1. An OR Teamwork Faculty Development Program ---------------------------- The Center for Medical Simulation’s Comprehensive Program for Operating Room Teamwork Simulation Educators Marc de Moya, MD FACS Massachusetts General Hospital

2. Program Objectives Develop Interprofessional Education teams to use simulation as a training medium for OR teamwork Positively effect the quality of the working and safety culture within the OR

3. Rationale Teamwork improvement in OR is critical element for patient safety and quality Simulation is a motivating training vehicle Since teams are training together, instructors need to be a team, too

4. Insurance incentive Harvard captive malpractice insurer (CRICO) established incentive for surgeons who participate in simulation teamwork course program with anesthesiologist(s) and nurses CRICO recognized need for well-trained simulation/teamwork instructors Funded CMS to lead course development, initial instructor training

5. Instructor Program Development Based on Institute for Medical Simulation (the instructor training arm of the Center for Medical Simulation) Design Team: 10 educators, surgeons, anesthesiologists, nurses December 2012: 4-day Pilot Program April 2013: Spaced learning day for coaching

6. Educator Program Objectives Participants will learn to: Participants will learn to: Advance simulation within their institution Teach teamwork and communication concepts Debrief simulated cases and real clinical events Develop, conduct, and debrief realistic scenarios relevant to operating room teams

7. Course Participants Instructor Teams from 3-5 hospitals: Surgeon, Anesthesiologist, Nurse, Simulation Educator Instructor Teams will develop, conduct and debrief courses in their institutions Chosen instructors should: –Be interested in using simulation to teach clinical, teamwork and communication skills –Have schedules & incentives to accomplish this –Have schedules & incentives to accomplish this

8. Experiential: Using simulation to Teach simulation Debriefing is key THE COURSE

9. Course Overview Practical exercises and feedback Modules include: –Debriefing theory and practice –Simulation for procedure training –Crisis resource management –Scenario development and practice

10. Lessons Learned from Pilot Instructor team requirement: surgeon, anesth, RN worked well Need more careful selection of instructor teams Prepare teams prior to arrival Support from leadership essential: protected time, access to sim and debriefing facilities and support staff

11. Participant Reactions Course evals: positive but not glowing Days were too long Disliked weekend course days Learned new, more effective teaching techniques Debriefing skills were appreciated Enjoyed being active in simulations

12. Team Progress Team 1: hospital naïve to simulation, now enthusiastic, motivated, developing cases Team 2: hospital with sim ctr, planning OR Teams Program to facilitate culture change Team 3: hospital experienced with OR Teams simulation, advanced their debriefing skills and preparing to implement their program