Team Setting Research Articles

The Appreciative Team Huddle: Real-Time, Best-Self Feedback in Student Teams

Team experiences afford opportunities for students to expand their self-knowledge based on peer feedback, yet feedback processes tend to be cumbersome and difficult to manage. Thus, educators often provide feedback only on the team’s work output. The purpose of this article is to introduce a simple, structured exercise in which team members share feedback about valued individual inputs to team process. The Appreciative Team Huddle helps students discover or refine knowledge about their best selves, experience positive emotions, and balance attention to deficits with a focus on leveraging strengths in team settings. Detailed instructions for facilitating the Appreciative Team Huddle for various target audiences and conducting the exercise online are included.

Craniosynostosis Part I: Pathophysiology and Patient Evaluation

Craniosynostosis is the premature fusion and obliteration of one or more cranial sutures. As a result, cranial growth can only occur parallel to the involved suture(s) resulting in predictable head shape morphologies. More importantly, the restricted cranial growth can also have a deleterious effect on the growing brain with increased intracranial pressures leading to abnormal neurocognitive development, blindness, and death. Craniosynostosis can either be syndromic or non-syndromic; and therefore, patient evaluation should be performed in a multi-disciplinary team setting for comprehensive care. Physical exam focuses on head shape morphology, associated anomalies, and signs of intracranial pressure. Imaging with 3D CT is gold standard at confirming diagnosis and extent of suture involvement. Early diagnosis is key for planning optimal intervention. This review contains 14 figures, 4 tables and, 42 references. Keywords: craniosynostosis, virchow’s law, plagiocephaly, trigonocephaly, scaphocephaly, brachycephaly, Apert Syndrome, Crouzon Syndrome, Pfeiffer Syndrome, intracranial pressure

Professional Identity Formation: Do Early Additional Classroom Experiences Initiate the Process of Professional Identify Formation Sooner for Medical Students?

In medicine, a teamwork approach, critical thinking, and life‐long learning are crucial aspects for success in a clinical setting. Professional identity formation (PIF) as a team player and life‐long learner in medicine begins early in medical training. The anatomy curriculum is often a very stressful and challenging time for students. Success in anatomy partially depends on individual effort, but also requires aspects of PIF. Thus, the anatomy course plays a significant role in jumpstarting physician PIF. Exposure to a low stress, elective anatomy experience before first‐year medical students start their official coursework initiates the process of PIF earlier, resulting in improved aspects of PIF such as teamwork, critical thinking, and life‐long learning.A pre‐anatomy course was organized and offered as an elective experience for first‐year medical students at the Mayo Clinic Alix School of Medicine. First, de‐identified pre‐ and post‐ surveys were distributed via Qualtrics on a volunteer basis. Seven Likert scale score questions were asked to assess various topics relating to PIF and stresses on the students. Results were collected and statistical analysis was completed using pre‐ and post‐anatomy elective surveys to compare changes in aspects of PIF. Second, de‐identified anatomy reflections from the anatomy course were analyzed after its conclusion. Participants that were part of the pre‐anatomy elective experience were included and their responses to a critical thinking reflection question were analyzed for themes involving the development of their PIF critical thinking skills. Third, following the conclusion of the anatomy curriculum, a random focus group consisting of ten students was formed. Five guiding questions focused on aspects of PIF were asked and transcripts were made of the discussions. De‐identified transcripts were analyzed using qualitative methodologies looking for themes and subthemes pertaining to PIF that evolved from the interviews. Finally, de‐identified anatomy final exam scores were compared between students who participated in the elective experience to those who did not to assess improvements in exam outcome.Likert scale pre‐ and post‐ survey results indicated a significant increase (p=0.01) in views toward the importance of teamwork in the anatomy course. Personal reflections completed during the anatomy block and focus group interviews conducted two weeks after completion of the course indicated common themes relating to critical thinking development and life‐long learning. While significance criteria was not met in one other survey question, there was a difference in students’ views pertaining to their ability to learn within a team setting (p<0.1). Offering students an elective experience that exposes them to anatomical principles and relevant clinical activities before the start of the medical school anatomy course initiates the development of teamwork, critical thinking, and life‐long learning.

P1 Impact of SSO-ASTRO margin guidelines and intra-operative imaging on re-operation rates following breast conserving surgery: A single tertiary institution's six year experience

