ Over-exposed Image.
Answer: Excessive light leading to bright photographs.
◍ Inspection and Cleaning Schedule.
Answer: Routine checks to prevent major equipment issues.
◍ High-fidelity simulation is appropriate at all four levels of Miller's pyramid
of clinical competence. What are all four levels of Miller's pyramid of
clinical competence? And examples of how each level is tested..
Answer: An understanding of educational principles such as Miller's
pyramid of clinical competence and Benner's novice-to-expert model, guide
the determination of the appropriate level of fidelity."Shows how" refers to
the demonstration of clinical skills, which can be tested by OSCE,
standardized patients, clinical exams, etc. (competency)."Does" refers to the
top of the pyramid and correlates to daily patient care, which can be
assessed by direct observation in clinical settings (performance)."Knows
how" refers to the application of knowledge and can be tested by clinical
problem-solving."Knows" refers to the bottom of the pyramid and correlates
, with knowledge, which can be tested by written exams.
◍ Miller's pyramid and how it is tested (simplified).
Answer: Knows- written examsKnows how- clinical problem solvingShows
how- OSCE, clinical examsDoes- direct observation in clinical setting In
Miller's pyramidal model, a learner progresses from knowledge (having
knowledge about a procedure) to competence (having knowledge about how
to do a procedure) to performance (being able to demonstrate the procedure)
to action (actually performing the procedure in the field).
◍ What are latent organizational weaknesses?.
Answer: unknown human errors in a system from the past that do not
surface until triggered by another event. "If you pit a good performer against
a bad system, the system will win every time."
◍ what is deliberate practice?.
Answer: Deliberate practice is an educational framework that encompasses
defined and achievable learning objectives, focussed and repetitive practice,
and informative and personalized feedback in the form of a debrief. These
factors ensure that set tasks and skills can be practiced, and feedback can be
delivered in a consistent and highly educational format.Simulation with
deliberate practice has been shown to be more effective than traditional
methods of teaching in multiple studies. However, simulation cannot replace
the benefits of actual clinical experience.Deliberate practice is an insight
into the skills we are learning. This insight allows for further development,
and if performed several times, the learner becomes a teacher and can
modify the technique based on experience.Deliberate practice is a higher
level of understanding and learning where the mechanical part of a skill has
already being dominated as well as the functionality of the
procedure.Deliberate practice is not just a mechanical achievement. It is also
having an insight into the procedures we are performing as well as
understanding the steps.
◍ Crowd-Sourced Assessment of Technical Skills (C-SATS).
Answer: Crowdsourcing refers to a model used by an organization in which
, unbiased observers or "the crowd" perform a service. In procedural skills
assessment, a video recording of the performance is shared with the crowd,
and then they are asked to evaluate the performance using an assessment
instrument.The crowd is usually comprised of a big number of observers
that are trained to examine the videos using the same instructions.Increasing
evidence is showing that the crowd assessment correlates with surgical
experts demonstrating that crowd-sourcing can be used as an objective
evaluation method.
◍ What is a global rating scale?.
Answer: Global rating scales (GRS) uses a rating scale to evaluate the
quality of the skill developed during the training. GRS can be developed to
evaluate both objective and subjective criteria for evaluation. GRS can be
used for evaluating non-technical skills like coordination and
communication skills, which are essential for enhancing the outcomes in
disaster medicine.
◍ EP vs SP.
Answer: The ideal use of EPs (embedded Simulation Personnel) includes
scripting and training all roles and teaching them the timing of the scenario
as well as its learning objectives. EPs should also be included in rehearsal
simulation scenarios and offered feedback on their role.Vs Standardized
Patient
◍ Direct Cost vs Opportunity Cost vs Material Cost vs Indirect Cost.
Answer: This is a prime example of an opportunity cost (Physician
volunteers 10 hrs each week doing sim). The physician is presumably giving
up some clinical time in order to teach. This clinical time given up, unless
compensated in otherways represents lost income. This is an opportunity
cost to the physician that is not realized by the simulation center; however, it
should be considered.A material cost would supply such as central line kits,
mannequin, endotracheal tubes and etc.An indirect cost can be thought of as
a cost that is realized but not directly spent on simulation such as building
maintenance, upkeep, utilities, etc.
