Simulation-based interdisciplinary education improves intern attitudes and outlook toward colleagues in other disciplines

Autor: Mark J. Bullard, Sean M. Fox, Catherine M. Wares, Alan C. Heffner, Casey Stephens, Laura Rossi
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: BMC Medical Education, Vol 19, Iss 1, Pp 1-10 (2019)
Druh dokumentu: article
ISSN: 1472-6920
DOI: 10.1186/s12909-019-1700-1
Popis: Abstract Background Cooperative interdisciplinary patient care is a modern healthcare necessity. While various medical and surgical disciplines have independent educational requirements, a system-wide simulation-based curriculum composed of different disciplines provides a unique forum to observe the effect of interdisciplinary simulation-based education (IDSE). Our hypothesis: IDSE positively affects intern outlook and attitudes towards other medical disciplines. Methods Using an established interdisciplinary simulation curriculum designed for first year interns, we explored the relative effect of IDSE on between-discipline intern attitudes in a convergent, parallel, mixed-methods study. Data sources included novel pre-post anonymous survey measurements (10-point Likert scale), focus groups, direct observations, and reflective field notes. This quasi-experimental pilot study was conducted at an academic, tertiary care medical center with two cohorts of interns: one exposed to IDSE and one exposed to an independent within-discipline simulation curriculum. Results IDSE exposed interns demonstrated statistically significant improvements when comparing mean pre-test and post-test score differences in five of seven areas: perceived interdisciplinary collegiality ( x¯ $$ \overline{x} $$ = 0.855; p = 0.0002), respect (x̅ = 0.436; p = 0.0312), work interactions ( x¯ $$ \overline{x} $$ = 0.691; p = 0.0069), perceived interdisciplinary attitudes (x̅ = 0.764; p = 0.0031), and comfort in interdisciplinary learning (x̅ = 1.164; p
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