Abstract
This paper describes a prospective, within-subjects study to measure the before-after effect of training five general surgery attendings on crew resource management (CRM) strategies on the resultant use and perceived utility of those strategies. Subjects were trained via a 1-h lecture on seven CRM skills after their second observed case, and participated in a 15 min debriefing with the trainers immediately following their fourth through sixth observed cases. These interventions led to a significant increase in frequency (by 26–70%) of preoperative briefing elements over baseline. There was a significant correlation between the use of CRM practices and their perceived utility in improving team coordination and reducing error.
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