Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude

Med Educ. 2007 Feb;41(2):173-80. doi: 10.1111/j.1365-2929.2006.02670.x.


Context: Full-scale simulation training is an accepted learning method for gaining behavioural skills in team-centred domains such as aviation, the nuclear power industry and, recently, medicine. In this study we evaluated the effects of a simulator team training method based on targets and known principles in cognitive psychology.

Methods: This method was developed and adapted for a medical emergency team. In particular, we created a trauma team course for novices, and allowed 15 students to practise team skills in 5 full-scale scenarios. Students' team behaviour was video-recorded and students' attitude towards safe teamwork was assessed using a questionnaire before and after team practice.

Results: Nine of 10 observed team skills improved significantly in response to practice, in parallel with a global rating of team skills. In contrast, no change in attitude toward safe teamwork was registered.

Conclusion: The use of team skills in 5 scenarios in a full-scale patient simulator environment implementing a training method based on targets and known principles in cognitive psychology improved individual team skills but had no immediate effect on attitude toward safe patient care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude of Health Personnel*
  • Education, Medical, Continuing / methods*
  • Emergency Medicine / education*
  • Female
  • Humans
  • Interprofessional Relations
  • Male
  • Patient Care Team
  • Patient Simulation
  • Teaching / methods*