Assessing teamwork in medical education and practice: relating behavioural teamwork ratings and clinical performance.

Published

Journal Article

BACKGROUND: Problems with communication and team coordination are frequently linked to adverse events in medicine. However, there is little experimental evidence to support a relationship between observer ratings of teamwork skills and objective measures of clinical performance. AIM: Our main objective was to test the hypothesis that observer ratings of team skill will correlate with objective measures of clinical performance. METHODS: Nine teams of medical students were videotaped performing two types of teamwork tasks: (1) low fidelity classroom-based patient assessment and (2) high fidelity simulated emergent care. Observers used a behaviourally anchored rating scale to rate each individual on skills representative of assertiveness, decision-making, situation assessment, leadership, and communication. A checklist-based measure was used to assess clinical team performance. RESULTS: Moderate to high inter-observer correlations and moderate correlations between cases established the validity of a behaviourally anchored team skill rating tool for simulated emergent care. There was moderate to high correlation between observer ratings of team skill and checklist-based measures of team performance for the simulated emergent care cases (r = 0.65, p = 0.06 and r = 0.97, p < 0.0001). CONCLUSIONS: These results provide prospective evidence of a positive relationship between observer ratings of team skills and clinical team performance in a simulated dynamic health care task.

Full Text

Duke Authors

Cited Authors

  • Wright, MC; Phillips-Bute, BG; Petrusa, ER; Griffin, KL; Hobbs, GW; Taekman, JM

Published Date

  • January 2009

Published In

Volume / Issue

  • 31 / 1

Start / End Page

  • 30 - 38

PubMed ID

  • 18825572

Pubmed Central ID

  • 18825572

Electronic International Standard Serial Number (EISSN)

  • 1466-187X

Digital Object Identifier (DOI)

  • 10.1080/01421590802070853

Language

  • eng

Conference Location

  • England