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Clinical Medical Emergency Team Training Simulation (CMETTS): An Interprofessional Simulation for Medical Students
Allan John R Barcena1, Marvin R Bernardino1, Dominic Karl M Bolinas1
1Interventional Radiology Research, The University of Texas MD Anderson Cancer Center.
Abstract:
Effective teamwork and communication are critical during medical emergencies, particularly in oncology, yet health care professionals are often trained separately, creating challenges for interprofessional collaboration. Evidence-based frameworks like Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) offer structured tools to optimize team performance. This study describes a simulation-based program, the Clinical Medical Emergency Team Training Simulation (CMETTS), designed to instill foundational teamwork skills in early-stage learners. First-year medical students and newly graduated nursing residents participated in an interprofessional simulation involving medical emergency scenarios followed by structured debriefing sessions guided by TeamSTEPPS principles. We evaluated the program's effectiveness using pre- and postsimulation surveys assessing self-reported knowledge, confidence, and overall satisfaction with the training. A total of 110 trainees (21 medical students, 89 nursing residents) completed the evaluation. The simulation was exceptionally well-received, with more than 95% of participants from both groups rating the experience positively and agreeing they would recommend it to colleagues. After the simulation, there were statistically significant increases in both self-reported knowledge (P < .001) and confidence (P < .001) for all participants. While nursing residents demonstrated higher baseline scores, both groups showed significant individual learning gains, indicating the program's value for learners at different professional stages. The CMETTS program is an effective educational intervention for introducing foundational teamwork and communication skills to early-stage medical and nursing trainees. By providing a safe, realistic environment for practicing interprofessional collaboration, this simulation helps prepare future health care professionals for the demands of team-based care and ultimately aims to enhance patient safety.
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