How to turn a team of experts into an expert medical team: guidance from the aviation and military communities

There is no question that interdisciplinary teams are becoming ubiquitous in healthcare. It is also true that experts do not necessarily combine to make an expert team. However when teams work well they can serve as adaptive systems that allow organisations to mitigate errors within complex domains, thereby increasing safety. The medical community has begun to recognise the importance of teams and as such has begun to implement team training interventions. Over the past 20 years the military and aviation communities have made a large investment in understanding teams and their requisite training requirements. There are many lessons that can be learned from these communities to accelerate the impact of team training within the medical community. Therefore, the purpose of the current paper is to begin to translate some of the lessons learned from the military and aviation communities into practical guidance that can be used by the medical community.

[1]  Eduardo Salas,et al.  Developing Teams and Team Leaders: Strategies and Principles. , 2004 .

[2]  Stanley M. Halpin,et al.  Leader Development for Transforming Organizations: Growing Leaders for Tomorrow , 2004 .

[3]  Eduardo Salas,et al.  The Role of Shared Cognition in Enabling Shared Leadership and Team Adaptability , 2003 .

[4]  Daniel R. Ilgen,et al.  Backing up behaviors in teams: the role of personality and legitimacy of need. , 2003, The Journal of applied psychology.

[5]  N. Clarke Job/Work Environment Factors Influencing Training Transfer within a Human Service Agency: Some Indicative Support for Baldwin and Ford's Transfer Climate Construct , 2002 .

[6]  C. Burke,et al.  The impact of cross-training on team effectiveness. , 2002, The Journal of applied psychology.

[7]  Stephen J. Zaccaroa,et al.  Team leadership , 2002 .

[8]  Clint A. Bowers,et al.  Team Training in the Skies: Does Crew Resource Management (CRM) Training Work? , 2001, Hum. Factors.

[9]  David M. Gaba,et al.  Simulation-Based Training in Anesthesia Crisis Resource Management (ACRM): A Decade of Experience , 2001 .

[10]  E Salas,et al.  To transfer or not to transfer? Investigating the combined effects of trainee characteristics, team leader support, and team climate. , 2001, The Journal of applied psychology.

[11]  Florian Jentsch,et al.  Aviation Crew Resource Management Training With Low-Fidelity Devices , 2001 .

[12]  Eduardo Salas,et al.  Improving Teamwork in Organizations : Applications of Resource Management Training , 2001 .

[13]  James E. Driskell,et al.  Does Stress Training Generalize to Novel Settings? , 2001, Hum. Factors.

[14]  E. Salas,et al.  The science of training: a decade of progress. , 2001, Annual review of psychology.

[15]  Eduardo Salas,et al.  New Trends in Cooperative Activities: Understanding System Dynamics in Complex Environments , 2001 .

[16]  Eduardo Salas,et al.  Teamwork: emerging principles , 2000 .

[17]  J. Mathieu,et al.  Performance implications of leader briefings and team-interaction training for team adaptation to novel environments. , 2000, The Journal of applied psychology.

[18]  J. Mathieu,et al.  The influence of shared mental models on team process and performance. , 2000, The Journal of applied psychology.

[19]  Eduardo Salas,et al.  Helping team members help themselves: propositions for facilitating guided team self-correction , 2000 .

[20]  J. D. Fletcher,et al.  Training & retraining : a handbook for business, industry, government, and the military , 2000 .

[21]  D. Woods Perspectives on Human Error: Hindsight Biases and Local Rationality , 2000 .

[22]  Michelle M. Robertson,et al.  TRAINING FOR SITUATION AWARENESS , 2000 .

[23]  Elliot E. Entin,et al.  Adaptive Team Coordination , 1999, Hum. Factors.

[24]  Eduardo Salas,et al.  The Effect of Team Building on Performance , 1999 .

[25]  Eduardo Salas,et al.  Analyzing Communication Sequences for Team Training Needs Assessment , 1998, Hum. Factors.

[26]  E Salas,et al.  Task and training requirements analysis methodology (TTRAM): an analytic methodology for identifying potential training uses of simulator networks in teamwork-intensive task environments. , 1998, Ergonomics.

[27]  R. Helmreich,et al.  Culture at Work in Aviation and Medicine: National, Organizational and Professional Influences , 1998 .

[28]  Jennifer E. Fowlkes,et al.  Event-based approach to training (EBAT). , 1998 .

[29]  David M. Gaba,et al.  Assessment of Clinical Performance during Simulated Crises Using Both Technical and Behavioral Ratings , 1998, Anesthesiology.

[30]  E. Salas,et al.  A FRAMEWORK FOR UNDERSTANDING PRE‐PRACTICE CONDITIONS AND THEIR IMPACT ON LEARNING , 1998 .

