Focus of Study is Teaching Crisis Resource Management
Conditions
Brief summary
The purpose of this study is to compare the effectiveness in learning crisis resource management (CRM) principles when being an active participant in simulation-based education versus being an observer participant. The investigators hypothesize that active participants will improve their CRM skills more than observer participants.
Detailed description
This will be a prospective randomized controlled study. Participants will be randomized to one of two groups with stratification according to their level of training: the active group and the observer group. Each participant of the active group will be paired with one of the participants from the observer group. The active participant will manage individually a simulated crisis scenario (pretest) while the paired observer participant will observe the scenario from outside the simulation room using a video transmission system. Immediately after, both participants will be debriefed by a trained instructor focused on CRM principles. The same active and observer participants will then individually manage another simulated crisis scenario (post-test). Two independent raters, blinded to the study design and to the randomization groups, will review the videos of all scenarios in a random order and rate each participant on their CRM performance using a global rating scale (GRS).
Interventions
BEHAVIORALobservational role
observational role in crisis scenario
BEHAVIORALactive role
active role in managing crisis scenario
Sponsors
Ottawa Hospital Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* emergency medicine residents from the University of Ottawa
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total Ottawa GRS Score | 1 day | The Ottawa GRS scale is a reliable and valid scale used to measure CRM performance in high fidelity simulation. The scale assesses five main CRM categories: leadership, problem solving, situational awareness, resource allocation and communication skills. In addition to these five categories, there is a category on overall performance of the participant. Each category is measured on a 7 point Likert scale with descriptive anchors to provide guidelines on alternating points along the scale. The categorical scores will be summed to give a total score of 6 to 42. Higher values represent a better outcome. |
Countries
Canada
Participant flow
Recruitment details
All emergency medicine residents in postgraduate years 1-5 in both the Royal College of Physicians and Surgeons and College of Family Physician programs at the University of Ottawa were invited to participate in the study.
Participants by arm
| Arm | Count |
|---|---|
| Active Management of Crises Scenario participants assigned to actively manage a crisis scenario
active role: active role in managing crisis scenario | 19 |
| Observer Role in Crisis Scenario Observational role in management of crises scenario
observational role: observational role in crisis scenario | 20 |
| Total | 39 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Performance not reflective of training | 1 | 0 |
| Overall Study | Technical failure during recording | 1 | 1 |
Baseline characteristics
| Characteristic | Observer Role in Crisis Scenario | Total | Active Management of Crises Scenario |
|---|---|---|---|
| Age, Continuous | NA years | 29.9 years | NA years |
| Race and Ethnicity Not Collected | — | 0 Participants | — |
| Region of Enrollment Canada | 20 participants | 39 participants | 19 participants |
| Sex/Gender, Customized Female | NA participants | 18 participants | NA participants |
| Sex/Gender, Customized Male | NA participants | 21 participants | NA participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 21 | 0 / 21 |
| other Total, other adverse events | 0 / 21 | 0 / 21 |
| serious Total, serious adverse events | 0 / 21 | 0 / 21 |
Outcome results
Primary
Total Ottawa GRS Score
The Ottawa GRS scale is a reliable and valid scale used to measure CRM performance in high fidelity simulation. The scale assesses five main CRM categories: leadership, problem solving, situational awareness, resource allocation and communication skills. In addition to these five categories, there is a category on overall performance of the participant. Each category is measured on a 7 point Likert scale with descriptive anchors to provide guidelines on alternating points along the scale. The categorical scores will be summed to give a total score of 6 to 42. Higher values represent a better outcome.
Time frame: 1 day
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Active Management of Crises Scenario | Total Ottawa GRS Score | 24.3 units on a scale | Standard Deviation 5.4 |
| Observer Role in Crisis Scenario | Total Ottawa GRS Score | 21.8 units on a scale | Standard Deviation 4.5 |