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Simulation as a catalyst for surgical teamwork: Insights from a high-fidelity trauma training experience
Galinos Barmparas1, Aleeque Marselian1, Falisha Kanji1
1Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA.
Surgery
|March 17, 2026
Summary
High-fidelity trauma simulation significantly improved operating room communication and teamwork. This immersive training enhances interprofessional respect and identifies system improvements for better patient care.
Area of Science:
- Medical Simulation
- Surgical Education
- Quality Improvement
Background:
- High-fidelity trauma simulation enhances operating room teamwork, communication, and crisis management.
- Beyond technical skills, simulation fosters interprofessional respect and quality improvement awareness.
Purpose of the Study:
- To evaluate the impact of high-fidelity trauma simulation on communication, teamwork, and role appreciation in the operating room.
- To assess participants' perceptions of simulation's influence on future communication practices and quality improvement.
Main Methods:
- 90 participants (surgeons, residents, anesthesiologists, nurses, technicians) from 8 institutions completed post-simulation surveys.
- Two high-fidelity trauma surgery scenarios were conducted in a simulated operating room.
- Confidence in communication, teamwork, and role appreciation were measured using Likert scales and analyzed statistically.
Main Results:
- Confidence in communication significantly increased after both simulation scenarios (P < .001).
- 88% reported simulation influenced future communication, with key changes including name recognition, closed-loop communication, and active listening.
- Participants recognized simulation as a quality-improvement tool, increasing awareness of system issues and interdisciplinary readiness.
Conclusions:
- High-fidelity trauma simulation effectively improves operating room communication, teamwork, and quality improvement culture.
- Findings support the routine integration of immersive simulation into surgical and interprofessional training programs.
