UP-141 Current educational interventions for improving crisis resource management skills in surgery
Thursday June 27, 2019 from
Award Winner
Ishan Aditya, Canada has been granted the

Ishan Aditya, Canada

Medical Student

Faculty of Medicine

University of Toronto


Current educational interventions for improving crisis resource management skills in surgery

Ishan Aditya1, Jared E. Dookie2, Jethro C.C. Kwong3, Jason Y. Lee3, Mitchell G. Goldenberg3.

1Faculty of Medicine, University of Toronto, Toronto, ON, Canada; 2Schulich School of Medicine and Dentistry, Western University, London, ON, Canada; 3Division of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada

Introduction: Crisis resource management (CRM) is an established model for non-technical skills development, widely used across high-reliability industries. CRM has become an important model for team-based education in surgery, used in simulation and didactic-based methods. The purpose of this systematic review is to synthesize and examine published CRM-based educational paradigms designed to improve trainee performance in surgery, and to analyze their strengths and limitations.

Methods: A literature search of the Excerpta Medica dataBASE (EMBASE), the Medical Literature Analysis and Retrieval System Online (MEDLINE), the Cochrane Library, and PsycINFO databases were performed to identify literature focused on current educational interventions for improving crisis resource management in surgery. The Medical Education Research Study Quality Instrument (MERSQI) was used to evaluate the overall quality of evidence.

Results: A total of 1785 articles were identified, of which 15 were selected for full-text review. Studies were categorized into the intraoperative and postoperative phases of surgery. The types of educational interventions included simulation, didactic seminars, and debriefing scenarios. Metrics used to measure the effectiveness of the educational interventions included ANTS, Ottawa GRS, NOTSS, NOTECHS, and Trauma Management Skills Score. Overall, the studies had an average MERSQI score of 13.7/18.

Conclusions: Crisis resource management in a surgical setting requires further study to discover what constitutes an effective educational intervention in the operative setting. Further work is needed to link CRM training with educational and patient outcomes and to develop an effective approach to integrating these interventions longitudinally into training curricula.

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