Mandatory Assessment Research Articles

Protecting Investors From Themselves: Evidence From a Regulatory Intervention

Retail investors in securities suffer from biases and consequent investment under-performance. A plausible approach to improving this is to restrict the least skilful investors. I investigate an intervention which includes a mandatory assessment of investment knowledge and experience. I study the empirical relationship between investors’ actual investment portfolio outcomes, and their assessment results. Those assessed as “competent” made fewer mistakes, as benchmarked by a range of normative models. I show that the assessment is able to weakly screen out unskilled investors. However, the intervention’s high misclassification rate, under an analysis favorable to the scheme, highlights the challenges of this approach.

Mandatory Pain Assessment in a Pediatric Emergency Department: Failure or Success?: A Retrospective Study.

Pain control is a priority in patient evaluation. Despite the proliferation of guidelines, pain is still underassessed and undertreated, especially in children. To improve efficiency and to adhere to best medical practice, our triage software was upgraded; it included mandatory pain scoring for the admission of a child to the pediatric emergency service, thereby limiting the chances of overlooking a child experiencing pain. We conducted this study to verify the effect of routine versus mandatory pain scoring on pain management under the hypothesis that mandatory pain assessment would improve reevaluation and pain treatment. This retrospective case-control study was conducted in our Pediatric Emergency Department (ED). We collected data with regard to pain assessment and reassessment at triage and during the entire stay in the ED, and also with regard to the drugs eventually administered. We reviewed the charts of 1274 patients admitted with the older triage software and those of 1262 patients admitted with the newer triage software (intervention group). Pain was evaluated significantly more frequently in the intervention group at triage, during the medical evaluation, and at discharge. In the intervention group, a smaller percentage of patients were treated for pain at both triage and during their stay in the ED (P=0.078 and 0.048). Pain reassessment resulted lower in the intervention group (P<0.01). Mandatory pain assessment improved the pain evaluation rate. This did not, however, translate into better treatment and management of pain in the pediatric emergency setting.

Luminescent determination of residues of trazodon hydrochloride and melatonin after cleaning pharmaceutical equipment

A prerequisite for ensuring the quality of medicines is their production in accordance with the rules of GMP (Good Manufacturing Practice for Medicinal Products), one of the most important requirements of which is equipment cleaning. In many cases, the same equipment is used in the production of various preparations. Therefore, to prevent contamination of each of the following drugs, the previous one, it is very important to carry out an effective equipment cleaning procedure with a mandatory assessment of its purity.&#x0D; The purpose of this study was to develop simple, express, selective methods for luminescent determination of residual quantities of APIs of trazodone hydrochloride (TG) and melatonin (MT) in washes to control the completeness of their removal when cleaning process equipment.&#x0D; The excitation and luminescence spectra were recorded using a Cary Eclipse "Varian" spectrofluorimeter (Australia) with a xenon lamp 150 W. Electronic absorption spectra were recorded on a UV-2401 PC spectrophotometer «Shimadzu» (Japan).&#x0D; The electronic absorption spectra of TG and MT have absorption bands in the UV spectral region. It was established experimentally that the excitation spectra of TG and MT are similar to their absorption spectra (λex = 318 nm (TG) and λem = 274 nm (MT)). The effect on the luminescence intensity of TG and MT of methanol, ethanol, acetonitrile, dimethylformamide, dimethylsulfoxide, propanol (50 v/v) was studied. It is established that the maximum luminescence is observed in water.&#x0D; The methods were validated according to the following parameters: specificity, linearity, accuracy, limit of quantitation. The degree of extraction of trazodone hydrochloride and melatonin from applicators and surfaces of pharmaceutical equipment is more than 90%. The developed methods can be recommended for determining the residual amounts of trazodone hydrochloride and melatonin while monitoring the quality of the cleaning of pharmaceutical equipment.

Perceived clinical relevance and retention of basic sciences across the medical education continuum.

