Identifying Nontechnical Skill Deficits in Trainees Through Interdisciplinary Trauma Simulation.

Autor: Sullivan S; Department of Surgery, University of Wisconsin, Madison, Wisconsin. Electronic address: sullivans@surgery.wisc.edu., Campbell K; UW Health Clinical Simulation Program, Madison, Wisconsin., Ross JC; Department of Emergency Medicine, University of Wisconsin, Madison, Wisconsin., Thompson R; Department of Emergency Medicine, University of Wisconsin, Madison, Wisconsin., Underwood A; Department of Surgery, University of Wisconsin, Madison, Wisconsin., LeGare A; Nursing, UWHC Emergency Services, Madison, Wisconsin., Osman I; Department of Surgery, University of Wisconsin, Madison, Wisconsin., Agarwal SK; Department of Surgery, University of Wisconsin, Madison, Wisconsin., Jung HS; Department of Surgery, University of Wisconsin, Madison, Wisconsin.
Jazyk: angličtina
Zdroj: Journal of surgical education [J Surg Educ] 2018 Jul - Aug; Vol. 75 (4), pp. 978-983. Date of Electronic Publication: 2017 Nov 16.
DOI: 10.1016/j.jsurg.2017.10.007
Abstrakt: Objective: The goal of this study was to investigate nontechnical skills in a simulated trauma setting both before and after a debriefing session in order to better understand areas to target for the development of educational interventions.
Design: Wilcoxon signed rank tests were used to compare scores on the 5 domains of the T-NOTECHS pre- and postdebriefings. A qualitative analysis using the PEARLS debriefing framework was performed to provide a rich description of the strategies used by the debriefing facilitators.
Setting: The Joint Trauma Simulation Program is an interdisciplinary project designed to improve the quality of trauma care through simulation exercises emphasizing nontechnical skills development.
Participants: Thirteen teams of 5 trauma trainees participated in trauma resuscitation simulations: a surgical chief resident, a surgical junior resident, an emergency medicine resident, and 2 emergency medicine nurses.
Results: Teams significantly improved on communication and interaction skills in the simulation scenarios from pre- to postdebriefing. The debrief facilitators spent most of their time engaged in Directive Performance Feedback (56.13%).
Conclusions: Interprofessional team simulation in trauma resuscitation scenarios followed by debriefing differently affected individual nontechnical skills domains. Additional facilitation strategies, such as focused facilitation and encouraging learner self-assessment, may target other nontechnical skills in different ways.
(Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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