Improving Performance in Pediatric Trauma by Teaching Nontechnical Skills

NCT05910515 | Unknown

• 1 other identifier: 2022-7561
• Study Type: interventional
• Target: 40
• Locations: 2 countries
• Sites: 2

Brief Summary

The goal of this trial is to test a debriefing protocol to improve non-technical skills (NTS) in medical students. The study aims to answer the following questions:

• Does a debriefing intervention improve medical students' NTS?
• Does the intervention have an impact on the students' performance in simulated scenarios? Participants in the study will be randomly assigned to one of the teams, each consisting of a trauma team leader and three assistants. The teams will rotate across four different scenarios, allowing participants to switch roles and act as team leaders. The intervention teams will be debriefed using the study protocol, while the control groups will receive standard technical feedback without focusing on NTS. The primary outcome measure will be the Non-Technical Skills for Surgeons (NOTSS) score, which is a validated assessment tool for NTS. Secondary outcome measures include the number of correct interventions performed in each scenario. The study will involve 40 medical students, and the sample size was determined based on previous studies and statistical considerations. A panel of health educators will define the debriefing protocol, and the trial has been approved by the McGill Research Ethics Board office. The study findings are expected to contribute significantly to the training of providers of trauma care for children worldwide. By exploring the impact of debriefing on NTS in pediatric trauma education, this project aims to fill a critical gap in current training models.

Conditions

Injuries

Keywords

child; non-technical skills; pediatric trauma

Outcome Measures

Primary Outcomes (1)

• NOTSS score

  The Non-technical skills for surgeons (NOTSS) score evaluates four major categories of non-technical skills: situation awareness, decision-making, teamwork, and leadership. Each category is assessed based on specific elements outlined in the NOTSS handbook (www.notss.org). It is a continuous variable ranging from 1 to 4. Higher scores on the NOTSS scale indicate better non-technical skills, while lower scores suggest areas that may need improvement. Educators are responsible for observing the trainees and scoring their behaviors during the simulated scenarios.

  During the student's participation in the simulated scenarios (four hours)

Secondary Outcomes (1)

• Number of interventions performed

  During the student's participation in the simulated scenarios (four hours)

Study Arms (2)

Control

NO INTERVENTION

Regular debriefing

Intervention

EXPERIMENTAL

Structured debriefing in non-technical skills

Other: Debriefing

Interventions

Debriefing OTHER

Structured debriefing in non-technical skills. (This is an educational study)

Intervention

Eligibility Criteria

• Age: 18 Years - 99 Years
• Gender Eligibility Details: Male, female, non-binary
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Canadian cohort
• McGill University, years 3 or 4 medical students. or
• McGill University Health Centre general surgery residents
• Brazilian cohort
• Medical students, years 5 or 6. or
• Brazilian general surgery residents

You may not qualify if:

• Canadian cohort
• Medical students of years 1 and 2;
• Residents that are not from the General Surgery service;
• Brazilian cohort
• Medical students of years 1, 2, 3 \& 4.
• Residents that are not from the General Surgery service;

Sponsors & Collaborators

• McGill University Health Centre/Research Institute of the McGill University Health Centre: lead

Study Sites (2)

Medical schools in Brazil

Belo Horizonte, Brazil

RECRUITING

McGill University

Montreal, Quebec, Canada

RECRUITING

Related Publications (15)

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  PMID: 28384795 BACKGROUND

• Kiragu AW, Dunlop SJ, Wachira BW, Saruni SI, Mwachiro M, Slusher T. Pediatric Trauma Care in Low- and Middle-Income Countries: A Brief Review of the Current State and Recommendations for Management and a Way Forward. J Pediatr Intensive Care. 2017 Mar;6(1):52-59. doi: 10.1055/s-0036-1584676. Epub 2016 Jun 24.

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• Lee A, Finstad A, Gawad N, Boet S, Raiche I, Balaa F. Nontechnical Skills (NTS) in the Undergraduate Surgical and Anesthesiology Curricula: Are We Adequately Preparing Medical Students? J Surg Educ. 2021 Mar-Apr;78(2):502-511. doi: 10.1016/j.jsurg.2020.08.001. Epub 2020 Aug 21.

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  PMID: 29478826 BACKGROUND

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• Leenstra NF, Jung OC, Cnossen F, Jaarsma ADC, Tulleken JE. Development and Evaluation of the Taxonomy of Trauma Leadership Skills-Shortened for Observation and Reflection in Training: A Practical Tool for Observing and Reflecting on Trauma Leadership Performance. Simul Healthc. 2021 Feb 1;16(1):37-45. doi: 10.1097/SIH.0000000000000474.

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MeSH Terms

Conditions

Wounds and Injuries

Interventions

Crisis Intervention

Intervention Hierarchy (Ancestors)

Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Dan Poenaru

  McGill

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Fabio Botelho, MD

CONTACT

5148208667; fabio.botelho@mail.mcgill.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: May 23, 2023
• First Posted: June 18, 2023
• Study Start: September 1, 2022
• Primary Completion: December 31, 2023
• Study Completion: September 1, 2024
• Last Updated: June 18, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP

Locations

BR (1); CA (1)