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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Data Driven Competitive Motivation Strategies in a Longitudinal Simulation Curriculum for Trauma Team Training.

Nicholas Mitrou1, Jason Elzinga1, Jason Cheng2

  • 1Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.

Journal of Surgical Education
|March 6, 2019
PubMed
Summary

This study explored data-driven debriefing for surgical residents in trauma simulations. Performance report cards and video analysis improved technical and nontechnical skills, motivating residents to enhance team performance.

Keywords:
Crisis resource managementDebriefingInterpersonal and Communication SkillsMedical KnowledgePractice-Based Learning and ImprovementSimulationSurgical EducationTrauma

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Area of Science:

  • Medical Education
  • Surgical Training
  • Simulation-Based Learning

Background:

  • Trauma team performance is critical for patient outcomes.
  • Current simulation debriefing methods may lack objective performance metrics.
  • Surgical residents require effective training in both technical and nontechnical skills.

Purpose of the Study:

  • To evaluate a novel data-driven debriefing approach for trauma team simulation.
  • To assess the impact of performance report cards and video analysis on surgical resident skills.
  • To determine the effectiveness of this method in enhancing team performance.

Main Methods:

  • General surgical residents were divided into 5 trauma teams.
  • Teams participated in 4 high-fidelity trauma simulations each.
  • Individualized feedback included performance report cards and video-based assessment of nontechnical skills/Crisis Resource Management (CRM).

Main Results:

  • Learner feedback was positive, rating simulation learning higher than didactic lectures.
  • CRM scores showed improvement over the academic year, though not statistically significant.
  • A strong positive correlation was found between technical and CRM skills.

Conclusions:

  • Data-driven debriefing using report cards is a feasible and acceptable method to improve trainee performance.
  • Positive competitive motivation influenced resident performance enhancement.
  • Further research is needed to confirm CRM score improvements and explore the technical-CRM skill correlation.