Introduction Breast conserving surgery (BCS) offers favorable cosmesis but carries a re-excision (RE) risk. We assess the effectiveness of image-guided BCS considering updated guidelines regarding acceptable margins published by SSO-ASTRO in 2014 and 2016. We also compare the RE rate of radio-guided occult lesion localisation using iodine-125 seeds (ROLLIS) with hookwire-localisation (HWL), as well as assessing RE rate within our 2014 trial of intraoperative imaging (TRIDENT). Methods A retrospective single centre study was conducted with patients identified using the Sir Charles Gairdner Hospital (SCGH) Theatre Management System between 2012 and 2018. We included female patients aged 18 or over who underwent image-guided wide local excisions with subsequent RE for inadequate margins. Histology from core biopsy, initial excision and re-excision were recorded in conjunction with tumour characteristics. Results Of 710 eligible patients, 117 underwent RE. The RE rate for invasive cancer reduced from 19.44% to 11.73% (p <0.05); meanwhile there was no change in the RE rate for DCIS (23.75% vs 21.92%, p= 0.74) after the updated guidelines. 501 patients with invasive cancer and 143 patients with DCIS underwent HWL excision, while 57 patients with invasive cancer and 12 patients with DCIS had ROLLIS guided excision. The relative risk reduction for RE for HWL was 12.2% compared to ROLLIS guided excision. The RE rate reduced from 29.55% to 16.67% (p=0.18) with utilisation of TRIDENT. Conclusions We demonstrated a statistically significant improvement in RE rates for image localized invasive cancer after implementing the SSO-ASTRO guidelines. SCGH RE rates after BCS with radiological lesion localisation are lower than the rates described in the literature and we attribute this to increased experience in a tertiary multidisciplinary team setting. DCIS RE rate were not improved. TRIDENT use was associated with reduction in RE rates for DCIS but not enough to be statistically significant.

Neurologic music therapy in multidisciplinary acute stroke rehabilitation: Could it be feasible and helpful?

ABSTRACT Background: There is increasing evidence for music-based interventions in neurorehabilitation, improving mood and functional outcomes. In response, there is growing interest from health-care providers in setting up Neurologic Music Therapy (NMT) services. This paper presents some preliminary data on the feasibility and acceptability of NMT in the acute stroke, multidisciplinary team setting, about which little is known. Objectives: To assess the feasibility and acceptability of a two-day per-week NMT service over 24 months. Methods: Data were collected on the number of referrals received, sessions attended, sessions declined and reasons why. Staff completed questionnaires, and collected them from patients and their relatives, rating interventions: 1. Not helpful, 2. Quite helpful, 3. Helpful, 4. Very helpful. Patients completed the Visual Analogue Mood Scale (VAMS) pre-/post- a single session. Results: Of 201 patients referred, 177 received treatment and 675 sessions were delivered. Twenty-four patients were discharged before sessions were scheduled and 28 sessions were declined, predominantly due to fatigue. Mean scores (SD) from questionnaire data were: patients (n = 99) 3.34 (0.825), relatives (n = 13) 3.83 (0.372), staff (n = 27) 3.85 (0.388). Mean, post-session VAMS data (n = 52) showed a non-significant reduction in ‘Sad’ (7.5, p = .007, CI = 2.1, 12.9) and an increase in ‘Happy’ (+ 6.2, p = .013, CI = −11.0, −1.4). Conclusions: Data suggest the service was feasible and helpful, particularly for patient mood, possibly improving engagement in rehabilitation. Research to determine generalizability in different stroke environments and treatment effects within them is warranted.

103: Treatment of placenta accreta spectrum (PAS) utilizing a standardized multidisciplinary approach: The Obstetrics-Trauma Team

To describe the impact of implementing an obstetrics-trauma multidisciplinary surgical team on Placenta Accreta Syndrome (PAS) outcomes among patients seen at a high-risk Maternal Care Facility and Level I Trauma Center within a safety net community hospital in Florida. A retrospective chart review of patients, between the ages of 22 and 43 years old, with a confirmed diagnosis of PAS who were seen between the years 2013 and 2019 was conducted. Blood transfusion, hospital readmission within 6 weeks, maternal and fetal survival, estimated blood loss and common risk factors were examined pre- and post-implementation. Twenty-one patients were included in this study; ten in the pre-period and eleven in the post-period. The average maternal age at birth was 32 and 35 years old in the pre and post period, respectively. All patients in the pre-period had a history of cesarean section (CS) compared to 82% in the post-period. The average number of prior CS was similar between the two periods (mean=2). When examining outcome measures, results showed that after implementation of the multidisciplinary team approach, a reduction in the proportion of blood transfusions were observed (63.6% vs. 77.8%; p=0.64). There was also a reduction in estimated blood loss (-2212.7; p=0.14). In terms of survival, maternal survival increased from 90% in the pre-period to 100% in the post-period (p=0.48), and fetal survival remained at 100%. PAS-related critical illness shares several similarities to the care of trauma patients. In the setting of a community hospital where Gynecologic Oncology or surgically trained Maternal Fetal Medicine physicians are not available, Trauma surgeons involvement can be vital in reducing morbidity and mortality in a team setting. Results of our study suggest the benefit of a multidisciplinary surgical team in a PAS program. Incorporation of the multidisciplinary team may prove beneficial for centers dedicated to caring for these high risk deliveries in a community setting; however, further research is warranted.

Drawing a line in the sand: affect and testimony in autism assessment teams in the UK.

