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• W2327331946 abstract "OPEN ACCESSFebruary 13, 2014A Trauma Resuscitation Team Leader Training Curriculum Based on Eight Human Patient Simulations John Falcone, MD, MS, Nichole Erny, Paul Phrampus, Raquel Forsythe John Falcone, MD, MS University of Pittsburgh School of Medicine Google Scholar More articles by this author , Nichole Erny University of Pittsburgh Medical Center Google Scholar More articles by this author , Paul Phrampus Google Scholar More articles by this author , Raquel Forsythe University of Pittsburgh Medical Center Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9695 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail Abstract Introduction: The trauma resuscitation team leader is primarily responsible for conducting the initial assessment and survey, coordinating and directing team and individual activities, and formulating plans for definitive management of acutely-injured patients. Given potential deficiencies in trauma resuscitation leader performance in the domains of advanced trauma life support (ATLS) adherence and leadership behaviors, we developed a trauma resuscitation team leader training curriculum. Methods: This curriculum is focused on the trauma resuscitation team leader—typically a junior resident in surgery, emergency medicine, or physician extenders— and therefor only one adult learner at a time. At the simulation center, the team leader is oriented to the simulated trauma bay, the SimMan simulator, and the other members of the team. After this introduction, the team leader has a one-on-one didactic session with the trauma surgeon. In this didactic session, the curriculum is discussed. A sample trauma resuscitation video is viewed and then discussed prior to the start of the modules' eight cases. The cases start when a text page is sent to the team leader. Each simulation takes approximately 5-10 minutes and is video recorded. After the simulation ends, the team leader and the trauma attending view the video, and review all of the outcome measures. Currently, this resource is used only for formative feedback. Results: On a 7-point Likert-type scale, the median overall curriculum rating, the video discussion quality, the plan to apply leadership skills, and the plan to apply learned knowledge and behaviors were rated as 7/7. A Wilcoxon sign-rank test showed improved confidence for leading Level 1 trauma resuscitations, improved beliefs in adequate training, and improved attitudes regarding team leader training (p < .05). There was reduced nervousness of being the team leader (p = .048). Qualitative analyses showed that the learners valued the feedback process and scenario realism. Discussion: This pilot curriculum was well received by trauma residents and offered insight into the metacognition of trauma team leaders. Similarly, we have shown that confidence for trauma team leaders improves as a direct result of this curriculum. We are currently prospectively evaluating this curriculum, evaluating resident performance in the trauma bay, and looking for differences between individuals that did and did not complete this curriculum at the beginning of the trauma rotation. Educational Objectives By the end of this session, learners will be able to: Establish a patent airway.Recognize hemorrhagic shock.Ensure spinal stabilization.Perform an accurate Glascow Coma Score.Expose patients to identify traumatic injuries.Examine the head.Examine the neck.Auscultate the chest.Examine the abdomen.Check for pelvic stability.Examine the extremities for signs of traumatic injury.Determine if a patient requires a tube thoracostomy.Determine if an ED thoracotomy is required in a patient with penetrating chest injury.Anticipate potential problems.Vocalize their role as the team leader.Utilize closed-loop communication.Assign tasks to specific individuals.Utilize clinical cues to guide decision-making.Call for help.Interact professionally with all team members. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Instructor's Guide.docx Mannequin Setup.xlsx Pager Texts.docx Patient 1 Human Patient Simulation Template.docx Patient 1.sce Patient 2 Human Patient Simulation Template.docx Patient 2 Radiographs.pdf Patient 2.sce Patient 3 Human Patient Simulation Template.docx Patient 3 Radiographs.pdf Patient 3.sce Patient 4 Human Patient Simulation Template.docx Patient 4 Radiographs.pdf Patient 4.sce Patient 5 Human Patient Simulation Template.docx Patient 5 Radiographs.pdf Patient 5.sce Patient 6 Human Patient Simulation Template.docx Patient 6 Radiographs.pdf Patient 6.sce Patient 7 Human Patient Simulation Template.docx Patient 7 Radiographs.pdf Patient 7.sce Patient 8 Human Patient Simulation Template.docx Patient 8 Radiographs.pdf Patient 8.sce Programming Form Patient 1.pdf Programming Form Patient 2.pdf Programming Form Patient 4.pdf Programming Form Patient 5.pdf Programming Form Patient 6.pdf Resident Performance Tool Scoring.doc Resident Performance Tool.docx Scenario Planning Worksheet Patient 1.pdf Scenario Planning Worksheet Patient 2.pdf Scenario Planning Worksheet Patient 3.pdf Scenario Planning Worksheet Patient 4.pdf Scenario Planning Worksheet Patient 5.pdf Scenario Planning Worksheet Patient 6.pdf Scenario Planning Worksheet Patient 7.pdf Scenario Planning Worksheet Patient 8.pdf Scenario Process Map Patient 1.doc Scenario Process Map Patient 2.doc Scenario Process Map Patient 3.doc Scenario Process Map Patient 4.doc Scenario Process Map Patient 5.doc Scenario Process Map Patient 6.doc Scenario Process Map Patient 7.doc Scenario Process Map Patient 8.doc Team Leader Video Performance Scoring.doc Team Leader Video.wmv Training Powerpoint.ppt Video Timestamp Items.docx To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationFalcone J, Erny N, Phrampus P, Forsythe R. A Trauma Resuscitation Team Leader Training Curriculum Based on Eight Human Patient Simulations. MedEdPORTAL. 2014;10:9695. https://doi.org/10.15766/mep_2374-8265.9695 Copyright & Permissions© 2014 Falcone et al. This is an open-access article distributed under the terms of the Creative Commons Attribution license.KeywordsInterdisciplinary Health TeamPatient Care TeamCompetency-Based EducationPatient SimulationCurriculumEducational Measurement Disclosures None to report. Funding/Support None to report. Loading ..." @default.
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