Interdisciplinary Coaching for Rapid-Response Team Simulations [11K]

Abstract

INTRODUCTION: Coaching and debriefing after simulated exercises are both well-established approaches to enhancing education and personal performance. Coaching may also have an important role in training interdisciplinary teams for obstetric emergencies. We sought to understand factors which create an optimal environment for coaching interdisciplinary obstetric rapid-response teams. METHODS: An interdisciplinary simulation drill was conducted for our institution's obstetric rapid-response team. The individuals leading the debriefing session were varied by discipline, and participants' responses in a post-simulation survey were analyzed to determine if receiving feedback from a person from one's own discipline is important to satisfaction with the assessment process. Participants were asked to rank their satisfaction with feedback on a numerical scale (1-10, 10=best). We also posed questions regarding acceptance of video recording and playback in a group setting. RESULTS: There was no difference among obstetricians (n=3), anesthesiologists (n=3), or nurses (n=8) regarding feedback received from a representative of their own discipline versus a representative from a different discipline. The majority believed that recording the simulation and playing it back during the team debrief would be helpful. None of the participants indicated that recording the simulation and playing it back during the debrief would deter them from participating. CONCLUSION: Our pilot exercise indicates that participants respond equally to feedback given by a representative of their own discipline as to feedback given by a representative of a different discipline. Interdisciplinary coaching for rapid-response team simulations was well-accepted. The addition of a video recording appears to be a welcome addition to the debrief process.