Oral Themed Presentation
Background: : Adequate communication between individuals and teams is essential to optimize outcomes during surgical emergencies. However, achieving communication in this type of environment remains problematic. Evaluating linguistic and non-verbal communication between healthcare providers during simulated emergencies may provide a window into their cognitive load, and teamwork function during team training exercises. This study evaluates the linguistic properties of Otolaryngology (ORL) surgical trainees’ communications and compares it to those of Otolaryngology attendings during simulated medical events.
Research Question: : Is there a variation in linguistic and non-verbal communication between attending and trainee communications during simulated medical events?
Methodology: : Thirty-seven video and audio recordings of multidisciplinary ORL team scenarios performed in simulation sessions between 2003-18 were transcribed. Participants in these scenarios typically included attending ORL surgeons, pediatric ORL fellows and residents, anesthesiology fellows and residents and nursing staff. The transcripts underwent linguistic analysis using Linguistic Inquiry and Word Count software (LIWC 2015). The resulting data was analyzed to evaluate for linguistic and communication patterns including use of first-person pronouns, word length, emotional content of words, directed and non-directed communication and closed loop technique.
Results: : In comparing the linguistic properties of attending Pediatric ORL surgeons with Pediatric ORL fellows, there were a number of statistically significant differences. The attending group utilized double the number closed loop communications compared to the ORL fellow group (2.19 (p-value .00046). The mean number of directed and non-directed task-based requests to the team was also higher within the attending group. Attending surgeons displayed more frequent communication with a higher number of words per minute of scenario in comparison to fellows (p < 0.035). Assessment of LIWC language variables showed attendings were less tentative in communicating intended actions but more often communicated uncertainty compared to the fellow group.
Discussion/Conclusions: : The linguistic properties of communication within pediatric ORL emergencies is a feature not previously considered within the literature. This work provides an analysis of emergency pediatric ORL communication that will help identify communication training needs for pediatric ORL surgeons that can influence patient management in emergency situations.