From: A simulation-based curriculum to introduce key teamwork principles to entering medical students
Lesson Learned | Experiential Evidence | Literature Evidence |
---|---|---|
Each student needs to be actively engaged in an exercise to get maximum individual and team value. | Changes in Crisis on Flight 1974 after TWD 2007 significantly increased student evaluations. | |
Faculty need appreciable training as well. | Faculty facilitators and debriefers who missed the 2-h group training felt much less prepared to teach the course (even after one-on-one review of the syllabus with the course director). | |
The order of sequential exercises is important and should support scaffolding of desired KSA. | Reorganization of TWD 2008 to assure that all students had Williams Medical Center before Ward Rounds significantly improved student ratings of the former exercise. | |
Simulation-based training, especially of large student cohorts, is very faculty and support staff intensive. | TWD 2010 required 10 faculty facilitators, 12 faculty debriefers, 8 educational support staff, and 32 standardized patients/passengers for 7.75 contact hours for 101 students. | |
Student preparation, especially for role play exercises, is critical to student learning and satisfaction. | Student comments and ratings of handouts and the course were lower in TWD 2007 and 2008 before greater effort was made to emphasize weekend study of their roles. | |
Iterative curricular design based on students’ course evaluations is effective at improving an integrated course. | Tables S2 and S3. | |
A comprehensive teamwork training exercise can be delivered successfully to new medical students. | Tables S2 and S3. |