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Managing Conflict Case: The Difficult Consultant.

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This study developed a realistic simulation case for emergency medicine residents to practice conflict management skills. The case effectively prepares trainees for the American Board of Emergency Medicine (ABEM) Certifying Exam's communication challenges.

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Communication Skills Training

Background:

  • Conflict management is a critical skill for emergency physicians (EPs), impacting both provider well-being and patient care quality.
  • The American Board of Emergency Medicine (ABEM) mandates conflict management competency for residents, including it in the oral certification examination.

Purpose of the Study:

  • To develop and evaluate a simulation-based case for training emergency medicine residents in managing conflict with consultants.
  • To provide a realistic practice environment for skills assessed in the ABEM Certifying Exam's Managing Conflict case.

Main Methods:

  • An iterative case development process involving resident feedback and facilitator evaluations.
  • Utilized a standardized patient scenario aligned with ABEM Managing Conflict case format.
  • Collected data via Simulation Scenario Evaluation Tool (SSET) and usability surveys.

Main Results:

  • The simulation case was well-received by 14 senior residents and 4 facilitators, scoring positively on clarity and ease of use.
  • Over 90% of residents found the case materials clear and reported the experience as helpful preparation for the ABEM exam.
  • Facilitators expressed confidence in using the case and recommended it for ABEM certifying exam practice.

Conclusions:

  • The developed simulation case is a realistic and effective tool for preparing emergency medicine residents for the ABEM Certifying Exam's conflict management component.
  • The case facilitates direct observation and assessment of residents' communication and conflict resolution strategies in a structured setting.