1. Thinking about thinking and feeling
Using simulation to train better decision making and behaviour

2. 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

3. Emotional engagement Technical skill trainer AND Team skill trainer
Behavioural skill trainer
Cognitive skill trainer

4. Emotional engagement Empathy Adrenaline Time pressure Hierarchy Power
Confusion

5. Emotional engagement The institutional ‘climate’ The team’s ‘weather’
Professional identity
Shame versus guilt

6. 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

7. 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

8. 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

9. 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

10. 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