Focused and Corrective Feedback Versus Structured and Supported Debriefing in a Simulation-Based Cardiac Arrest Team Training: A Pilot Randomized Controlled Study.
OBJECTIVE
The aim of the study was to compare the educational impact of two postsimulation debriefing methods-focused and corrective feedback (FCF) versus Structured and Supported Debriefing (SSD)-on team dynamics in simulation-based cardiac arrest team training.


METHODS
This was a pilot randomized controlled study conducted at a simulation center. Fourth-year medical students were randomly assigned to the FCF or SSD group, with each team composed of six students and a confederate. Each team participated in two simulations and the assigned debriefing (FCF or SSD) sessions and then underwent a test simulation. Two trained raters blindly assessed all of the recorded simulations using checklists. The primary outcome was the improvement in team dynamics scores between baseline and test simulation. The secondary outcomes were improvements before and after training in team clinical performance scores, self-assessed comprehension of and confidence in cardiac arrest management and team dynamics, as well as evaluations of the postsimulation debriefing intervention.


RESULTS
In total, 95 students participated [FCF (8 teams, n = 47) and SSD (8 teams, n = 48)]. The SSD team dynamics score during the test simulation was higher than at baseline [baseline: 74.5 (65.9-80.9), test: 85.0 (71.9-87.6), P = 0.035]. However, there were no differences in the improvement in the team dynamics or team clinical performance scores between the two groups (P = 0.328, respectively).


CONCLUSIONS
There was no significant difference in improvement in team dynamics scores during the test simulation compared with baseline between the SSD and FCF groups in a simulation-based cardiac arrest team training in fourth-year Korean medical students.
From the Department of Emergency Medicine, (J.-H.K., T.Y.H.), The Catholic University of Korea Bucheon St. Mary's Hospital, Bucheon; Department of Emergency Medicine, (Y.-M.K.), The Catholic University of Korea Seoul St. Mary's Hospital; START Center for Medical Simulation (Y.-M.K., E.A.J.), College of Medicine, The Catholic University of Korea; Human Resource Team (S.H.P.), The Catholic University of Korea Seoul St. Mary's Hospital, Seoul; and Department of Emergency Medicine, (S.M.C.), The Catholic University of Korea Uijeongbu St. Mary Hospital, Uijeongbu, Republic of Korea.
Ji-Hoon
JH
Kim
Young-Min
YM
Kim
Seong Heui
SH
Park
Eun A
EA
Ju
Se Min
SM
Choi
Tai Yong
TY
Hong
D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000193:education*; D002983:Clinical Competence; D004503:Education, Medical, Graduate / Q000379:methods*; D005260:Female; D000068156:Formative Feedback; D006323:Heart Arrest / Q000628:therapy*; D006801:Humans; D008297:Male; D008953:Models, Anatomic; D010348:Patient Care Team / Q000458:organization & administration*; D010865:Pilot Projects; D056910:Republic of Korea; D000066908:Simulation Training / Q000379:methods*; D016037:Single-Blind Method