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Self-Debriefing vs Instructor Debriefing in a Pre-Internship Simulation Curriculum: Night on Call.

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Summary
This summary is machine-generated.

Simulation-based education using self-debriefing (S-DB) showed comparable learner performance assessment (SPA) to facilitator-led debriefing (F-DB). However, team-performance assessment (TPA) was higher with S-DB, suggesting its effectiveness in teamwork training.

Keywords:
assessmentevaluationpatient simulationproblem based learningself-debriefingteaching methodsteamwork

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Area of Science:

  • Medical Education
  • Simulation-Based Education
  • Teamwork Training

Background:

  • Traditional facilitator-led debriefing (F-DB) is a cornerstone of simulation-based education (SBE).
  • Exploring alternative debriefing methods like self-debriefing (S-DB) is crucial for scalability and efficiency in medical training.

Purpose of the Study:

  • To compare learner self-performance assessment (SPA) and team-performance assessment (TPA) between S-DB and F-DB in SBE.
  • To evaluate the effectiveness of S-DB as an alternative to F-DB for internship preparation.

Main Methods:

  • Fifty-seven learners participated in SBE using the "One-Night-On-Call" curriculum, randomized into F-DB or S-DB teams.
  • Participants completed SPA and TPA questionnaires after the first and final acute care scenarios.
  • Statistical analysis compared SPA and TPA scores between the two debriefing groups.

Main Results:

  • Overall learner SPA and TPA scores improved significantly from the first to the final scenario (P <.05).
  • No significant difference was found in overall SPA scores between F-DB and S-DB cohorts.
  • The S-DB cohort demonstrated significantly higher average TPA scores (14.1) compared to the F-DB cohort (12.8) (P =.001).

Conclusions:

  • Self-debriefing (S-DB) is an effective strategy, yielding comparable learner self-assessment to facilitator-led debriefing (F-DB).
  • S-DB may be superior for enhancing team performance assessment in simulation-based teamwork training.
  • S-DB offers a scalable solution by potentially reducing faculty requirements in SBE.