Medical programs are under pressure to maintain currency with scientific and technical advances, as well as prepare graduates for clinical work and a wide range of postgraduate careers. The value of the basic sciences in primary medical education was assessed by exploring the perceived clinical relevance and test performance trends among medical students, interns, residents, and experienced clinicians. A pilot study conducted in 2014 involved administration of a voluntary 60-item multiple-choice question test to 225 medical students and 4 interns. These participants and 26 teaching clinicians rated the items for clinical relevance. In 2016, a similarly constructed test (main study) was made a mandatory formative assessment, attempted by 563 students in years 2, 4, and 6 and by 120 commencing general practice residents. Test scores, performance trends, clinical relevance ratings, and correlations were assessed using relevant parametric and nonparametric tests. Rank order and pass-fail decisions were also reviewed. The mean test scores were 57% (SD 7.1) and 52% (SD 6.1) for the pilot and main studies, respectively. Highest scores were observed in pathology and social sciences. Overall performance increased with increasing year of study. Test scores were positively correlated with perceived relevance. There were moderate correlations (r = 0.50-0.63; P < 0.001) between participants' scores in the basic science and summative exams. Assessments may be key to fostering relevance and integration of the basic sciences. Benchmarking knowledge retention and result comparisons across topics are useful in program evaluation.

Primary hyperparathyroidism: clinical forms and their features. Retrospective study

Background: Primary hyperparathyroidism (PHPT) is a disease characterized by autonomous production of parathyroid hormone (PTH) from one or more parathyroid glands. Over the past 50 years asymptomatic form of the disease have become more prevalent in developed countries. Aims: To evaluate the clinical forms of PHPT presented in recent years and to specify the clinical and laboratory features in patients with symptomatic and asymptomatic forms of the disease. Materials and methods: We reviewed medical records of 449 patients admitted to three Medical Centers (Saint-Petersburg, Russia) between 2011&ndash;2018. Anamnesis, anthropometric data, laboratory (PTH, serum total calcium and ionized calcium, phosphorus, alkaline phosphatase, 24-h calciuria level, 25(OH)D) and instrumental (ultrasonography, scintigraphy, CT/MRI scan, DXA) tests were analyzed. Results: Patients&rsquo; average age was 59 years, with 93.1% women, and an F:M ratio of 13.5:1. Symptomatic form of&nbsp;PHPT was identified in 310 patients (69%), while 139 were asymptomatic. 4.2% of patients had PHPT as part of&nbsp;MEN syndrome. Almost half of the male population had urolithiasis and 45% of women had osteoporosis. Cardiovascular diseases were present in 64.4% of cases. 25(OH)D level was determined only in 20% of cases and was higher in asymptomatic patients (32.2 &amp; 18.6 ng/ml, p = 0.003). Normocalcemic form of PHPT was diagnosed in&nbsp;37 patients (8.2%) and was characterized not only by normocalcemia and lower PHT level, but also by smaller adenoma size ( p = 0.01) and hypocalcemic syndrome after surgery. Conclusions: Study results showed that symptomatic PHPT is more prevalent in the Russian population, that there are gender distinctions affecting the clinical presentation, and that the frequency of cardiovascular disease is high in this patient population. PHPT as part of MEN syndrome was detected in 4.2% of cases and required molecular genetic testing. Normocalcemic form of PHPT with postoperative hypocalcemia was present in every fourth patient. Rare determination of 25(OH)D level imposes the need of mandatory assessment of vitamin D supplementation and the reduction of its deficiency as part of the preoperative preparation of PHPT patients.

