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- W2316430003 abstract "Introduction: As Emergency Medical Services (EMS) practice moves to protocol-driven care, providers must be able to manage a multitude of emergencies in a team approach. Although teams and teamwork are a significant component of the pre-hospital medical delivery system, they are rarely included in training or quality improvement efforts. The most common model is to train and assess EMS providers as individuals, and expect them to naturally perform well as teams. EMS competitions may offer the opportunity for providers to effectively evaluate themselves against their peers in a competitive, high-fidelity arena with no risks to real patients. Methods: We followed an 11-step development process for each competition that includes development of Advanced Life Support (ALS) objective-structured clinical examinations (OSCEs) that are evaluated by an expert panel to ensure reproducibility, reliability and validity. Emphasis is also placed on the practicality of the OSCE, including scene design, use of standardized patients and simulators, effectiveness of evaluation tools, examiner training, and event logistics. A high degree of realism is embedded to enhance the patient representation and environmental surroundings. After each competition, formative feedback is given allowing teams to learn from their performance and a questionnaire, design to capture team characteristics is completed. Results: Since 1992 we have conducted 14 annual competitions involving 170 teams. Competing teams comprised of three pre-hospital providers, generally from the same department. Winning teams shared the following characteristics: consistent, organized approach to rapid clinical assessment and management, effectiveness leadership with clearly defined team roles, equipment customization and organization, patient and equipment centralization, routine practice to refine psychomotor and communications skills, local medical director support. Conclusion: Many argue that experience is the best teacher. This is often dangerous for the patient and impractical for an EMS system to assess pre-hospital providers in their actual working environment. ALS competitions allow EMS providers to test their expertise in patient assessment, communication, and multiple emergent patient management problems as a team in a safe simulated environment. Conflict of Interest: Authors indicated they have nothing to disclose." @default.
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- W2316430003 date "2006-01-01" @default.
- W2316430003 modified "2023-09-26" @default.
- W2316430003 title "Promoting Teamwork in Emergency Medical Services through Advanced Life Support Competitions" @default.
- W2316430003 doi "https://doi.org/10.1097/01266021-200600120-00048" @default.
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