ICME Symposium 1 : Building Expertise and Improving Patient Safety Through the Science of Continuous Learning and Training.

13:15 – 14:45 , 12th MARCH 2018
Peter Cosman (University of Woolongong, Australia), Julie K. Johnson (Feinberg School of Medicine, Chicago), Paul Barach (Wayne State University School of Medicine, US), Matiur Rahman (Riphah International University, Pakistan)
Abu Dhabi National Exhibition Centre (ADNEC), Abu Dhabi


Patient safety and patient-centred care are emerging as key drivers in healthcare reform. For clinicians and students, making a decision about complex patient diagnosis or management in the face of uncertainty is a frequently occurring problem. How such decisions are made can be examined in order to enable junior colleagues, medical and nursing students to learn similar skills. As such, it is necessary for educators to understand the difference between a novice and an expert decision-maker and how or at what stage in training, should complex decisions or decision-making under uncertainty, be learned.

Traditional research on medical decision-making with a focus on interprofessional care and training in healthcare has only had a limited contribution toward better patient outcomes, and understanding of professional judgment and decisions in medical practice.  This workshop will explain the effectiveness and adaptation of expert teams in problem-solving and decision-making in complex and dynamic patient situations by combining theories, models, and empirical evidence including how best to use simulation-based training in conjunction with deliberate practice activities such as reflection, rehearsal, trial-and-error learning and feed-back, rehearsal or warm-up and serious games, to improve the performance of clinicians or interprofessional teams. and reduced burnout of team members. Serious games, although they can be entertaining, can be used to engage healthcare providers and effectively teach quality improvement and patient safety competencies and skills and also play an important role in addressing burnout and leading to better provider satisfaction and joy at work.

The workshop will review a training and research roadmap for effective training programs and discuss the educational research need including the development of individual and team expertise in health care as directly related to the systematic identification and improvement of quantifiable performance metrics. In order to optimize the training of expert health care providers, advances in simulation technology need to be coupled with effective instructional systems design, and strongly guided by empirical research from the learning, social and cognitive sciences.

Learning Objective 1:  Explore the systematic identification and improvement of quantifiable performance metrics related to individual and team interprofessional patient safety expertise.

Learning Objective 2:  Explore the use of serious games designed to teach quality and safety concepts and explore the use and development of games, principles for designing and using games, and methods for assessing learning.

Learning Objective 3: Learn about the fundamentals, theories and empirical success around implementation the evidence driven TeamSTEPPS team training program.