Psychosocial Risk Prevention in a Global Occupational Health Perspective. A Descriptive Analysis

This study aimed to find out which countries around the world require psychosocial hazards and workplace violence to be assessed by employers through a mandatory occupational risk assessment process and to compare the type of legislation between countries. We systematically searched the International Labour Office (ILO) “LEGOSH” database for documents published during the period between December 2017 and February 2018. The search included 132 countries, of which 23 were considered as developed and 109 as developing according to the United Nations. Our review showed that most countries (85, i.e., 64%) have not included mandatory psychosocial risk assessment and prevention in their national occupational safety and health legislation. Moreover, we found differences between developed and developing countries, showing that developed countries more frequently have legislative measures. Within developed countries, we also found differences between countries following the Scandinavian model of workplace health and safety culture and other countries. Moreover, in many countries, workplace violence was prohibited only if it involves an offence to moral or religious customs. In conclusion, the marked difference in psychosocial hazards and workplace violence regulations among countries leads to unequal levels of workers’ protection, with adverse effects on global health.

The implementation of attitude assessment in Curriculum 2013 at elementary schools

This study is aimed at describing the implementation of attitude assessment conducted by teachers starting from the assessment planning, implementation, results processing, its utilization, and the follow-up. This study employed a qualitative and quantitative method. The subject was elementary school teachers in Bekasi city who had taught in classes applying Curriculum 2013. The data were collected using questionnaires and focus group discussions. The result shows that the implementation of attitude assessment had not been done optimally because of teachers’ lack of understanding. Besides, too many techniques of attitude assessment cause teachers to need a lot of time to learn and conduct the assessment. In Curriculum 2013, students’ involvement is emphasized, yet most students were quite passive in class, and there was no dynamic and active discussion in the learning process. It means teachers need to apply different methods to encourage students to be more active. Lastly, the utilization and follow-up of the assessment results were not optimal. Some recommendations that can be proposed are: (1) schools are hoped to be able to provide independent training for the implementation of assessment in Curriculum 2013; (2) mandatory attitude assessment required to be done by each subject teacher is observation, while other required assessments are done by the classroom teacher; (3) variables in attitude assessment needs to be completed and clearly stated especially in social aspects (KI-2), which are accepting and responding; (4) there should be a detailed description of attitude assessment in students’ reports.

List of IMF Member Countries with Delays in Completion of Article IV Consultations or Mandatory Financial Stability Assessments over 18 Months

In accordance with Executive Board Decision No. 15106-(12/21), the Fund will publish on its external website a list of member countries whose Article IV consultations or mandatory financial stability assessments have been delayed by more than 18 months, as of June 15, 2019, since the expected deadline for conclusion.

What are the "characteristic species" of the habitats directive? A new statistics-driven approach connecting species, habitats and key habitat characteristics

A new understanding of ”characteristic species“ according to the Habitats Directive is presented, including a suggested definition from a scientific point of view and practical implementation. The Habitats Directive includes the mandatory evaluation criterion “characteristic species”. Although obligatory, it has largely been neglected and applied inconsistently. Reasons are the undefined character of the term and very different attempts for its interpretation. In several cases, particularly from the field of carabidology, maximum fidelity of the species has been suggested as the best criterion for defining characteristic species. In other words, the species must not occur in any other habitat type, but should be restricted intirely to the habitat it is characteristic for. As a result, for many habitats there are no, or at best very few characteristic species if this definition is strictly applied, and in many cases no characteristic species could be found even in very well-devolped and large-enough sites where the habitat occurs. Here, a completely different definiton is presented. Exclusive fidelity is decidedly not required, since this criterion aims at defining character species, which by definition serve a different purpose, which is defining a habitat, not characterizing its conservation status. The set of characteristic species of a habitat should be defined based on their statistically confirmed affinity to the habitat and an affinity or fidelity to at least one key habitat factor of the habitat type concerned. Such a key factor could be wetness in the case of wetlands, or peaty soil for bog habitats, or scree for ravines, etc. The application of characteristic species in practice, like in the mandatory assessment of projects and plans under article 6 of the habitats directive should primarily focus on the effects of the plan or purpose to be assessed. Out of the pool of characteristic species of a given habitat, those species which depend on the relevant key factors of the habitat which are possibly altered by the project or plan to be assessed can be selected and their well-being evaluated or monitored. In a second application, which is that for management of a site (also under article 6), the degree of completeness of the pool of characteristic species allows the evaluation of the conservation status. Important conclusions as to which key factors might be lacking or are in an insufficient stage can be drawn from the characteristic species missing at a given site. This can be a property related to habitat tradition, size of the habitat, isolation or certain traits of the soil or the stand types to be evaluated, depending on the particular species and their statistically proven requirements.

