Paull D.E, Hoeksema L.J and Williams Linda
The use of simulation-based training is effective in teaching both technical, teamwork and communication skills. This study evaluates learning outcomes among residents following a team training curriculum where residents, equipped with an observational checklist, watched peers immersed in a HFS.
Objective: To evaluate learning outcomes following an observational simulation-based team training curriculum.
Methods: Crew resource management teamwork techniques were taught to an audience of 86 residents and 19 faculty members. A simulation scenario (hypoxia in operating room) utilizing five volunteers demonstrated the techniques. Audience members utilized a validated observational tool, the Clinical Teamwork Scale, to rate teamwork. Debriefing with the audience followed. Next, volunteers, who had observed the first scenario, were solicited to participate in a second scenario (hypoxia on the medical floor). Prior to the beginning and at the conclusion of the training, audience members completed a Self-Efficacy for Teamwork Competency Scale survey.
Results: There was significant improvement in confidence among observers of the scenarios among all eight items on the teamwork survey following simulation training, average 3.77 to 4.37, p<0.01, on a Likert scale of 1 to 5. There was an increase in overall communication on the clinical teamwork scale between the first and final simulation scenario, 5.29 to 6.44, p < 0.01, on a scale of 1-10.
Conclusions: Simulation-based medical team training, utilizing an observational experiential learning model, is associated with improvements in measurable teamwork and communication skills.
A very interesting paper that deals with resource issues in training as much as teaching methodologies. As always, it would be interesting to evaluate the long term effects upon the students.