Abstract
Introduction: Although simulation is an effective method for enhancing team competencies, it is unclear how team familiarity impacts this process. We examined how team familiarity impacted team competencies. Methods: Trainees were assigned to stable or dynamic teams to participate in three simulated cases. Situation awareness (SA) data was collected through in-scenario freezes. The recorded performances were assessed for clinical effectiveness (ClinEff) and teamwork. All data are reported on a 1–100% (100% = perfect performance) scale. Results: Forty-six trainees (23 General Surgery; 23 Emergency Medicine) were randomized by specialty into stable (N = 8) or dynamic (N = 7) groups. Overall changes from Sim 1 to Sim3 were 12.2% (p < 0.01), −1.1% (ns), and 7.1% (p < 0.01) for SA, ClinEff, and Teamwork, respectively. However, improvements differed by condition, with stable teams reflecting improvements in ClinEff (15.2%; p < 0.05), whereas dynamic team ClinEff improvement (8.7%) was not significant. Both groups demonstrated improvements in teamwork (stable = 9%, p < 0.05; dynamic = 4.9%, p < 0.05). Conclusions: Teams who continued to work together demonstrated increased improvements in clinical effectiveness and teamwork, while dynamic teams only demonstrated improvements in teamwork.
Original language | English (US) |
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Pages (from-to) | 243-249 |
Number of pages | 7 |
Journal | American journal of surgery |
Volume | 215 |
Issue number | 2 |
DOIs | |
State | Published - Feb 2018 |
Keywords
- Dynamic
- Situation awareness
- Stable
- Team familiarity
- Team training
- Teams
- Teamwork
ASJC Scopus subject areas
- Surgery