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Can simulation-based team resource management training help students to pass entrustable professional activities 13?

Tung-Wen Ko1, Sheng-Hui Hung1, Yung-Lung Wu2

  • 1Quality Management Center, Cathay General Hospital, Taipei, Taiwan.

BMJ Simulation & Technology Enhanced Learning
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PubMed
Summary

Simulation-based team resource management (TRM) training effectively improved postgraduate physicians

Keywords:
entrustable professional activitiesmedical educationpatient safetysimulation-based TRM training

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Area of Science:

  • Medical Education
  • Healthcare Simulation
  • Teamwork and Communication

Background:

  • Simulation technology is increasingly used in healthcare for Team Resource Management (TRM) training.
  • Hospitals utilize TRM training to enhance physician skills and patient safety.
  • Entrustable Professional Activities (EPA) 13 requires specific competencies in physician training.

Purpose of the Study:

  • To investigate the effectiveness of a simulation-based TRM training (SBTRM) scenario.
  • To assess the SBTRM's ability to meet the requirements of EPA 13 for postgraduate physicians.
  • To evaluate the impact of SBTRM on physician teamwork and patient safety awareness.

Main Methods:

  • A total of 61 physicians participated in the SBTRM program.
  • The SBTRM curriculum focused on core teamwork skills.
  • Trainee performance was evaluated by clinical instructors using a 15-item questionnaire assessing communication, situation monitoring, attitudes, and clinical treatment.

Main Results:

  • 75% of trainees found the simulation realistic and beneficial for adapting to changing conditions.
  • Over 80% demonstrated effective communication and appropriate clinical treatment.
  • Overall teamwork and patient safety performance reached a 'good' level, with room for improvement in understanding 'nursing work' definitions.

Conclusions:

  • The designed SBTRM and evaluation form align with EPA 13 requirements.
  • Simulation-based training enhances physicians' systematic thinking in patient care.
  • This training is expected to improve safety awareness among first-year postgraduate physicians.