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Am J Obstet Gynecol. 2012 Sep;207(3):200.e1-7. doi: 10.1016/j.ajog.2012.06.036. Epub 2012 Jun 20.

Improved climate, culture, and communication through multidisciplinary training and instruction.

Author information

1
School of Communication, East Carolina University, Greenville, NC 27858, USA. kirschbaumk@ecu.edu

Abstract

OBJECTIVE:

The objective of the study was to determine the effectiveness of multidisciplinary team training on organizational culture and team communication.

STUDY DESIGN:

The training included a 6-step protocol: (1) a pretest survey assessing cultural attitudes and perceptions, (2) a baseline high-fidelity simulation session, (3) invitational medical rhetoric instruction, (4) a second high-fidelity simulation session, (5) a posttest survey assessing changed cultural attitudes and perceptions, and (6) a debriefing with participants. Teams of 4 physicians trained together: 2 obstetricians and 2 anesthesiologists. Forty-four physicians completed the training protocol during 2010 and 2011.

RESULTS:

Paired-sample t tests demonstrated significant decreases in autonomous cultural attitudes and perceptions (t = 8.23, P < .001) and significant increases in teamwork cultural attitudes and perceptions (t = -4.05, P < .001). Paired-sample t tests also demonstrated significant increases in communication climate that invited participation and integrated information from both medical services (t = -5.80, P < .001).

CONCLUSION:

The multidisciplinary team training program specified in this report resulted in increased teamwork among obstetricians and anesthesiologists.

PMID:
22840971
DOI:
10.1016/j.ajog.2012.06.036
[Indexed for MEDLINE]

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