Wide-scale study of 206 buildings in the Netherlands from 2011 to 2015 to determine the effect of drinking water management plans on the presence of Legionella spp.

Previous analysis of the Dutch National Legionella Outbreak Detection Program 2002–2012 has shown that buildings required to maintain a Legionella control plan for their drinking water installation are more likely to test positive for Legionella spp. Than buildings without such a plan (38% versus 22% of samples). To clarify this discrepancy, we analysed the results of mandatory water sample testing conducted as part of risk assessments in 206 buildings in the Netherlands from 2011 to 2015. Of the 6171 samples analysed, 16.2% exceeded the Dutch drinking water standard for Legionella spp. of 100 CFU/litre. In buildings with ≤50 tap points, the average percentage of samples containing ≥100 CFU/litre was 28.2%, and from buildings with >50 tap points, it was 12.2%. Analysis of serial samples (taken every 6 months) from each building showed that 33.2% of all buildings tested positive for at least one sample every 6 months. The overall increase was 4.4% per year. Analysis of Legionella subgroups showed that while the majority of positive samples contained L. non-pneumophila (96.9%), some samples did contain L. pneumophila serogroup 1 (1.0%) and serogroups 2–14 (2.1%). Our data suggest that the Dutch mandatory risk assessment and drinking water management plan is not sufficiently effective in preventing the proliferation of Legionella spp. and may even contribute to proliferation. This analysis should now be expanded to include other areas of the Netherlands in order to understand the geographical differences that we observed in our results, and why smaller buildings appear to be more likely to test positive for Legionella spp.

Health/Fitness Assessments of Resident Physicians by Exercise Science Interns - Exercise Prescriptions and Follow-Up Measures

Resident physicians’ postgraduate training and fitness status are important predictors of their decision to provide physical activity (PA) counseling to their patients. Providing instruction about these topics within medical education may improve residents’ health/fitness outcomes and increase the likelihood of residents providing PA counseling to their patients. PURPOSE: To assess the health/fitness status of resident physicians during a healthy lifestyle rotation. METHODS: We measured 187 resident physicians’ health/fitness status for one required assessment and two optional follow-up assessments that were on average, 9.5 months apart. Residents learned their results, received an exercise prescription, and were supported by an Exercise Science Student Trainer during one PA session. Residents could then exercise independently at an employee only fitness facility, elsewhere, or not at all. RESULTS: The mean age of the sample was 28.07 + 1.99 yrs. All baseline measures indicated residents were in a healthy (good to above average) range for males (n = 110) and females (N = 77). T-tests were used to evaluate the waist circumference of residents who completed assessments 1 and 2 (n=55). Waist circumference increased from 78.7 + 32.1 cm to 84.3 + 33.7 cm (p<.05). No other measures (BMI, body fat, VO2max, RHR, SBP, DBP, push-up, plank, and sit and reach) were significantly different. ANOVA was used to evaluate those who completed three assessments (n=18). This group experienced an increased BMI (23.9 + 3.51 kg/m2, 24.27 + 4.11 kg/m2, 24.56 + 3.71 kg/m2; p<0.05) and body weight (73.14 + 15.74 kg, 74.05 + 18.1kg, 76.90 + 17.23 kg; p<0.05). No other measures were significantly different. CONCLUSION: Few residents participated in more than the mandatory assessment. Those who volunteered for follow-up demonstrated increases in weight-related measures and no improvement in health/fitness outcomes. Additional supports for residents to participate in PA, achieve or maintain a healthy weight, and maintain or improve health/fitness outcomes is needed to positively influence these factors and increase the likelihood of resident physicians promoting PA to their patients.

