Journal Article

Multi-Disciplinary Trauma Evaluation and Management Simulation (MD-TEAMS) training for emergency medicine and general surgery residents

Wise, Paul E., Lulla, Al, Romo, Ernesto J., Leonard, Jennifer M., Wagner, Jason W., Caldwell, Katharine E., Murray, Collyn T., Awad, Michael M., Handa, Rahul R.

2021

Overview

Successful trauma resuscitation relies on multi-disciplinary collaboration. In most academic programs, general surgery (GS) and emergency medicine (EM) residents rarely train together before functioning as a team. In our Multi-Disciplinary Trauma Evaluation and Management Simulation (MD-TEAMS), EM and GS residents completed manikin-based trauma scenarios and were evaluated on resuscitation and communication skills. Residents were surveyed on confidence surrounding training objectives. Residents showed improved confidence running trauma scenarios in multi-disciplinary teams. Residents received lower communication scores from same-discipline vs cross-discipline faculty. EM residents scored higher in evaluation and planning domains; GS residents scored higher in action processes; groups scored equally in team management. Strong correlation existed between team leader communication and resuscitative skill completion. MD-TEAMS demonstrated correlation between communication and resuscitation checklist item completion and communication differences by resident specialty. In the future, we plan to evaluate training-related resident behavior changes and specialty-specific communication differences by residents. •Residents receive lower communication scores from same-discipline vs cross-discipline faculty.•Communication styles in trauma simulations vary by resident specialty.•Communication scores strongly predict completion of resuscitation checklist items.

• Publisher: Elsevier Inc,Elsevier Limited
• Subject: Checklist - statistics & numerical data / Clinical Competence - statistics & numerical data / Communication / Communication skills / Confidence / Curriculum / Emergency medical care / Emergency medical services / Emergency Medicine - education / Emergency Medicine - organization & administration / Faculty, Medical - organization & administration / General Surgery - education / General Surgery - organization & administration / High Fidelity Simulation Training - methods / High Fidelity Simulation Training - organization & administration / Humans / Internship and Residency - methods / Internship and Residency - organization & administration / Internship and Residency - statistics & numerical data / Leadership / Likert scale / Manikins / Medical personnel / Medical residencies / Medicine / Multi-disciplinary / Nurses / Patient Care Team - organization & administration / Resuscitation / Resuscitation - education / Resuscitation - methods / Simulation / Skills / Surgery / Surgical education / Surveys and Questionnaires - statistics & numerical data / Teams / Training evaluation / Trauma / Wounds and Injuries - diagnosis / Wounds and Injuries - therapy