Skip to main content

Table 1 Observational assessment of consecutive SBME debriefings

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
  1. *Footnote13: < 10 Debriefings = novice (‘discovery’), 10–50 Debriefings = intermediate (‘growth’), > 50 Debriefings = experienced (‘maturity’)