A simulation-based curriculum to introduce key teamwork principles to entering medical students

摘要: Failures of teamwork and interpersonal communication have been cited as a major patient safety issue. Although healthcare is increasingly being provided in interdisciplinary teams, medical school curricula traditionally not explicitly included the specific knowledge, skills, attitudes, behaviors required to function effectively part such teams. As new “Foundations” core course for beginning students that two-week introduction most important themes modern healthcare, multidisciplinary team, collaboration with Center Experiential Learning Assessment, was asked create an experiential communication. We designed implemented novel, all-day teach second-week basic principles skills using immersive simulation methods. Students’ anonymous comprehensive evaluations were collected at end day. Through four years iterative refinement based on students’ evaluations, faculty reflection, debriefing, changed matured. Four hundred twenty collected. Course positive almost all questions having means medians greater than 5 out 7 across 4 years. Sequential year comparisons greatest interest examining effects year-to-year curricular improvements. Differences detected among any evaluation between 2007 2008 except more felt further developed their “Decision Making Abilities” (OR 1.69, 95% CI 1.07–2.67). With extensive changes syllabus debriefer selection/assignment, concomitant improvements observed these aspects 2009 (OR = 2.11, CI: 1.28–3.50). Substantive exercises also yielded significant those exercises. This curriculum could be valuable other schools seeking inculcate foundations school’s preclinical curricula. Moreover, this can used facilitate inter-disciplinary, well uni-disciplinary, collaboration.