Incidence of hip fracture among long-term care insurance beneficiaries with dementia: comparison of home care and institutional care services

BackgroundHip fracture among older adults is not only a major health issue but also preventable by providing proper care, but there is a lack of studies on the association between type of long-term care (LTC) service and hip fracture. This study aimed to investigate the association between the type of LTC service and the incidence of hip fracture among older adults with dementia receiving long-term care insurance (LTCI), and to investigate how such association differs according to characteristics of beneficiaries and structural characteristic of institutional care.MethodIn this retrospective cohort study, data from 2008 to 2013 were collected from 7112 LTCI beneficiaries having benefit level 1 or 2 with dementia aged 60 years or over in the Korean elderly cohort data set. Type of LTC service was categorized into institutional or home care using the LTCI Claims Database, and the incidence of hip fracture was used as the outcome variable. A survival analysis using a time-dependent Cox regression analysis was performed to examine the association between time-varying LTC service type and hip fracture.ResultsOf the 7112 older adults, 115 (1.6%) had hip fracture during a total of 16,540 person-years. Compared to LTC beneficiaries with home care, those with institutional care had a higher adjusted hazards ratio of incidence of hip fracture (hazards ratio = 4.33, 95% confidence interval, 2.84–6.59). This association was particularly strong among beneficiaries who did not have a danger of hip fracture during the mandatory assessment for benefit eligibility, who were partially ambulatory, who were from rural areas, and females.ConclusionsInstitutional care was more likely associated with a higher incidence of hip fracture than home care. The government need to watch the institutional LTC services quality and promote improvements of the institutional care quality.

Immersion and Motivation to Become Teachers: A Comparative Study

This study aims to investigate and compare the relationship between immersion and motivation in two different groups of student teachers who enrolled in an immersion programme. With a group of student teachers whose social and cultural backgrounds are different – one group is from Mainland China and one is from Hong Kong – though they both are of Chinese ethnicity and speak the same Chinese variety, the reasons behind their studying a postgraduate programme and going on an immersion can be different. The method of data collection adopted for this study was a qualitative paradigm. In-depth interviews, both pre- and post-immersion, were conducted. Participants were also encouraged to send e-mails to the researcher during immersion that reflected on their experience. Results show that Mainland participants were motivated by desires to enhance their pedagogical knowledge in EFL teaching in order to satisfy implementation constraints in their homeland. In contrast, Hong Kong participants were primarily interested in improving their language proficiency in order to satisfy the mandatory language assessment required for graduation. Both groups, however, saw cultural enrichment as their secondary reason for undertaking immersion, in that it allowed them to better understand the culture behind the language and thus become better English teachers.

Improving the reliability of energy facilities

The article analyzed and identified the main sources of interference, disrupting the work and reliability indicators of the system, which can lead to malfunction of system of microprocessor relay protection and automation for electric stations and substations, as well as elements and actuators of open distribution devices. According to official data, modern microprocessor-based relay automation systems operate with a reliability coefficient that is not lower than 0.998. Further increase in reliability requires the development of technical measures, namely, requires the use of power and signal cables that must meet the requirements for specific parameters of inductance, capacitance and active resistance, and also requires the use of special placement of cross sections of conductors inside the cable. Secondly, it is shown that to increase the reliability of information transmission it is necessary to switch to serial communication channels, but the amount of information per channel should be strictly limited. The estimation of economic indicators of the system and its dependence on the reliability of the system is given. Thus, with an increase in reliability by 1.5-2 times, it is necessary to increase the cost of design and commissioning of such a system by about 2 times. It is recommended to use in addition to the regulated maintenance procedures a mandatory assessment of the level of interference in the system in order to maintain a stable and reliable operation of the relay automation system. Experimental and calculated data confirmed that the most difficult situation to ensure the reliability of the system is associated with thunderstorms and lightning. This circumstance dictates the necessity of evaluation and measuring the parameters of a common system of earthing. The methods of evaluation and diagnosis of faulty components of the system are proposed.

