State the overall Goal or Outcome : High fidelity simulation is comparable to theatre: with the scene as a stage, technicians as the crew, participants as actors, the instructor as a director, and the scenario as a play. Simulated patients utilize the principles of theatre to improve realism of the scenario for participants. Applied Improvisation is an emerging educational strategy in medical school curriculum to teach empathy, teamwork, and communication skills to physicians and is termed “medical improv” or “serious play.” TeamSTEPPS®2.0 is a validated curriculum to teach important team skills such as teamwork, communication, leadership, situational awareness, and mutual support and has been taught with simulated scenarios in hospital settings. To our knowledge, Applied Improvisation has not been utilized to teach TeamSTEPPS®2.0 principles. Our aim for the this workshop is to utilize Applied Improvisation for teaching TeamSTEPPS®2.0 skills and experiment with theatre games and debriefing improvisational exercises to enhance future simulation based educational activities.
Agency for Healthcare Research and Quality. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®), Guide to Action (AHRQ Publication No.06e0020e4). Rockville, MD.: Agency for Healthcare Research and Quality; 2006.
Case GA, Brauner DJ. Perspective: The Doctor as Performer: A Proposal for Change Based on a Performance Studies paradigm. Acad Med. 2010 Jan;85(1):159-63.
Clapper TC, et al. A Saturated Approach to the Four-Phase, Brain-Based Simulation Framework for TeamSTEPPS® in a Pediatric Medicine Unit. Pediatr Qual Saf 2018;3:e086.
Hoffmann-Longtin K, Rossing JP, Weinstein E. Twelve tips for using applied improvisation in medical education. Med Teach. 2018 Apr;40(4):351-356.
Roberts D, Greene L. The theater of high-fidelity simulation education. Nurse Educ Today. 2011 Oct;31(7):694-8.
Sanko JS, Shekhter I, Kyle RR, Di Benedetto S, Birnbach DJ. Establishing a Convention for Acting in Healthcare Simulation: Merging Art and Science. Sim Healthcare 8:215-220, 2013.
Watson K. Perspective: Serious Play: Teaching Medical Skills With Improvisational Theatre Techniques. Acad Med. 2011 Oct;86(10):1260-5.
Intended Audience : Since simulation and theatre have many parallels both on and off the “stage,” any and all participants are welcome.
Relevance to the Conference : In healthcare simulation, the focus is not only on knowledge and skillset, but on effective team function. In TeamSTEPPS®2.0, the focus is making an expert team out of a team of experts with the overarching goal of improving quality of care and patient safety. Applied Improvisation is an emerging strategy to deepen the learner’s understanding of complex team dynamics. This workshop will encourage participants to explore the use of improvisational exercises to enhance teamwork education.