OR Teamwork Faculty Development Program

An OR Teamwork Faculty
Development Program
----------------------------
The Center for Medical Simulation’s
Comprehensive Program for Operating
Room Teamwork Simulation Educators
Marc de Moya, MD FACS
Massachusetts General Hospital
Program Objectives
Develop Interprofessional Education
teams to use simulation as a training
medium for OR  teamwork
Positively effect the quality of the working
and safety culture within the OR
Rationale
Teamwork improvement in OR is critical
element for patient safety and quality
Simulation is a motivating training vehicle
Since teams are training together,
instructors need to be a team, too
Insurance incentive
Harvard captive malpractice insurer
(CRICO) established incentive for surgeons
who participate in simulation teamwork
course program with anesthesiologist(s) and
nurses
CRICO recognized need for well-trained
simulation/teamwork instructors
Funded CMS to lead course development,
initial instructor training
Instructor Program Development
Based on Institute for Medical Simulation (the
instructor training arm of the Center for
Medical Simulation)
Design Team: 10 educators, surgeons,
anesthesiologists, nurses
December 2012: 4-day Pilot Program
April 2013: Spaced learning day for coaching
Educator Program Objectives
Participants will learn to: 
Advance simulation within their institution 
Teach teamwork and communication
concepts
Debrief simulated cases and real clinical
events
Develop, conduct, and debrief realistic
scenarios relevant to operating room teams
Course Participants
Instructor Teams from 3-5 hospitals:
Surgeon, Anesthesiologist, Nurse,
Simulation Educator
Instructor Teams will develop, conduct and
debrief courses in their institutions
Chosen instructors should:
Be interested in using simulation to teach
clinical, teamwork and communication skills
Have schedules & incentives to accomplish
this
Experiential:
Using simulation to
Teach simulation 
Debriefing is key
THE COURSE
Course Overview
Practical exercises and feedback
Modules include:
Debriefing theory and practice
Simulation for procedure training
Crisis resource management
Scenario development and practice
Lessons Learned from Pilot
Instructor team requirement: surgeon,
anesth, RN worked well
Need more careful selection of instructor
teams
Prepare teams prior to arrival
Support from leadership essential:
protected time, access to sim and
debriefing facilities and  support staff
Participant Reactions
Course evals: positive but not glowing
Days were too long
Disliked weekend course days
Learned new, more effective teaching
techniques
Debriefing skills were appreciated
Enjoyed being active in simulations
Team Progress
Team 1: hospital naïve to simulation, now
enthusiastic, motivated, developing cases
Team 2: hospital with sim ctr, planning OR
Teams Program to facilitate culture change
Team 3: hospital experienced with OR
Teams simulation, advanced their debriefing
skills and preparing to implement their
program
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Center for Medical Simulation's program focuses on improving teamwork in operating rooms to enhance patient safety. The initiative aims to train interprofessional teams using simulation as a medium, positively influencing the OR's working culture. Supported by an insurance incentive from Harvard CRICO, the program includes instructor development based on the Institute for Medical Simulation's design. Educators and participants learn to advance simulation, teach teamwork concepts, and conduct debriefs. Surgeons, anesthesiologists, nurses, and simulation educators collaborate in teams, developing, conducting, and debriefing training courses."

  • Teamwork
  • Simulation
  • Medical Education
  • Faculty Development

Uploaded on Mar 02, 2025 | 0 Views


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  1. An OR Teamwork Faculty Development Program ---------------------------- The Center for Medical Simulation s Comprehensive Program for Operating Room Teamwork Simulation Educators Marc de Moya, MD FACS Massachusetts General Hospital

  2. Program Objectives Develop Interprofessional Education teams to use simulation as a training medium for OR teamwork Positively effect the quality of the working and safety culture within the OR

  3. Rationale Teamwork improvement in OR is critical element for patient safety and quality Simulation is a motivating training vehicle Since teams are training together, instructors need to be a team, too

  4. Insurance incentive Harvard captive malpractice insurer (CRICO) established incentive for surgeons who participate in simulation teamwork course program with anesthesiologist(s) and nurses CRICO recognized need for well-trained simulation/teamwork instructors Funded CMS to lead course development, initial instructor training

  5. Instructor Program Development Based on Institute for Medical Simulation (the instructor training arm of the Center for Medical Simulation) Design Team: 10 educators, surgeons, anesthesiologists, nurses December 2012: 4-day Pilot Program April 2013: Spaced learning day for coaching

  6. Educator Program Objectives Participants will learn to: Advance simulation within their institution Teach teamwork and communication concepts Debrief simulated cases and real clinical events Develop, conduct, and debrief realistic scenarios relevant to operating room teams

  7. Course Participants Instructor Teams from 3-5 hospitals: Surgeon, Anesthesiologist, Nurse, Simulation Educator Instructor Teams will develop, conduct and debrief courses in their institutions Chosen instructors should: Be interested in using simulation to teach clinical, teamwork and communication skills Have schedules & incentives to accomplish this

  8. THE COURSE Experiential: Using simulation to Teach simulation Debriefing is key

  9. Course Overview Practical exercises and feedback Modules include: Debriefing theory and practice Simulation for procedure training Crisis resource management Scenario development and practice

  10. Lessons Learned from Pilot Instructor team requirement: surgeon, anesth, RN worked well Need more careful selection of instructor teams Prepare teams prior to arrival Support from leadership essential: protected time, access to sim and debriefing facilities and support staff

  11. Participant Reactions Course evals: positive but not glowing Days were too long Disliked weekend course days Learned new, more effective teaching techniques Debriefing skills were appreciated Enjoyed being active in simulations

  12. Team Progress Team 1: hospital na ve to simulation, now enthusiastic, motivated, developing cases Team 2: hospital with sim ctr, planning OR Teams Program to facilitate culture change Team 3: hospital experienced with OR Teams simulation, advanced their debriefing skills and preparing to implement their program

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