Learning Crisis Resource Management: Practicing Versus Observational Role in Simulation Training

Study Overview
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Brief Summary
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The purpose of this study is to compare the effectiveness in learning crisis resource management (CRM) principles when being an active participant in simulation-based education versus being an observer participant. The investigators hypothesize that active participants will improve their CRM skills more than observer participants.

Detailed Description
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This will be a prospective randomized controlled study. Participants will be randomized to one of two groups with stratification according to their level of training: the active group and the observer group. Each participant of the active group will be paired with one of the participants from the observer group. The active participant will manage individually a simulated crisis scenario (pretest) while the paired observer participant will observe the scenario from outside the simulation room using a video transmission system. Immediately after, both participants will be debriefed by a trained instructor focused on CRM principles. The same active and observer participants will then individually manage another simulated crisis scenario (post-test). Two independent raters, blinded to the study design and to the randomization groups, will review the videos of all scenarios in a random order and rate each participant on their CRM performance using a global rating scale (GRS).

Official Title
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Learning Crisis Resource Management: Practicing Versus Observational Role in Simulation Training

Conditions
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Focus of Study is Teaching Crisis Resource Management

Intervention / Treatment
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* Behavioral: observational role
* Behavioral: active role


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: emergency medicine residents from the University of Ottawa
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: active management of crises scenario<br>participants assigned to actively manage a crisis scenario | Behavioral: active role<br>* active role in managing crisis scenario<br>|
| Active Comparator: Observer role in crisis scenario<br>Observational role in management of crises scenario | Behavioral: observational role<br>* observational role in crisis scenario<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total Ottawa GRS Score | The Ottawa GRS scale is a reliable and valid scale used to measure CRM performance in high fidelity simulation. The scale assesses five main CRM categories: leadership, problem solving, situational awareness, resource allocation and communication skills. In addition to these five categories, there is a category on overall performance of the participant. Each category is measured on a 7 point Likert scale with descriptive anchors to provide guidelines on alternating points along the scale. The categorical scores will be summed to give a total score of 6 to 42. Higher values represent a better outcome. | 1 day |