Abstract

Crisis team training (a form of crisis resource management training) focuses on helping ad hoc teams function together to attain group goals. Our program focuses on predetermined roles and role-appropriate tasks, coupled with an objective set of performance measures within time limits. Consistency and quality of debriefing within a course is a difficult task when facilitators have to be experts in both debriefing techniques and the model of care. The need for highly trained, expert facilitators limits the ability to mass train. Creation of tools that enable a lower level trainer who can deliver the same quality of training would benefit quality, reliability, reproducibility and throughput of training centers. To overcome this hurdle, we have developed a web-based, interactive facilitator website that includes:

  1. A checklist of open ended debriefing questions to prompt instructors while debriefing students;
  2. Navigation tools (to “toggle” between videos, scoring sheets, performance graphs, citations, and the teaching slide set);
  3. A library of “teaching points” which focus on the goal of each debriefing;
  4. A library of simulations with errors and appropriate behaviors highlighted to teach facilitators what to look for.

Our tool utilizes a checklist approach that allows competent (not expert) instructors to provide expert (not competent) debriefing by ensuring that they cover all teaching points, tasks, and ask questions during the debriefings. Each session debriefing has an overall goal (for example: role acquisition) and is subsequently divided into sections with central foci for each section. Instructors must check off each task and question acknowledging that they have been covered. The instructor cannot move onto the next section without having completed everything on the checklist. The web pages are designed in a way that they can be modified to be used with other courses taught at WISER.