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Structured Prebriefing and Worked-Out Modeling to Reduce Cognitive Overload During an Interprofessional Simulation.

Tracey DelNero1, Deepti Vyas2, Jahnavi Yalamanchili2

  • 1University of the Pacific, School of Health Sciences, Sacramento, CA, USA.

American Journal of Pharmaceutical Education
|October 10, 2025
PubMed
Summary
This summary is machine-generated.

Structured prebriefing and worked-out modeling (WOM) in interprofessional education (IPE) simulations improved cognitive load and team dynamics. Participants reported higher germane load and lower extraneous load, suggesting enhanced learning and teamwork.

Keywords:
Cognitive load theoryCognitive overloadInterprofessional educationPrebriefingWorked-out modeling

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Area of Science:

  • Medical Education
  • Simulation-Based Learning
  • Teamwork and Collaboration

Background:

  • Interprofessional education (IPE) simulations are valuable for healthcare training.
  • Optimizing cognitive load and team dynamics is crucial for effective simulation-based learning.

Purpose of the Study:

  • To compare cognitive load and team dynamics between students receiving structured prebriefing with worked-out modeling (WOM) and those receiving standard orientation before an IPE escape room simulation.

Main Methods:

  • 110 students participated in a pediatric escape room simulation, randomized into control (standard orientation) and intervention (orientation + prebriefing + WOM) groups.
  • Cognitive load was assessed using the Cognitive Load Assessment Scales in Simulation.
  • Team dynamics were evaluated using the TeamSTEPPS performance observation tool and the Performance Assessment Communication and Teamwork Tools Set (PACT).

Main Results:

  • The intervention group reported significantly higher germane cognitive load and lower extraneous cognitive load.
  • Observers noted higher team structure scores in the intervention group.
  • The intervention group reported more leadership skills on the PACT postassessment.

Conclusions:

  • Structured prebriefing and WOM effectively enhance germane cognitive load and reduce extraneous cognitive load in IPE simulations.
  • This approach may positively impact team dynamics, particularly leadership skills, during interprofessional learning activities.