TEAM BASED LEARNING AND SIMULATION IN MEDICAL EDUCATION: PROMOTING PATIENT SAFETY

Introduction & Objective The Family Medicine Residency Program at Southside Hospital NSLIJHS (now Northwell Health) has been using simulation to train residents, medical students and faculty for several years. We have recently incorporated the use of Team Based Learning (TBL) in our simulation sessions. This combination has provided a tool for education in teamwork and patient safety while incorporating the six ACGME competencies. The objective was to promote learning in an environment without risk to real patients while allowing time for self-reflection via debriefing sessions. It also allowed for the participants to be cogniscent of the patient safety issues: 1) introducing oneself to the patient, 2) identification of the patient via 2 forms of ID, 3) washing hands before and after the patient encounter and 4)ongoing communication with patient, family and medical team. Method The course consists of a pre-class reading of a topic, an individual readiness assurance test when they come to class followed by a group readiness assurance test. The TBL activity is then facilitated after which the teams take turns applying their knowledge in the scenario (patient interaction). Upon completion of the scenarios, the teams reconvene for debriefing, reflection (they watch themselves from the video) and further discussion of the topic. Results & Conclusions Over 300 residents and medical students have participated. Surveys have shown improved competency in the six domains of GME. Analyses showed that there was improvement with this modality of teaching.