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Purpose <p>Our purpose was to perform a needs assessment of the current state of trauma resuscitations to then develop a focused educational structure to enhance multidisciplinary trauma team training.</p> Methods <p>This is a mixed-methods prospective study involving general surgery and emergency residents and faculty, emergency medicine nurses, and respiratory therapists. A needs assessment was performed and used to identify critical areas that would benefit from improvement with a focused educational structure. We developed and implemented multidisciplinary trauma simulations which utilized real-time video review surveys to gage performance of the simulated trauma resuscitation in order to target areas of improvement. The simulations were composed of approximately 20% penetrating and 80% blunt trauma simulations, similar to the ratio seen in our level 1 trauma center.&#xa0;Additionally, the trauma bay was re-designed to reflect the curriculum by reinforcing the locations and the roles of each trauma team member and additional surveys were performed to evaluate improvements in team roles, responsibilities, and communication.</p> Results <p>Mann–Whitney <i>U</i> test demonstrated a statistically significant higher rating of “Cooperation and Resource Management” in blunt compared to penetrating trauma simulations (p = 0.0069).</p> Conclusions <p>The greater exposure to blunt traumas in reality may have allowed trauma team members to have more familiarity and thus higher ratings of cooperation and resource management. These results can help us cater to the simulation curriculum to focus on penetrating traumas which did not have as high ratings in non-technical skills. Multidisciplinary trauma simulations are useful in resident education as both a training and an assessment tool.</p>

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Problem identification, needs assessment, and development of a multidisciplinary trauma simulation curriculum at a level-one academic trauma center: a novel education model to improve resident education, team communication, and trauma resuscitation outcomes

  • 期刊论文

  • 发表日期：

    2025年1月10日

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  • Erika Simmerman-Mabes,
  • Lillie Tien,
  • Mikenzie Sturdevant,
  • Melanie Jones,
  • Maanasa Javangula,
  • Brittany Ange,
  • Andy McKenzie,
  • Regina Medeiros,
  • Erin Switzer,
  • Amanda Lee,
  • Bao-Ling Adam,
  • Adil Abuzeid

摘要

Purpose

Our purpose was to perform a needs assessment of the current state of trauma resuscitations to then develop a focused educational structure to enhance multidisciplinary trauma team training.

Methods

This is a mixed-methods prospective study involving general surgery and emergency residents and faculty, emergency medicine nurses, and respiratory therapists. A needs assessment was performed and used to identify critical areas that would benefit from improvement with a focused educational structure. We developed and implemented multidisciplinary trauma simulations which utilized real-time video review surveys to gage performance of the simulated trauma resuscitation in order to target areas of improvement. The simulations were composed of approximately 20% penetrating and 80% blunt trauma simulations, similar to the ratio seen in our level 1 trauma center. Additionally, the trauma bay was re-designed to reflect the curriculum by reinforcing the locations and the roles of each trauma team member and additional surveys were performed to evaluate improvements in team roles, responsibilities, and communication.

Results

Mann–Whitney U test demonstrated a statistically significant higher rating of “Cooperation and Resource Management” in blunt compared to penetrating trauma simulations (p = 0.0069).

Conclusions

The greater exposure to blunt traumas in reality may have allowed trauma team members to have more familiarity and thus higher ratings of cooperation and resource management. These results can help us cater to the simulation curriculum to focus on penetrating traumas which did not have as high ratings in non-technical skills. Multidisciplinary trauma simulations are useful in resident education as both a training and an assessment tool.