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Residents as Leaders: Creating a Trauma Team Leader Nontechnical Skills Simulation Workshop.

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A simulation workshop significantly improved nontechnical skills (NTS) for trauma team leaders (TTL). Residents reported enhanced confidence and sustained skill application in trauma resuscitation.

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Area of Science:

  • Medical Education
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Effective trauma resuscitation hinges on leadership and nontechnical skills (NTS).
  • Interdisciplinary training in NTS is crucial as trauma leadership is shared between surgical and emergency medicine physicians.
  • This study assesses a simulation-based curriculum for enhancing NTS in senior residents.

Purpose of the Study:

  • To evaluate the effectiveness of a simulation-based Trauma Team Leader (TTL) curriculum.
  • To improve nontechnical skills (NTS) including communication, situational awareness, decision-making, and teamwork among senior residents.
  • To foster interdisciplinary collaboration in trauma care.

Main Methods:

  • A prospective, mixed-methods educational intervention involving a half-day TTL workshop.
  • Included didactic sessions, high-fidelity simulation scenarios with rotating leadership, and debriefings using the T-NOTECHS rubric.
  • Assessed participants via pre/post knowledge tests, confidence surveys, faculty evaluations, and 1-year follow-up.

Main Results:

  • Fifty-three residents (general surgery and emergency medicine) participated.
  • Significant improvements (p < 0.001) observed in all NTS domains: leadership, communication, situational awareness, decision-making, and cooperation/resource management.
  • High participant satisfaction (96%) and sustained benefits at 1-year follow-up (88% improved readiness, 85% skill application).

Conclusions:

  • The TTL simulation workshop effectively enhanced NTS confidence and preparedness in senior residents.
  • The curriculum serves as a valuable model for interdisciplinary trauma leadership training.
  • Future work may involve expanding the course and integrating NTS assessment into clinical practice.