This is one of the recommendations from the ‘departmental’ section of the RCOG/RCM undermining toolkit.
Run emergency obstetric skills and drills training
Emergency obstetric skills and drills training is mandatory in all departments and delivered locally. These courses are evolving to include human factors training to improve patient safety and can reinforce how undermining is perceived within teams and how it can be reduced.
Drills and simulation exercises should be reinforced and encouraged as improved teamwork is unquestionably a side effect of rehearsal, endorsing that sustained repeated practice is essential for expertise.
References and further reading
- Ellis D, Crofts JF, Hunt LP, Read M, Fox R, James M. Hospital, simulation center, and teamwork training for eclampsia management: a randomized controlled trial. Obstet Gynecol 2008:111:723–31.
- Erickson KA. Deliberate practice and the acquisition and maintenance of expert performance medicine and related domains. Acad Med 2004;79(10 Suppl):S70–S81.
- Shapiro MJ, Morey JC, Small SD, Langford V, Kaylor CJ, Jagminas L, et al. Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? Qual Saf Health Care 2004;13:417–21.