[31]  E. Salas,et al.  Cross-training and team performance. , 1998 .

[32]  Eduardo Salas,et al.  Making decisions under stress: Implications for individual and team training. , 1998 .

[33]  E. Salas,et al.  A Framework for Developing Team Performance Measures in Training , 1997 .

[34]  Eduardo Salas,et al.  Team Performance Assessment and Measurement: Theory, Methods, and Applications. Series in Applied Psychology. , 1997 .

[35]  J. Kohnen,et al.  Team Effectiveness and Decision Making in Organizations , 1997 .

[36]  J. Stoker,et al.  Advances in Interdisciplinary Studies of Work Teams , 1997 .

[37]  Martin Jentsch,et al.  Metacognitive training for junior team members , 1997 .

[38]  Addie Ehrenstein,et al.  Training for a rapidly changing workplace : applications of psychological research , 1997 .

[39]  Steve W. J. Kozlowski,et al.  Improving Training Effectiveness in Work Organizations , 1997 .

[40]  E. Salas,et al.  Theoretical Bases for Team Self-correction: Fostering Shared Mental Models , 1997 .

[41]  E. Salas,et al.  Methods, tools, and strategies for team training. , 1997 .

[42]  E. Salas,et al.  How can you turn a team of experts into an expert team?: Emerging Training Strategies , 1997 .

[43]  E Salas,et al.  Effects of preparatory information on enhancing performance under stress. , 1996, The Journal of applied psychology.

[44]  Richard A. Guzzo,et al.  Teams in organizations: recent research on performance and effectiveness. , 1996, Annual review of psychology.

[45]  M. Quiñones Pretraining context effects: Training assignment as feedback. , 1995 .

[46]  Eduardo Salas,et al.  Team Effectiveness and Decision Making in Organizations , 1995 .

[47]  Mica R. Endsley,et al.  Toward a Theory of Situation Awareness in Dynamic Systems , 1995, Hum. Factors.

[48]  E Salas,et al.  Enhancing transfer of training: using role-play to foster teamwork in the cockpit. , 1995, The International journal of aviation psychology.

[49]  D. P. Baker,et al.  Measuring the Importance of Teamwork: The Reliability and Validity of Job/Task Analysis Indices for Team-Training Design , 1994 .

[50]  Cheryl E. Sanders,et al.  Advice and Feedback: Elements of Practice for Problem Solving , 1994 .

[51]  Norman E. Lane,et al.  Improving the Measurement of Team Performance: The TARGETs Methodology , 1994 .

[52]  J. Elshout,et al.  Metacognitive mediation in learning with computer-based simulations , 1994 .

[53]  E. Salas,et al.  Application of cognitive, skill-based, and affective theories of learning outcomes to new methods of training evaluation. , 1993 .

[54]  E. Salas,et al.  Collective Behavior and Team Performance , 1992 .

[55]  E. Salas,et al.  Guidelines for use in team-training development. , 1992 .

[56]  E. Salas,et al.  Toward an understanding of team performance and training. , 1992 .

[57]  Robert W. Swezey,et al.  Teams: Their Training and Performance , 1992 .

[58]  Captain H. C. Alger Cockpit resource management. , 1989, Aviation, space, and environmental medicine.

[59]  Eduardo Salas,et al.  Toward a Definition of Teamwork: An Analysis of Critical Team Behaviors , 1989 .

[60]  Carlon Gc,et al.  Just say no. , 1989, Critical care medicine.

[61]  Timothy T. Baldwin,et al.  TRANSFER OF TRAINING: A REVIEW AND DIRECTIONS FOR FUTURE RESEARCH , 1988 .

[62]  Wanda J. Campbell,et al.  The Evolution of Teamwork Skills: An Empirical Assessment with Implications for Training , 1987 .

[63]  Arthur S Blaiwes,et al.  Measurement of Team Behaviors in a Navy Environment , 1986 .

[64]  Corrie G Krahn,et al.  Using an advance organizer to improve knowledge application by medical students in computer-based clinical simulations , 1986 .

[65]  Irwin L. Goldstein,et al.  Training in organizations: Needs assessment, development, and evaluation , 1986 .

[66]  David E. Kieras,et al.  The Role of a Mental Model in Learning to Operate a Device , 1990, Cogn. Sci..

[67]  J. R Hackman,et al.  Assessing the behavior and performance of teams in organizations: The case of air transport crews , 1984 .

[68]  B. Lenz Promoting Active Learning through Effective Instruction: Using Advance Organizers. , 1983 .

[69]  David L. Georgenson The problem of transfer calls for partnership. , 1982 .