Identifying Nontechnical Skill Deficits in Trainees Through Interdisciplinary Trauma Simulation.

Journal Article (Journal Article)

OBJECTIVE: The goal of this study was to investigate nontechnical skills in a simulated trauma setting both before and after a debriefing session in order to better understand areas to target for the development of educational interventions. DESIGN: Wilcoxon signed rank tests were used to compare scores on the 5 domains of the T-NOTECHS pre- and postdebriefings. A qualitative analysis using the PEARLS debriefing framework was performed to provide a rich description of the strategies used by the debriefing facilitators. SETTING: The Joint Trauma Simulation Program is an interdisciplinary project designed to improve the quality of trauma care through simulation exercises emphasizing nontechnical skills development. PARTICIPANTS: Thirteen teams of 5 trauma trainees participated in trauma resuscitation simulations: a surgical chief resident, a surgical junior resident, an emergency medicine resident, and 2 emergency medicine nurses. RESULTS: Teams significantly improved on communication and interaction skills in the simulation scenarios from pre- to postdebriefing. The debrief facilitators spent most of their time engaged in Directive Performance Feedback (56.13%). CONCLUSIONS: Interprofessional team simulation in trauma resuscitation scenarios followed by debriefing differently affected individual nontechnical skills domains. Additional facilitation strategies, such as focused facilitation and encouraging learner self-assessment, may target other nontechnical skills in different ways.

Full Text

Duke Authors

Cited Authors

  • Sullivan, S; Campbell, K; Ross, JC; Thompson, R; Underwood, A; LeGare, A; Osman, I; Agarwal, SK; Jung, HS

Published Date

  • July 2018

Published In

Volume / Issue

  • 75 / 4

Start / End Page

  • 978 - 983

PubMed ID

  • 29100919

Pubmed Central ID

  • PMC5955804

Electronic International Standard Serial Number (EISSN)

  • 1878-7452

Digital Object Identifier (DOI)

  • 10.1016/j.jsurg.2017.10.007


  • eng

Conference Location

  • United States