Improved climate, culture, and communication through multidisciplinary training and instruction.
Am J Obstet Gynecol 2012;
207:200.e1-7. [PMID:
22840971 DOI:
10.1016/j.ajog.2012.06.036]
[Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2012] [Revised: 05/25/2012] [Accepted: 06/15/2012] [Indexed: 10/28/2022]
Abstract
OBJECTIVE
The objective of the study was to determine the effectiveness of multidisciplinary team training on organizational culture and team communication.
STUDY DESIGN
The training included a 6-step protocol: (1) a pretest survey assessing cultural attitudes and perceptions, (2) a baseline high-fidelity simulation session, (3) invitational medical rhetoric instruction, (4) a second high-fidelity simulation session, (5) a posttest survey assessing changed cultural attitudes and perceptions, and (6) a debriefing with participants. Teams of 4 physicians trained together: 2 obstetricians and 2 anesthesiologists. Forty-four physicians completed the training protocol during 2010 and 2011.
RESULTS
Paired-sample t tests demonstrated significant decreases in autonomous cultural attitudes and perceptions (t = 8.23, P < .001) and significant increases in teamwork cultural attitudes and perceptions (t = -4.05, P < .001). Paired-sample t tests also demonstrated significant increases in communication climate that invited participation and integrated information from both medical services (t = -5.80, P < .001).
CONCLUSION
The multidisciplinary team training program specified in this report resulted in increased teamwork among obstetricians and anesthesiologists.
Collapse