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Related Experiment Video

Updated: Feb 8, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Evaluation of TEAM dynamics before and after remote simulation training utilizing CERTAIN platform.

Kelly M Pennington1,2, Yue Dong1,2, Hongchuan H Coville1

  • 1a METRIC Group , Mayo Clinic , Rochester , MN , USA.

Medical Education Online
|June 19, 2018
PubMed
Summary

Remote simulation training for interdisciplinary teams improved team dynamics and task completion during simulated crises. Despite challenges with language and video quality, virtual training shows feasibility for enhancing teamwork in healthcare.

Keywords:
ICU educationTeamworkresuscitationsimulationteam dynamics

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Area of Science:

  • Medical Education
  • Teamwork and Communication
  • Healthcare Simulation

Background:

  • Effective teamwork is crucial for patient safety during acute medical crises.
  • Traditional in-person simulation training can be resource-intensive and geographically limited.
  • Remote simulation offers a potential solution for widespread, accessible team training.

Purpose of the Study:

  • To assess the feasibility of long-distance, remote simulation training for interdisciplinary healthcare teams.
  • To evaluate the impact of remote simulation training on team dynamics and performance during simulated acute crises.

Main Methods:

  • A prospective study evaluated team dynamics before and after remote simulation training using the Checklist for Early Recognition and Treatment of Acute Illness (CERTAIN).
  • Interdisciplinary teams from nine sites in eight countries participated.
  • Team performance was assessed using the validated Team Emergency Assessment Measure (TEAM) questionnaire by independent reviewers.

Main Results:

  • Six out of nine teams showed overall improvement in global team performance after CERTAIN virtual training.
  • Trends toward improvement were observed across all 11 TEAM assessment items.
  • Greatest improvements were noted in timely task completion and team leader communication, while 'team composure and control' showed the least improvement.

Conclusions:

  • Long-distance, virtual simulation training is a feasible method for assessing and potentially improving team dynamics in simulated patient crises.
  • While effective, barriers such as language and video quality need to be addressed for optimal remote training outcomes.