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

• Published in: The American journal of surgery Vol. 221; no. 2; pp. 285 - 290
• Main Authors: Caldwell, Katharine E., Lulla, Al, Murray, Collyn T., Handa, Rahul R., Romo, Ernesto J., Wagner, Jason W., Wise, Paul E., Leonard, Jennifer M., Awad, Michael M.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.02.2021; Elsevier Limited
• Subjects: 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; 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; Training evaluation; Trauma; Wounds and Injuries - diagnosis; Wounds and Injuries - therapy; Simulation; Multi-disciplinary; Trauma; Surgical education; Communication
• ISSN: 0002-9610; 1879-1883
• DOI: 10.1016/j.amjsurg.2020.09.013

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.