title: [Team dynamics and clinical performance of medical students in web-based and high-fidelity simulations].
abstract: OBJECTIVE
  The importance of team dynamics with regard to clinical performance is being emphasized to improve patient safety and the quality of health care. The aim of this study was to examine the correlation and differences in team dynamics and team clinical performance in a web-based simulation (WS) and high-fidelity simulation (HS) in the medical students.
  
  
  METHODS
  The simulations were held for 15 teams of fourth year medical students (n=52). They were given two clinical cases, dyspnea (case 1) and chest pain (case 2) by WS and then HS. The scores on the team dynamics and the team's clinical performance were analyzed by paired t-test and multiple regression using SPSS version 21.0 (IBM Corp.).
  
  
  RESULTS
  The teamwork scores on case 2 (22.67 ± 6.58) were higher than for case 1 in the HS (20.47 ± 7.22). Team clinical performance scores were the same the WS and HS. Team clinical performances were significantly associated with team dynamics in both cases by HS. Teamwork scores of team dynamics were each explanation on case 1 (74.9%), case 2 (63.4%) in the HS.
  
  
  CONCLUSIONS
  The team dynamics and clinical performance can improve if undergraduate medical students have more opportunities. They should be trained in these endeavors to become future doctors for which scenario-based simulations could be valuable.
authors: Department of Dental Education, Kyung Hee University School of Dentistry, Seoul, Korea.
authors: Jae Beum
authors: JB
authors: Bang
authors: Department of Emergency Medicine, Inje University College of Medicine, Pusan, Korea.
authors: Yoo Sang
authors: YS
authors: Yoon
authors: Departments of Medical Education, Yeungnam University College of Medicine, Daegu, Korea.
authors: Young Hwan
authors: YH
authors: Lee
authors: Departments of Emergency Medicine, Yeungnam University College of Medicine, Daegu, Korea.
authors: Sam Beom
authors: SB
authors: Lee
keywords: High-fidelity simulation; Team clinical performance; Team dynamics; Web-based simulation