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Trauma Boot Camp: A Simulation-Based Pilot Study

Introduction: Interns are often unprepared to effectively communicate in the acute trauma setting. Despite the many strengths of the Advanced Trauma Life Support (ATLS) program, the main shortcoming within the course is the deficiency of teamwork and leadership training. In this study, we describe t...

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Autores principales: Ortiz Figueroa, Fabiana, Moftakhar, Yasmin, Dobbins IV, Arthur L, Khan, Ramisha, Dasgupta, Rahul, Blanda, Rachel, Marchand, Tiffany, Ahmed, Rami
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762770/
https://www.ncbi.nlm.nih.gov/pubmed/26929890
http://dx.doi.org/10.7759/cureus.463
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author Ortiz Figueroa, Fabiana
Moftakhar, Yasmin
Dobbins IV, Arthur L
Khan, Ramisha
Dasgupta, Rahul
Blanda, Rachel
Marchand, Tiffany
Ahmed, Rami
author_facet Ortiz Figueroa, Fabiana
Moftakhar, Yasmin
Dobbins IV, Arthur L
Khan, Ramisha
Dasgupta, Rahul
Blanda, Rachel
Marchand, Tiffany
Ahmed, Rami
author_sort Ortiz Figueroa, Fabiana
collection PubMed
description Introduction: Interns are often unprepared to effectively communicate in the acute trauma setting. Despite the many strengths of the Advanced Trauma Life Support (ATLS) program, the main shortcoming within the course is the deficiency of teamwork and leadership training. In this study, we describe the creation of an interdisciplinary boot camp in which interns' basic trauma knowledge, level of confidence, and teamwork skills are assessed. Methods: We designed a one-day, boot camp curriculum for interns of various specialties with the purpose of improving communication and teamwork skills for effective management of acute trauma patients. Our curriculum consisted of a one-day, twelve-hour experience, which included trauma patient simulations, content expert lectures, group discussion of video demonstrations, and skill development workstations. Baseline and acquired knowledge were assessed through the use of confidence surveys, cognitive questionnaires, and a validated evaluation tool of teamwork and leadership skills for trauma Results: Fifteen interns entered the boot camp with an overall confidence score of 3.2 (1-5 scale) in the management of trauma cases. At the culmination of the study, there was a significant increase in the overall confidence level of interns in role delegation, leadership, Crisis Resource Management (CRM) principles, and in the performance of primary and secondary surveys. No significant changes were seen in determining and effectively using the Glasgow Coma Scale, Orthopedic splinting/reduction skills, and effective use of closed-loop communication. Conclusion: An intensive one-day trauma boot camp demonstrated significant improvement in self-reported confidence of CRM concepts, role delegation, leadership, and performance of primary and secondary surveys. Despite the intensive curriculum, there was no significant improvement in overall teamwork and leadership performance during simulated cases. Our boot camp curriculum offers educators a unique framework to which they can apply to their own training program as a foundation for effective leadership and teamwork training for interns.
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spelling pubmed-47627702016-02-29 Trauma Boot Camp: A Simulation-Based Pilot Study Ortiz Figueroa, Fabiana Moftakhar, Yasmin Dobbins IV, Arthur L Khan, Ramisha Dasgupta, Rahul Blanda, Rachel Marchand, Tiffany Ahmed, Rami Cureus Emergency Medicine Introduction: Interns are often unprepared to effectively communicate in the acute trauma setting. Despite the many strengths of the Advanced Trauma Life Support (ATLS) program, the main shortcoming within the course is the deficiency of teamwork and leadership training. In this study, we describe the creation of an interdisciplinary boot camp in which interns' basic trauma knowledge, level of confidence, and teamwork skills are assessed. Methods: We designed a one-day, boot camp curriculum for interns of various specialties with the purpose of improving communication and teamwork skills for effective management of acute trauma patients. Our curriculum consisted of a one-day, twelve-hour experience, which included trauma patient simulations, content expert lectures, group discussion of video demonstrations, and skill development workstations. Baseline and acquired knowledge were assessed through the use of confidence surveys, cognitive questionnaires, and a validated evaluation tool of teamwork and leadership skills for trauma Results: Fifteen interns entered the boot camp with an overall confidence score of 3.2 (1-5 scale) in the management of trauma cases. At the culmination of the study, there was a significant increase in the overall confidence level of interns in role delegation, leadership, Crisis Resource Management (CRM) principles, and in the performance of primary and secondary surveys. No significant changes were seen in determining and effectively using the Glasgow Coma Scale, Orthopedic splinting/reduction skills, and effective use of closed-loop communication. Conclusion: An intensive one-day trauma boot camp demonstrated significant improvement in self-reported confidence of CRM concepts, role delegation, leadership, and performance of primary and secondary surveys. Despite the intensive curriculum, there was no significant improvement in overall teamwork and leadership performance during simulated cases. Our boot camp curriculum offers educators a unique framework to which they can apply to their own training program as a foundation for effective leadership and teamwork training for interns. Cureus 2016-01-20 /pmc/articles/PMC4762770/ /pubmed/26929890 http://dx.doi.org/10.7759/cureus.463 Text en Copyright © 2016, Ortiz Figueroa et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Emergency Medicine
Ortiz Figueroa, Fabiana
Moftakhar, Yasmin
Dobbins IV, Arthur L
Khan, Ramisha
Dasgupta, Rahul
Blanda, Rachel
Marchand, Tiffany
Ahmed, Rami
Trauma Boot Camp: A Simulation-Based Pilot Study
title Trauma Boot Camp: A Simulation-Based Pilot Study
title_full Trauma Boot Camp: A Simulation-Based Pilot Study
title_fullStr Trauma Boot Camp: A Simulation-Based Pilot Study
title_full_unstemmed Trauma Boot Camp: A Simulation-Based Pilot Study
title_short Trauma Boot Camp: A Simulation-Based Pilot Study
title_sort trauma boot camp: a simulation-based pilot study
topic Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762770/
https://www.ncbi.nlm.nih.gov/pubmed/26929890
http://dx.doi.org/10.7759/cureus.463
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