УТОЧНЕНИЕ ОЦЕНОК СЕЙСМИЧЕСКОГО МИКРОРАЙОНИРОВАНИЯ С ОПТИМИЗАЦИЕЙ АПРИОРНЫХ ДАННЫХ

The work is devoted to the issues of seismic microzonation representativeness, which is amongst the mandatory assessments that precedes civil and industrial construction. In addition to the practical approach and in accordance with the normative documentation, the authors propose parametric interpretation of the remote basis by means of tracing geodynamic zones and elements of the geoblock structure, where the leading marker of seismogenic risk zones is the anomaly of spatial variability of the geofield, coinciding with the discordant intersection of localised land structures. Verification of this marker is achieved by displaying a cartographic distribution image within the range of the seismic point increment, detailed on the basis of approximation dependencies.

OR25-5 High Prevalence of Psychopathologies Among Transgender Subjects Presenting at a Large Tertiary Transgender Health Center: Implication for the Treating Clinicians

Background and aim of study: Although gender dysphoria is no longer considered a mental illness, transgender people are at risk for psychopathologic morbidities. Endocrinologists play a central role in the gender-affirming process that transgender people chose to undergo, and may be ill-prepared to recognize and manage psychologic difficulties already present before, or those that arise during hormone treatment. We sought to characterize the patient population currently under our care, in particular with respect to their mental health, and to address the question of possible differences in psychopathologies between transwomen (TW) and transmen (TM). Methods: Records of all adult transgender people treated during the last decade at the center for transgender health in our medical center were reviewed. Social, demographic, and clinical data were recorded. The mandatory psychological assessment provided at the first visit was inspected for the inclusion of any psychiatric diagnosis. All psychoactive medications taken, addictions, and suicidal or non suicidal self-injury attempts were noted. Results: A total of 405 subjects were followed for a mean duration of 2.4±0.1 y. The cohort consisted of 221 TW, and 184 TM (TW:TM=1.2:1). TM were significantly younger 26.1±7.3 vs 31.3±11, and presented at a younger age 23.6±7.2 vs 29.1±10.7 than TW (P<0.0001 for both). TW tended to be in a relationship more often than TM (35/221, vs 18/184, P=0.08), and to be parents (27/221 vs 9/184, P=0.03). There was no significant difference in the level of education, but TM were more frequently employed than TW (P=0.0002). TM had generally more family and friends support (P=0.04). Despite those differences, TW did not differ from TM in any of the psychopathologies, which were highly prevalent, and well in excess of the rates for the general population . 35% of all subjects had at least one psychiatric diagnosis, and 22% were currently medicated. Major depression was present in 85 subjects (21%), anxiety disorders in 40 (9.9%). 27 subjects had attempted suicide (6.7%), while 10 had self-inflicted non suicidal injuries (2.5%), including one case of self-performed orchiectomy. Smoking was extremely prevalent as 164 subjects smoked (40.5%). Substance abuse and addictions, albeit underreported, were also common and coexisted with smoking in each instance. Alcohol abuse was reported by 2.5%, cannabis by 2.7%, cocaine and heroin abuse by 2.5% each. Assessing the effect of gender reaffirming hormonal therapy on the prevalence or severity of these pathologies was beyond the scope of this study. Conclusions: Our findings highlight the need to prepare endocrinologists for the high prevalence and severity of psychopathologic conditions in transgender people. A mental health professional should be an essential part of any multidisciplinary team of clinicians treating the transgender population.

