Crisis Resource Management Improvement Through Intellectual Questioning of Authority (CRITIQue)

National University Health System (NUHS)

Status: Completed

Conditions: Medical Education, Simulation, Crisis Resource Management

Treatments: Other: Standard ACLS Training; Other: Crisis Resource Management Skill Training

Study type: Interventional

Funder types: Other

Identifiers

NCT03707964

CRITIQue

Details and patient eligibility

About

This is a randomized controlled trial examining the effectiveness of a teaching intervention on residents' and medical students' ability to challenge clearly wrong decisions by a superior during a simulated life-threatening crisis. Participants will be randomly allocated into the control or intervention arm. The intervention arm will receive education on crisis resource management (CRM) and teaching targeting the cognitive skills required to monitor and challenge a superior's decision, and conflict resolution tools. Participants will then take part in a simulation scenario 2 to 4 weeks later and will be assessed based on 6 challenge points, followed by a debrief session.

Enrollment: 25 patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Medical officers or Internal medicine, surgical and emergency medicine residents who are in their 2nd post-graduate year of training, or
• Phase V medical students from Yong Loo Lin School of Medicine, National University of Singapore

Exclusion criteria

• Refusal for informed consent, or
• Refusal for video recording during simulation sessions

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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25 participants in 2 patient groups, including a placebo group

Control

Placebo Comparator group

Description:

Subjects allocated to the control arm will receive standard didactic interactive session on Advanced Cardiac Life Support (ACLS) principles, as part of their regular teaching schedule.

Treatment:

Other: Standard ACLS Training

Intervention

Experimental group

Description:

Subjects allocated to the intervention arm will receive education on crisis resource management (CRM) and teaching targeting the cognitive skills required to monitor and challenge a superior's decision, and conflict resolution tools, in addition to standard didactic interactive session on Advanced Cardiac Life Support (ACLS) principles.

Treatment:

Other: Crisis Resource Management Skill Training