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Can simulation-based team resource management training help students to pass entrustable professional activities 13?
  1. Tung-Wen Ko1,
  2. Sheng-Hui Hung1,
  3. Yung-Lung Wu2,
  4. Hui-Chen Lee3,
  5. Heng-Hui Lein4,
  6. Pa-Chun Wang1
  1. 1 Quality Management Center, Cathay General Hospital, Taipei, Taiwan
  2. 2 Division of Emergency Medicine, Cathay General Hospital, Taipei, Taiwan
  3. 3 Nursing Department, Cathay General Hospital, Taipei, Taiwan
  4. 4 Medical Education Department, Cathay General Hospital, Taipei, Taiwan
  1. Correspondence to Prof. Pa-Chun Wang; drtony{at}


Objective Simulation technology has been integrated into team resource management (TRM) training in many hospitals. We designed a simulation-based TRM training scenario (SBTRM) aiming to help post graduate year (PGY) physicians to fulfil the requirements of the entrustable professional activities 13 (EPA 13). In this study, we investigate and report the SBTRM effectiveness.

Methods A total of 61 physicians received the SBTRM from March to November 2017. The SBTRM covers the core contents of teamwork skills. The trainees were evaluated with qualified clinical instructors after SBTRM training. The evaluation form is a 15-item questionnaire that evaluates the communication, situation monitoring, attitudes and clinical treatment of trainee behaviour.

Results A total of 75% of trainees agreed that the simulation is close to the usual care behaviour and helpful in thinking about changes in the surrounding conditions. More than 80% of trainees can actively communicate the care process; 82% of trainees can provide appropriate clinical treatment for patients. We found that physicians did not pay enough attention to the definition of ‘nursing work’. 75% of the overall performance of teamwork and patient safety reached only ‘good’ level.

Conclusions Current medical education is increasingly using simulation to learn teamwork skills, with the hope that trainees use systematic thinking to carry out the care process. In this study, we designed a SBTRM and evaluation form that meets the requirements of EPA 13 for trainees. This training should improve physicians’ safety awareness in the first post-graduate year.

  • patient safety
  • medical education
  • simulation-based TRM training
  • entrustable professional activities
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  • Contributors Quality Management Center, Division of Emergency Medicine, and Nursing Department contributed equally. Medical Education Department provided assistance during training. All authors discussed the results and contributed to the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Ethics approval Ethical approval was sought from Institutional Review Board (IRB) in our hospital and has passed the review.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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