Leveraging just-in-time simulation to train ad hoc teams.

Area of Science:

• Medical Education
• Healthcare Simulation
• Teamwork and Communication

Background:

• Traditional simulation training for healthcare emergencies is resource-intensive.
• Just-in-time (JIT) methodology offers a potential solution for efficient simulation.
• The effectiveness of JIT simulation for ad hoc teams remains under-explored.

Purpose of the Study:

• To evaluate the perceived impact of JIT teamwork simulation on anesthesiology residents.
• To assess increases in confidence managing emergencies post-simulation.
• To determine improvements in teamwork during overnight call shifts.

Main Methods:

• Anesthesiology residents underwent JIT teamwork simulation before overnight call shifts (2020-2022).
• Post-shift surveys collected feedback on simulation, confidence, and team dynamics.
• Quantitative and qualitative analysis of survey data was performed.

Main Results:

• Confidence in managing emergencies increased significantly post-simulation (39.8 to 66.4, P < 0.001).
• Qualitative analysis revealed improved ad hoc teaming and crisis resource management skills.
• 60.5% of participants completed the post-shift survey.

Conclusions:

• A single JIT teamwork simulation session enhanced residents' emergency management confidence.
• Residents perceived improvements in ad hoc teamwork and crisis resource management skills.
• JIT simulation presents a resource-efficient method for improving clinical team performance.