Improved climate, culture, and communication through multidisciplinary training and instruction

Am J Obstet Gynecol. 2012 Sep;207(3):200.e1-7. doi: 10.1016/j.ajog.2012.06.036. Epub 2012 Jun 20.


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anesthesiology / education*
  • Communication*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Interdisciplinary Studies*
  • Obstetrics / education*
  • Organizational Culture*
  • Patient Care Team*