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An Active-Learning Resuscitation Leadership Curriculum for Emergency Medicine Residents.
Michael Sobin1, Peter Prescott2, David Berger3
1Assistant Professor, Department of Emergency Medicine, Medical College of Wisconsin.
Summary
A new curriculum significantly improved emergency medicine residents' leadership skills during resuscitations. This training enhanced resident confidence and communication, especially for junior doctors, leading to better patient care.
Area of Science:
- Medical Education
- Emergency Medicine
- Leadership Training
Background:
- Effective leadership during emergency resuscitations is crucial for patient outcomes.
- Formal leadership training for emergency medicine physicians is often insufficient.
- Needs assessments revealed leadership skill gaps in residents, particularly in communication and role delineation.
Purpose of the Study:
- To develop and evaluate a structured, active-learning curriculum for emergency medicine residents.
- To improve residents' leadership performance in resuscitation scenarios.
- To enhance resident confidence and skills in team and situational management during emergencies.
Main Methods:
- A low-cost, active-learning curriculum was designed using Kern's 6-step framework.
- The curriculum included flipped-classroom sessions and gamified reviews with case-based discussions and role-playing.
- Impact was assessed using pre- and post-curriculum Leadership Behavior Description Questionnaire (LBDQ) assessments and confidence surveys.
Main Results:
- Leadership performance significantly improved across multiple objectives (P < .05) after the curriculum.
- Junior residents (PGY-1) showed the most substantial gains in leadership skills.
- Resident confidence in leading resuscitations significantly increased (P < .001), with positive feedback on interactive elements.
Conclusions:
- A structured, active-learning curriculum effectively enhanced emergency medicine residents' resuscitation leadership skills and confidence.
- Early, structured leadership education can foster development and improve team communication.
- Further research should explore the longitudinal impact and adaptability of this curriculum across different training settings.
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