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. 2018 Jul-Aug;75(4):978-983.
doi: 10.1016/j.jsurg.2017.10.007. Epub 2017 Nov 16.

Identifying Nontechnical Skill Deficits in Trainees Through Interdisciplinary Trauma Simulation

Sarah Sullivan  1 , Krystle Campbell  2 , Joshua C Ross  3 , Ryan Thompson  3 , Alyson Underwood  4 , Anne LeGare  5 , Ingie Osman  4 , Suresh K Agarwal  4 , Hee Soo Jung  4
Affiliations

Identifying Nontechnical Skill Deficits in Trainees Through Interdisciplinary Trauma Simulation

Sarah Sullivan et al. J Surg Educ. 2018 Jul-Aug.

Abstract

Objective: The goal of this study was to investigate nontechnical skills in a simulated trauma setting both before and after a debriefing session in order to better understand areas to target for the development of educational interventions.

Design: Wilcoxon signed rank tests were used to compare scores on the 5 domains of the T-NOTECHS pre- and postdebriefings. A qualitative analysis using the PEARLS debriefing framework was performed to provide a rich description of the strategies used by the debriefing facilitators.

Setting: The Joint Trauma Simulation Program is an interdisciplinary project designed to improve the quality of trauma care through simulation exercises emphasizing nontechnical skills development.

Participants: Thirteen teams of 5 trauma trainees participated in trauma resuscitation simulations: a surgical chief resident, a surgical junior resident, an emergency medicine resident, and 2 emergency medicine nurses.

Results: Teams significantly improved on communication and interaction skills in the simulation scenarios from pre- to postdebriefing. The debrief facilitators spent most of their time engaged in Directive Performance Feedback (56.13%).

Conclusions: Interprofessional team simulation in trauma resuscitation scenarios followed by debriefing differently affected individual nontechnical skills domains. Additional facilitation strategies, such as focused facilitation and encouraging learner self-assessment, may target other nontechnical skills in different ways.

Keywords: Interpersonal and Communication Skills; Patient Care; Professionalism; Systems-Based Practice; debriefing; resident education; simulation training; trauma.

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Figures

Figure 1
Figure 1
Average Percentage of Facilitation Strategies Used by Debriefing Faculty Leaders
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References

    1. Ivatury RR, Guilford K, Malhotra AK, Duane T, Aboutanos M, Martin N. Patient safety in trauma: maximal impact management errors at a level I trauma center. The Journal of trauma. 2008;64:265–70. discussion 70-2. - PubMed
    1. Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. American journal of surgery. 2014;208:187–94. - PubMed
    1. Pucher PH, Aggarwal R, Batrick N, Jenkins M, Darzi A. Nontechnical skills performance and care processes in the management of the acute trauma patient. Surgery. 2014;155(5):902–9. - PubMed
    1. Capella J, Smith S, Philp A, Putnam T, Gilbert C, Fry W, Harvey E, Wright A, Henderson K, Baker D, Ranson S. Teamwork training improves the clinical care of trauma patients. Journal of surgical education. 2010;67(6):439–43. - PubMed
    1. Hamilton NA, Kieninger AN, Woodhouse J, Freeman BD, Murray D, Klingensmith ME. Video review using a reliable evaluation metric improves team function in high-fidelity simulated trauma resuscitation. Journal of surgical education. 2012;69(3):428–31. - PubMed

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