Frame-of-reference training for simulation-based intraoperative communication assessment - 24/08/16
, Michael A. Russo, M.D. b, Ibrahim I. Jabbour, M.D. c, Matthew Kosemund, E.M.T. a, Daniel J. Scott, M.D. aAbstract |
Background |
The purpose of this study was to examine the impact of frame-of-reference (FOR) training on assessments of intraoperative communication skills and identify areas of need to inform curricular efforts.
Methods |
Simulation instructors (M.D., Ph.D., Research Fellow, Simulation Technician) underwent a 2-hour FOR training session with the operating room communication instrument. They then independently rated communication skills of 19 PGY1s who participated in a team-based simulation. Residents completed self-assessments via video review of the scenario. Intraclass correlation coefficients were used to examine inter-rater reliability. Relationships between trained raters and resident scores were assessed with Pearson correlation coefficients and paired sample t tests.
Results |
Inter-reliability after FOR training was .91. The correlation between trained rater scores and resident evaluations was nonsignificant. Residents significantly underestimated their intraoperative communication skills (P < .05). Use of names, closed loop communication, and sharing information with team members demonstrated consistently low ratings among all residents.
Conclusions |
These findings reveal that a number of individuals can be trained to reliably rate resident intraoperative communication performance and that residents tend to under-rate their communication skills.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The purpose of this study was to examine the impact of frame-of-reference training on trained rater assessments of intraoperative communication skills, compare trained raters scores to resident self-assessments, and identify areas of need to inform curricular efforts. |
• | These findings reveal that a number of individuals can be trained to reliably rate resident intraoperative communication performance and that residents tend to under-rate their communication skills. |
• | Use of names, closed loop communication, and sharing information with team members demonstrated consistently low ratings among all residents. |
Keywords : Frame of reference training, Intraoperative communication, Team training, Simulation, Residents
Plan
| Podium presentation at the Annual Meeting of the American College of Surgeons, October 5, 2015, Chicago, IL. |
|
| The authors report no financial disclosures related with this work. |
Vol 212 - N° 3
P. 548 - septembre 2016 Retour au numéro
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