Thinking about thinking and feeling Using simulation to train better decision making and behaviour
About the PRESSURE for Teams Course Multi-professional team based training High stakes events Novel simulation – live human/plastic hybrid, dead humans, plastic/animal hybrid
Emotional engagement Technical skill trainer AND Team skill trainer Behavioural skill trainer Cognitive skill trainer
Emotional engagement Empathy Adrenaline Time pressure Hierarchy Power Confusion
Emotional engagement The institutional ‘climate’ The team’s ‘weather’ Professional identity Shame versus guilt
Debriefing/reflection The practical experience of simulation is invaluable The reflective period after simulation is where the learning happens Attention, energy, resource, skill and time needs to be distributed accordingly
How we do it Embedded faculty facilitate Team Self Review Room faculty act as SMEs Faculty trained to use Critical Decision Method Construct a timeline Identify Critical Decision Points Use structured approach
CDM is..... Structured review gives meaning to everyone involved Focussed on actions not self Explanation and analysis vs judgement Embraces narrative tradition of medicine Growth-oriented
Advantages of using CDM in debrief Allows analysis using what was known, reasonably assumed and available at time Identifies things that happened Identifies why each thing happened Uses structured input from SMEs Identifies what needs to happen to be better next time Gives meaning & promotes growth
Thinking about thinking and feeling CDM allows us to examine, identify, source and analyse the emotional component CDM allows us to notice and analyse the effect on our cognition, behaviour, decision-making To grow is to change........