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Improving Pediatric Trauma Education by Teaching Non-technical Skills: A Randomized Controlled Trial
Fabio Botelho1, Ayla Gerk2, Jason M Harley3
1Department of Surgery, McGill University, Montreal General Hospital, Montreal, Canada; Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, Montreal, Canada.
Journal of Pediatric Surgery
|February 18, 2024
Summary
Structured debriefing significantly improved non-technical skills (NTS) and trauma protocol adherence in medical students during pediatric trauma simulations. This training is vital for enhancing pediatric trauma care.
Area of Science:
- Medical Education
- Trauma Care
- Simulation-Based Learning
Background:
- Pediatric trauma is a leading cause of mortality in children.
- Gaps in health providers' non-technical skills (NTS) contribute to patient care errors.
- This study addresses the need for improved NTS in pediatric trauma management.
Purpose of the Study:
- To evaluate the effectiveness of a structured debriefing protocol in enhancing NTS.
- To assess the impact of NTS training on pediatric trauma simulation performance.
- To improve adherence to trauma care protocols.
Main Methods:
- A randomized control trial involving 45 medical students from Brazil and Canada.
- Intervention group received structured NTS debriefing; control group received standard ATLS debriefing.
- NTS assessed using NOTSS scores; performance measured by protocol adherence and self-reported confidence.
Main Results:
- Structured debriefing significantly improved overall NOTSS scores and all subcategories (situational awareness, decision-making, communication, teamwork, leadership).
- Intervention group showed significantly better adherence to trauma protocol steps.
- Student confidence in leading resuscitation increased across both groups.
Conclusions:
- Structured debriefing focusing on NTS is effective in enhancing these skills among medical students.
- NTS training improves protocol adherence in simulated pediatric trauma scenarios.
- Findings support the integration of NTS training into pediatric trauma education curricula.
