Unveiling Intraprofessional Dynamics: Learning Teamwork in Acute Care Consultations Between Paediatric and General...

Area of Science:

• Medical Education
• Teamwork and Collaboration
• Healthcare Management

Background:

• Effective remote collaboration is crucial in high-pressure medical scenarios, yet training often neglects teamwork dynamics.
• Intraprofessional consultation training (IPCT) is needed to enhance teamwork skills among physicians.
• The Teamwork-Attitude, Behaviour, Cognition (ABC) model provides a framework for understanding teamwork dynamics.

Purpose of the Study:

• To evaluate an intraprofessional consultation training (IPCT) for paediatric and general practice residents.
• To assess residents' learning regarding consultation dynamics and their intended behavioral changes.
• To examine the translation of learned skills into clinical practice.

Main Methods:

• Qualitative study involving paediatric (P) and general practice (GP) residents.
• Training included video reviews, reflections, and role-playing, guided by the ABCs of teamwork framework.
• Learning outcomes and transfer were assessed using reflection forms, follow-up questionnaires, and the Kirkpatrick model.

Main Results:

• Twenty-six residents participated, reporting enhanced shared mental models and alignment.
• Residents gained insight into attitudes and emotions influencing teamwork, increasing awareness of self and others.
• While insights were applied, managing complex intraprofessional dynamics in practice remained challenging.

Conclusions:

• Residents developed mentalizing strategies (self-reflection, empathy) to navigate teamwork emotions.
• Applying these strategies in high-pressure medical work culture proved challenging.
• Further attention is needed to integrate these skills effectively within existing clinical environments.