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Communication through simulation: Developing a curriculum to teach interpersonal skills.

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Simulation training can improve surgical team communication skills. This study found that poor communication delayed interventions, highlighting the need for enhanced operating room communication, especially for junior residents.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Patient Safety

Background:

  • Nontechnical issues contribute to up to 60% of surgical adverse events.
  • Developing nontechnical skills is a core competency in surgical education.
  • Simulation-based training offers a method for skill development.

Purpose of the Study:

  • To assess and improve communication skills in interdisciplinary surgical teams.
  • To evaluate the effectiveness of simulation-based crisis training.

Main Methods:

  • A simulated intraoperative tension pneumothorax crisis was designed.
  • Audiovisual analysis evaluated team interaction.
  • Proctored and self-assessments evaluated individual learners; time to communication and intervention was measured.

Main Results:

  • Time from hypotension to communication was 57 ± 60 seconds; time to intervention was 93 ± 30 seconds.
  • Surgery senior residents scored highest in nontechnical skills, while junior residents scored lowest.
  • Junior residents demonstrated the least insight into their nontechnical skills.

Conclusions:

  • Poor communication significantly delayed intervention times.
  • Simulation is a suitable and reproducible model for teaching nontechnical skills to surgical residents.
  • Targeted nontechnical skills training is needed for junior surgery residents.