Competency Based Education, Education, Medical, Education, Medical, Continuing, High Fidelity Simulation Training, Randomized Controlled Trials, Teaching Innovation
Conditions
Brief summary
This multicenter randomized controlled study aims to evaluate the impact of temporary visual deprivation of the medical team leader on non-technical skills and team performance during high-fidelity simulated medical emergencies. The intervention is based on principles of crisis resource management and cognitive load theory. Team performance will be assessed using validated scoring tools immediately after the intervention and at three months follow-up.
Interventions
BEHAVIORALVisual deprivation
The designated team leader performs the simulated scenario while wearing visual deprivation mask
Sponsors
Rennes University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
The teams participating in the simulation sessions are composed as follows: * A senior doctor identified as the "medical leader" * An anaesthesia and intensive care intern * A state-registered nurse anaesthetist Inclusion Criteria: 1. Participants with at least two years' experience in the specialty. a. For interns, an additional requirement is that they must have completed a semester in intensive care. 2. Recruited via simulation trainers at their respective hospitals or university hospitals.
Exclusion criteria
* The study cannot be carried out during a safety rest period (i.e. the day after being on call).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evolution of team performance on non-technicals skills | Before intervention (scenario 1) at day 1, immediately after (scenario 3) at day 1 and after the procedure (scenario 4) at 3 month | Team performance on non-technicals skills measured using the validated Team emergency Assessment Measure (TEAM) score assessed by blinded independent evaluators based on video recordings. TEAM score goes from 0 to 54 : 0 being the lowest level of non-technical competence (worst outcome) and 54 being the highest (better outcome) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evolution of team's clinical performance | Before intervention (scenario 1) at day 1, immediately after (scenario 3) at day 1 and after the procedure (scenario 4) at 3 month | Rating with objective markers of quality of care. Five objective and measurable criteria for each scenario are defined by a panel of three experts in anaesthesia and intensive care using the DELPHI method. |
| Evolution of medical leadership skills | Before intervention (scenario 1) at day 1, immediately after (scenario 3) at day 1 and after the procedure (scenario 4) at 3 month | the change in the score for items 1 and 2 of the TEAM grid obtained by the medical leader of each team |
| Clinical transferability of soft skills training in clinical practice | Immediately after the intervention at day 1 and at 3 month | self-assessment questionnaire on perceived transfer to clinical practice and an open-ended narrative question completed individually by study participants. |
| Evolution of theoretical knowledge of soft skills | At the end of the intervention at day 1 and at 3 month | scores obtained by participants in the pre- and post-training questionnaires developed for this training course in accordance with the HAS (High Health Authority) recommendations for good practice in health simulation |
| Assessment of anxiety induced by the intervention | At the end of the intervention at day 1 | Anxiety is assessed for all participants using a visual analogue scale and the State-Trait Anxiety Inventory-Form Y (STAI-Y) questionnaire. STAI-Y score ranges from 20 to 80 : * 20 to 37: low anxiety (better outcome) * 38 to 44: moderate anxiety * 44 to 80: high anxiety (worse outcome) |
Countries
France
Contacts
CONTACTThomas LEBOUVIER, M.D.
Outcome results
None listed