Oral Themed Presentation
Michael Ferguson, MBBS, MTeach
Attending Physician Pediatric Critical Care, Clinical Assistant Professor
The Barbara Bush Children's Hospital at Maine Medical Center, Tufts University School of Medicine
Interprofessional (IP) teamwork is increasingly recognized as a cornerstone of quality patient care. With this recognition comes a call for improved IP education endeavors. Medical simulation is a modality that has been successfully used to teach and evaluate IP teamwork and communication. Debriefing following simulation is a critical component of simulation-based education. IP debriefing after simulation events presents special challenges due to underlying cultural and hierarchical barriers that can prohibit balanced participation and limit the educational impact. Little data exists to suggest what factors or strategies contribute to IP participation in debriefing following simulation-based team training.
Research Question/ Educational Goal:
This pilot study will describe IP participation in debriefing events and identify factors that correlate with IP participation.
Proposed approach to addressing the question or goal:
In this pilot study we will review video recording of 20 IP simulation team training events from our single center. Two or more reviewers will observe each tape with rater training and assessment of agreement around subjective factors of interest. Data will be entered into a RedCap database with elements recorded pertaining to each scenario, debrief, facilitator and learner. An “IP Participation Score” incorporating facilitator to learner talk time ratios, balance of contribution to discussion by each learner group and among the group as a whole will be the primary outcome of interest. We will analyze correlation between each factor of interest (e.g. size of learner group, number of facilitators, number and level of learner in each profession) with the IP Participation Score for each debrief.
Conundrum or difficulty encountered:
1. Need to limit scope for initial pilot study. (There is considerable heterogeneity in available scenarios and we will be underpowered to look at all items of interest.)
2. Initial list of factors of interest is too lengthy.
3. Need to develop a system to efficiently collect and record data
Questions for discussion:
1. How do we develop “IP Participation” score to reflect our primary outcome of interest?
2. What debriefing factors should we assess?