From: Immediate faculty feedback using debriefing timing data and conversational diagrams
Topic | Study subject characteristics** | DASH scores | |||||
---|---|---|---|---|---|---|---|
DASH element 1 Mean (SD) | DASH element 2 Mean (SD) | DASH element 3 Mean (SD) | DASH element 4 Mean (SD) | DASH element 5 Mean (SD) | DASH element 6 Mean (SD) | ||
Case 1 Adult cardiac arrest | 5 study subjects: 5 junior doctors (4 male; 1 female) | 6.6 (0.49) | 6.6 (0.49) | 7 (0) | 6.8 (0.4) | 6 (0.63) | 6.4 (0.49) |
1 debriefer: emergency registrar A, (male—novice*) | 5 | 4 | 5 | 4 | 4 | 5 | |
1 supervisor: ICU nurse A (female—experienced*) | 6 | 6 | 6 | 4 | 4 | 4 | |
Case 2 Airway | 7 study subjects: (5 junior doctors (3M; 2F), RN (F) student (F)) | 6.71 (0.45) | 6.86 (0.35) | 6.71 (0.45 | 6.57 (0.49) | 6.43 (1.05) | 6.57 (0.49) |
1 debriefer: emergency registrar B (female—novice*) | 5 | 6 | 4 | 6 | 6 | 5 | |
1 supervisor: ICU nurse B (male—experienced*) | 5 | 5 | 5 | 5 | 6 | 6 | |
Case 3 Adult cardiac arrest | 8 study subjects: (8 junior doctors (4M; 4F)) | 6.63 (0.70) | 6.63 (0.70) | 6.75 (0.43) | 6.25 (0.97) | 5.88 (1.45) | 6.63 (0.48) |
1 debriefer: emergency registrar C (male—novice*) | 4 | 5 | 6 | 5 | 5 | 6 | |
1 supervisor: ICU nurse B, (male—experienced*) | 5 | 6 | 6 | 6 | 5 | 5 | |
Case 4 Airway | 5 study subjects: (5 junior doctors (3F; 2M)) | 6.8 (0.4) | 6.8 (0.4) | 7 (0) | 7 (0) | 7 (0) | 7 (0) |
Debriefer: emergency registrar A (male—intermediate*) | 5 | 5 | 5 | 4 | 5 | 5 | |
1 supervisor: specialist A (male—experienced*) | 6 | 6 | 7 | 6 | 6 | 6 | |
Case 5 Airway | 6 study subjects: junior doctors (1M, 2F); 3 students (1M, 2F) | 6.17 (0.37) | 6.5 (0.5) | 6.67 (0.47) | 6.67 (0.47) | 6 (1.15) | 6.5 (0.5) |
Debriefer: emergency registrar A (male—intermediate*) | 6 | 5 | 6 | 6 | 6 | 5 | |
1 supervisor: nurse educator A (female—intermediate*) | 6 | 6 | 7 | 6 | 4 | 5 | |
Case 6 Seizure | 7 study subjects: 3 junior doctors (2M; 1F), 4 students (2M; 2F) | 6.57 (0.49) | 6.57 (0.49) | 6.86 (0.35) | 6.86 (0.35) | 6.43 (0.73) | 6.57 (0.49) |
1 debriefer: anaesthetic Doctor A (female—intermediate*) | 5 | 5 | 4 | 5 | 5 | 5 | |
Supervisor: specialist A (male—experienced*) | 6 | 6 | 7 | 6 | 4 | 5 | |
Case 7 Asthma | 6 Study Subjects: 3 Junior Doctors (2M; 1F), 3 Students (1M; 2F) | 6.67 (0.47) | 7 (0) | 7 (0) | 7 (0) | 6.5 (0.5) | 7 (0) |
Debriefer: Emergency Registrar A (Male - Intermediate*) | 5 | 6 | 5 | 6 | 6 | 6 | |
Supervisor: Specialist (Male - Experienced*) | 6 | 7 | 5 | 6 | 5 | 6 | |
Case 8 Adult cardiac arrest | 8 study subjects: 6 junior doctors (3M; 3F), 2 students (1M; 1F) | 6.75 (0.43) | 6.88 (0.33) | 7 (0) | 6.88 (0.33) | 7 (0) | 6.88 (0.33) |
Debriefer: emergency registrar C (male—intermediate*) | 6 | 6 | 6 | 5 | 6 | 6 | |
Supervisor: specialist (male—experienced) | 6 | 7 | 5 | 6 | 5 | 5 | |
Case 9 Sepsis | 4 study subjects: 3 junior doctors (1M; 2F), 1 RN (1F) | 7 (0) | 7 (0) | 6.75 (0.43) | 7 (0) | 6.75 (0.43) | 7 (0) |
Debriefer: nurse educator A (female—experienced*) | 5 | 5 | 4 | 4 | 4 | 4 | |
Supervisor: specialist (male—experienced*) | 6 | 6 | d | 6 | 6 | 6 | |
Case 10 Trauma | 8 study subjects: 4 doctor (2M; 2F), 3 RN (3F), 1 Ambu (M) | 5.75 (0.43) | 6.38 (0.48) | 5.88 (0.60) | 6.13 (0.78) | 5 (1.22) | 5.63 (0.86) |
Debriefer: emergency specialist A (female—experienced*) | 4 | 5 | 5 | 4 | 5 | 5 | |
Supervisor: nurse (female—experienced*) | 6 | 7 | 5 | 5 | 5 | 5 | |
Case 11 Sepsis | 6 study subjects: 4 doctor (2M; 2F), 1 RN (F), 1 student (M) | 6.67 (0.47) | 6.67 (0.47) | 6.5 (0.5) | 6.5 (0.76) | 6 (1) | 6 (1) |
Debriefer: emergency registrar B (male—intermediate*) | 5 | 4 | 3 | 4 | 4 | 4 | |
Supervisor: specialist (male—experienced*) | 6 | 6 | 5 | 6 | 6 | 5 | |
Case 12 Trauma | 8 study subjects: 5 doctor (3M; 2F), 3 RN (3F) | 6.13 (0.60) | 6.25 (0.66) | 6.13 (1.05) | 6.38 (0.86) | 5.13 (1.45) | 5.88 (0.93) |
Debriefer: emergency specialist B (male—experienced*) | 5 | 6 | 5 | 6 | 5 | 5 | |
Supervisor: nurse (female—experienced*) | 6 | 6 | 5 | 6 | 5 | 4 | |
Overall DASH scores | Mean study subject DASH score (n = 78) (mean of total = 6.50) | 6.50 (0.34) | 6.64 (0.25) | 6.66 (0.37) | 6.63 (0.30) | 6.12 (0.64) | 6.46 (0.45) |
Mean self-debriefer DASH score (n = 12)(mean of total = 5.01) | 5 (0.58) | 5.17 (0.69) | 4.83 (0.90) | 4.92 (0.86) | 5.08 (0.76) | 5.08 (0.64) | |
p value (t test) | p = < 0.0001 | p = < 0.0001 | p = < 0.0001 | p = < 0.0001 | p = < 0.0001 | p = < 0.0001 |