Ethical, Legal, and Pedagogical Issues in edTPA

The purpose of this article is to address ethical, legal, and pedagogical issues in the use of edTPA, a mandatory and consequential assessment required for teacher candidates in many states. We discuss issues such as the cost of edTPA, implicit bias in scoring teacher candidates, marginalization in K-12 settings, property rights, privacy, and disconnections between the real classroom and what teacher candidates are asked to do in edTPA. At the end of the paper we make three suggestions. First, edTPA can be used as a learning progression assessment, but not a high-stakes assessment. Second, private publishers should play an assistive role, not a dominant role, in teacher education. Third, educators should examine the rubrics of edTPA within and across disciplines to reduce inappropriate practices.

Prediction of school outcome after preterm birth: a cohort study

ObjectiveTo identify if the educational trajectories of preterm infants differ from those of their term peers.DesignThis work is based on the Avon Longitudinal Study of Parents and Children (ALSPAC). Educational...

Overweight and obesity during adolescence increases the risk of renal cell carcinoma.

While overweight among adults has been linked with renal cell carcinoma (RCC) risk, little is known about the potential influence of overweight and obesity during adolescence. To ascertain if adolescent body mass index is associated with subsequent risk of RCC, we identified a cohort of 238,788 Swedish men who underwent mandatory military conscription assessment between 1969 and 1976 at a mean age of 18.5 years. At the time of conscription assessment, physical and psychological tests were performed including measurements of height and weight. Participants were followed through linkage to the Swedish Cancer Registry to identify incident diagnoses of RCC. The association between body mass index (BMI, kg/m2) at conscription assessment and subsequent RCC was evaluated using multivariable Cox regression. During a follow‐up of up to 37 years, 266 men were diagnosed with RCC. We observed a trend for higher RCC risk with increasing BMI during adolescence, where one‐unit increase in BMI conferred a 6% increased risk of RCC (95% CI 1.01–1.10). compared to normal weight men (BMI 18.5‐ < 25), men with overweight (BMI 25‐ < 30) or obesity (BMI ≥30) had hazard ratios for RCC of 1.76 (95% CI 1.16–2.67) and 2.87 (95% CI 1.26–6.25), respectively. The link between overweight/obesity and RCC appear to be already established during late adolescence. Prevention of unhealthy weight gain during childhood and adolescence may thus be a target in efforts to decrease the burden of RCC in the adult population.

Interprofessional Healthcare Student Training in the Care of Sexual Assault Patients Utilizing Standardized Patient Methodology.

The medical assessment of sexual assault (SA) is challenging because SA patients are often hesitant to disclose their medical needs, which puts them at further physical and psychological risk, and because of provider unease in conducting SA examinations. This challenge is compounded by a lack of provider training. The study goals were to develop an interprofessional simulation event that would foster SA interview skills, foster effective communication with SA patients, and increase learner confidence in assessing SA patients. Participants were senior-year school of medicine (n = 165) and advanced practice registered nursing (n = 30) students (N = 195) who were enrolled in a mandatory Military Sexual Assault Assessment and Treatment course, along with data provided by trained standardized patients (SPs, n = 16) who participated in the simulation event and in assessments of learners. Measures included the Sexual Assault Interview Skills Checklist, the Essential Elements of Communication, and the Confidence in SA Assessment scale. Data were analyzed using analysis of variance and t tests at the P < 0.05 threshold. Postsimulation Sexual Assault Interview Skills Checklist and Essential Elements of Communication scores demonstrated an acceptable level of competence according to both students and SPs. Confidence in SA assessment rose significantly from presimulation to postsimulation. Before simulation, medical students were significantly lower than nursing students, but the simulation event closed the confidence in SA assessment gap. This interprofessional simulation event resulted in SA interview competence, communication skills competence, and improved confidence scores. Combined, these findings support the efficacy of simulation to train emerging healthcare providers to properly assess SA.