Peak Performance: A Communications-Based Leadership and Teamwork Simulation for Fourth-Year Medical Students
Background: Medical education has traditionally been rooted in the teaching of health and disease processes, with little attention to the development of teamwork and leadership competencies. Objective: In an era of value-based health care provided by high-functioning teams, new approaches are needed...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-06-01
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| Series: | Journal of Medical Education and Curricular Development |
| Online Access: | https://doi.org/10.1177/2382120520929990 |
| _version_ | 1798022721072791552 |
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| author | Sarah Smithson Gary Beck Dallaghan Jason Crowner Laura Trollinger Derry Akshitha (Ammu) Vijayakumar Mindy Storrie Timothy P Daaleman |
| author_facet | Sarah Smithson Gary Beck Dallaghan Jason Crowner Laura Trollinger Derry Akshitha (Ammu) Vijayakumar Mindy Storrie Timothy P Daaleman |
| author_sort | Sarah Smithson |
| collection | DOAJ |
| description | Background: Medical education has traditionally been rooted in the teaching of health and disease processes, with little attention to the development of teamwork and leadership competencies. Objective: In an era of value-based health care provided by high-functioning teams, new approaches are needed to develop communication, leadership, and teamwork skills for medical students. Design: We designed and piloted a simulation-based educational activity called Peak Performance that linked a workbook, which focused on self-reflection on communication and leadership skills, with professional coaching. The simulation scenario placed students in the role of an upper-level resident on an inpatient service, followed by a small group debrief with students, a clinical faculty member, and a professional executive coach. After the debriefing session, students were invited to complete a self-reflection workbook within 1 week of the initial simulation. The final element of the curriculum was an individualized session with an executive coach. Peak Performance was offered to all fourth-year medical students enrolled in the Social and Health Systems Science required course at the University of North Carolina School of Medicine. Results: Pre-/post-self-assessments of leadership competencies were completed by students. Pre-simulation self-assessment scores ranged from 3.72 to 4.33 on a 5-point scale. The lowest scores were in “Managing Conflict” and “Managing Others.” The highest score was in “Self-Awareness.” The post-simulation scores decreased in every competency, with “Managing Others” dropping significantly from 3.72 pre-simulation to 3.36 post-simulation (0.31, P < .05). Satisfaction with the curriculum was high, as reflected by a Net Promoter Score of 91% (“excellent” > 50%). Conclusions: A novel simulation-based educational activity linked to professional coaching is a feasible and impactful strategy to develop leadership, communication, and teamwork skills in medical students. Student insight and self-awareness increased as evidenced by a decrease in competency self-assessment after guided reflection and individualized coaching. |
| first_indexed | 2024-04-11T17:34:36Z |
| format | Article |
| id | doaj.art-852a9d696c004473bd805992f68a3004 |
| institution | Directory Open Access Journal |
| issn | 2382-1205 |
| language | English |
| last_indexed | 2024-04-11T17:34:36Z |
| publishDate | 2020-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Medical Education and Curricular Development |
| spelling | doaj.art-852a9d696c004473bd805992f68a30042022-12-22T04:11:43ZengSAGE PublishingJournal of Medical Education and Curricular Development2382-12052020-06-01710.1177/2382120520929990Peak Performance: A Communications-Based Leadership and Teamwork Simulation for Fourth-Year Medical StudentsSarah Smithson0Gary Beck Dallaghan1Jason Crowner2Laura Trollinger Derry3Akshitha (Ammu) Vijayakumar4Mindy Storrie5Timothy P Daaleman6Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USAUniversity of North Carolina School of Medicine, Chapel Hill, NC, USADepartment of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, USAUniversity of North Carolina School of Medicine, Chapel Hill, NC, USAUniversity of North Carolina School of Medicine, Chapel Hill, NC, USAKenan-Flagler Business School, University of North Carolina, Chapel Hill, NC, USADepartment of Family Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USABackground: Medical education has traditionally been rooted in the teaching of health and disease processes, with little attention to the development of teamwork and leadership competencies. Objective: In an era of value-based health care provided by high-functioning teams, new approaches are needed to develop communication, leadership, and teamwork skills for medical students. Design: We designed and piloted a simulation-based educational activity called Peak Performance that linked a workbook, which focused on self-reflection on communication and leadership skills, with professional coaching. The simulation scenario placed students in the role of an upper-level resident on an inpatient service, followed by a small group debrief with students, a clinical faculty member, and a professional executive coach. After the debriefing session, students were invited to complete a self-reflection workbook within 1 week of the initial simulation. The final element of the curriculum was an individualized session with an executive coach. Peak Performance was offered to all fourth-year medical students enrolled in the Social and Health Systems Science required course at the University of North Carolina School of Medicine. Results: Pre-/post-self-assessments of leadership competencies were completed by students. Pre-simulation self-assessment scores ranged from 3.72 to 4.33 on a 5-point scale. The lowest scores were in “Managing Conflict” and “Managing Others.” The highest score was in “Self-Awareness.” The post-simulation scores decreased in every competency, with “Managing Others” dropping significantly from 3.72 pre-simulation to 3.36 post-simulation (0.31, P < .05). Satisfaction with the curriculum was high, as reflected by a Net Promoter Score of 91% (“excellent” > 50%). Conclusions: A novel simulation-based educational activity linked to professional coaching is a feasible and impactful strategy to develop leadership, communication, and teamwork skills in medical students. Student insight and self-awareness increased as evidenced by a decrease in competency self-assessment after guided reflection and individualized coaching.https://doi.org/10.1177/2382120520929990 |
| spellingShingle | Sarah Smithson Gary Beck Dallaghan Jason Crowner Laura Trollinger Derry Akshitha (Ammu) Vijayakumar Mindy Storrie Timothy P Daaleman Peak Performance: A Communications-Based Leadership and Teamwork Simulation for Fourth-Year Medical Students Journal of Medical Education and Curricular Development |
| title | Peak Performance: A Communications-Based Leadership and Teamwork Simulation for Fourth-Year Medical Students |
| title_full | Peak Performance: A Communications-Based Leadership and Teamwork Simulation for Fourth-Year Medical Students |
| title_fullStr | Peak Performance: A Communications-Based Leadership and Teamwork Simulation for Fourth-Year Medical Students |
| title_full_unstemmed | Peak Performance: A Communications-Based Leadership and Teamwork Simulation for Fourth-Year Medical Students |
| title_short | Peak Performance: A Communications-Based Leadership and Teamwork Simulation for Fourth-Year Medical Students |
| title_sort | peak performance a communications based leadership and teamwork simulation for fourth year medical students |
| url | https://doi.org/10.1177/2382120520929990 |
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