This multicenter randomized controlled study aims to evaluate the impact of temporary visual deprivation of the medical team leader on non-technical skills and team performance during high-fidelity simulated medical emergencies. The intervention is based on principles of crisis resource management and cognitive load theory. Team performance will be assessed using validated scoring tools immediately after the intervention and at three months follow-up.
A senior doctor identified as the "medical leader"
An anaesthesia and intensive care intern
A state-registered nurse anaesthetist
Participants with at least two years' experience in the specialty.
The study cannot be carried out during a safety rest period (i.e. the day after being on call).
Parallel
Visual deprivation
BehavioralThe designated team leader performs the simulated scenario while wearing visual deprivation mask
Evolution of team performance on non-technicals skills
Team performance on non-technicals skills measured using the validated Team emergency Assessment Measure (TEAM) score assessed by blinded independent evaluators based on video recordings. TEAM score goes from 0 to 54 : 0 being the lowest level of non-technical competence (worst outcome) and 54 being the highest (better outcome)
Evolution of team's clinical performance
Rating with objective markers of quality of care. Five objective and measurable criteria for each scenario are defined by a panel of three experts in anaesthesia and intensive care using the DELPHI method.
Evolution of medical leadership skills
the change in the score for items 1 and 2 of the TEAM grid obtained by the medical leader of each team
Clinical transferability of soft skills training in clinical practice
self-assessment questionnaire on perceived transfer to clinical practice and an open-ended narrative question completed individually by study participants.
Evolution of theoretical knowledge of soft skills
scores obtained by participants in the pre- and post-training questionnaires developed for this training course in accordance with the HAS (High Health Authority) recommendations for good practice in health simulation
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