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TEAMs go VR-validating the TEAM in a virtual reality (VR) medical team training
Rafael Wespi1,2, Lukas Schwendimann3, Andrea Neher3,4
1Department of Emergency Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. rafael.wespi@bluewin.ch.
Advances in Simulation (London, England)
|September 11, 2024
Summary
The Team Emergency Assessment Measure (TEAM) tool reliably assesses healthcare students in virtual reality (VR) training. This validates VR as an effective method for interprofessional team assessment and medical education.
Area of Science:
- Medical Education Technology
- Healthcare Simulation
- Teamwork Assessment
Background:
- Inadequate collaboration in healthcare contributes to medical errors, underscoring the need for effective interdisciplinary teamwork training.
- Virtual reality (VR) simulation offers a cost-effective method for immersive training experiences.
- Evaluating assessment tools within VR training is crucial for refining educational methodologies.
Purpose of the Study:
- To evaluate the effectiveness of the Team Emergency Assessment Measure (TEAM) for assessing healthcare student teams in VR environments.
- To determine the reliability and validity of the TEAM tool in a VR simulation context.
- To enhance interprofessional team training methodologies through validated assessment in virtual reality.
Main Methods:
- Forty-two medical and nursing students engaged in a VR-based neurological emergency scenario.
- The modified TEAM tool was utilized by two trained coders to assess student team performance.
- Reliability (intraclass correlation coefficients, Cronbach's alpha) and concurrent validity were statistically analyzed.
Main Results:
- High inter-rater agreement was observed for TEAM's leadership, teamwork, and task management domains (ICC: 0.75–0.90).
- The TEAM tool demonstrated strong internal consistency (Cronbach's alpha = 0.89) and acceptable domain consistency.
- Significant correlations between TEAM scores and global performance ratings confirmed strong concurrent validity.
Conclusions:
- The TEAM tool is a reliable and valid instrument for assessing team dynamics in VR-based healthcare training.
- VR simulation is a valuable tool for enhancing medical education, particularly for remote or distanced learning.
- This study validates a dependable method for team performance assessment, advancing VR-based medical training and interdisciplinary education.

