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Multi-Disciplinary Trauma Evaluation and Management Simulation (MD-TEAMS) training for emergency medicine and general surgery residents |
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| Authors: | Katharine E Caldwell Al Lulla Collyn T Murray Rahul R Handa Ernesto J Romo Jason W Wagner Paul E Wise Jennifer M Leonard Michael M Awad |
| Institution: | 1. Department of Surgery, Washington University in St. Louis, St. Louis, MO, United States;2. Division of Emergency Medicine, Washington University in St. Louis, St. Louis, MO, United States;1. Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, MA, USA;2. Department of General Surgery, Massachusetts General Hospital, Boston, MA, USA;3. Amherst H. Wilder Foundation, Saint Paul, MN, USA;4. Department of Anesthesiology, Beth Israel Deaconess Medical Center, Boston, MA, USA;1. Department of Surgery, Mayo Clinic, 200th 1st Street, Rochester MN, 55905, USA;2. Department of Health Services Research, Mayo Clinic, 200th 1st Street, Rochester MN, 55905, USA;3. Mayo Clinic Robert D and Patricia E Kern Center for the Science of Health Care Delivery, 200th 1st Street, Rochester MN, 55905, USA |
| Abstract: | BackgroundSuccessful 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.MethodsIn 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.ResultsResidents 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.ConclusionMD-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. |
| Keywords: | Surgical education Simulation Trauma Communication Multi-disciplinary |
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