Diagnosis of autism in the UK is generally made within a multidisciplinary team setting and is primarily based on observation and clinical interview. We examined how clinicians diagnose autism in practice by observing post‐assessment meetings in specialist autism teams. Eighteen meetings across four teams based in the south of England and covering 88 cases were audio‐recorded, transcribed and analysed using thematic analysis. We drew out two themes, related to the way in which clinicians expressed their specialist disciplinary knowledge to come to diagnostic consensus: Feeling Autism in the Encounter; and Evaluating Testimonies of Non‐present Actors. We show how clinicians produce objective accounts through their situated practices and perform diagnosis as an act of interpretation, affect and evaluation to meet the institutional demands of the diagnostic setting. Our study contributes to our understanding of how diagnosis is accomplished in practice.

The effect of relative performance feedback on individual performance in team settings under group-based incentives

This study reports the results of an experiment that analyses the behavioural effect of relative performance feedback (RPF) on individual performance when compensation is based on team performance. Specifically, it investigates whether RPF affects individual performance differently when the comparison focuses on other members of that individual’s team (within-group RPF) or on other teams (between-group RPF). We predict a negative effect of within-group RPF on individual performance. We also predict that between-group RPF moderates that negative effect, since it encourages individuals to focus on group goals rather than individual goals. Consistent with our predictions, results show that the negative effect of within-group RPF on individual performance is mitigated by between-group RPF. Our results can help accountants to better understand how the effects of relative performance feedback differ according to the predominant comparison target.

Teamwork revisited: social preferences and knowledge acquisition in the field

Combining a lab-in-the-field experiment with field data, we study the effect of social preferences on performance in a modified teamwork setting, where the production of a public good serves as basis for incentivized individual performance, but is not a goal in itself. Examples of such modified team settings are knowledge sharing, peer coaching, and cooperative learning—all highly relevant topics for organizations today. As opposed to a standard public good setting, we find that conditional cooperators and their team partners are not more successful in producing the target output. In contrast, selfish individuals tend to perform better individually, without generating negative externalities for their team partners, as measured by the incentivized individual performance.

Time perspective balance and team adaptation in dynamic task contexts

SummaryThe concept of time perspective balance has attracted increased attention from scholars in the past decade, reflected in published evidence suggesting positive outcomes ranging from enhanced mood to life satisfaction for those individuals possessing balance among their past, present, and future time perspectives, and assumedly able to shift their time perspective to match situational demands. In this paper, we consider the notion of time perspective balance in an organizational setting within which much consequential adaptation often occurs—the team environment—and explore different configurations of time perspective balance in teams facing dynamic task contexts. Drawing from work on situational awareness, we first consider the mechanism by which time perspective balance likely influences individual adaptation in dynamic task‐focused situations. Next, we postulate what types of team configurations—ones with more balanced time perspective uniformity or ones with more time perspective variety—might be more appropriate in dynamic contexts given key team conditions. We illustrate our analysis with examples from healthcare team settings and offer ideas for future research.

Age as Moderator of the Relationship Between Self-efficacy and Effort in Occupational Teams

Abstract Demographic changes increase the age range in occupational teams, which has potential consequences for collaboration not only at the team level (age diversity) but also at the individual level regarding how much effort workers expend. By integrating a life span perspective into theories on effort expenditure in teams, we assumed that workers’ chronological age moderates the relationship between task-specific self-efficacy beliefs and effort expenditure in organizational teamwork. More specifically, we assumed that task-specific self-efficacy beliefs are more strongly related with effort for older as compared with younger team members. Hypotheses were tested in 2 online studies (N = 209 and 271 workers, respectively) using the event reconstruction method. Participants were instructed to reexperience specific work events from the last few days (Study 1: 2 teamwork events; Study 2: 1 teamwork event and 1 working-alone event) and to indicate their self-efficacy and effort expenditure in each event. Results of both studies showed the expected age moderation of the self-efficacy–effort link in team settings, whereas no such moderation was observed in working-alone settings in Study 2. Finally, Study 2 also showed a stronger age moderation effect in unfamiliar as compared with familiar tasks.

An Exploration of Student Collaboration Networks in a Team-Based Capstone Course

Learning is inherently a social act occurring through individualized interpretation and negotiations with diverse others. The ability to work with others within the learning environment and beyond is an essential skill. Student-centered teaching methods that emphasize active learning in a team setting have garnered much support across higher education. Recently, AGEDS 450 at Iowa State University was redesigned to further emphasize teamwork. Team-Based Learning (TBL) was incorporated within the capstone framework to promote higher levels of student collaboration, particularly for farm management decisions. TBL promotes higher order thinking and the application of course content in a real-world situation. For AGEDS 450, an actual farm serves as the applied learning laboratory where students make all decisions concerning its management and operation. This descriptive study sought to explore the collaboration networks of students enrolled in the fall 2015 (n = 61) and spring 2016 (n = 60) AGEDS 450. Social network analysis was utilized to construct and analyze student collaboration networks. Data were collected at the beginning and end of a 16-week semester in order to track development and/or growth of the collaboration network. The collaboration networks developed into cohesive structures encompassing all students within the course. With the increased interest in fostering teamwork in preparing students for careers, these results provide justification for the continued utilization of TBL. Further analysis of the TBL method is warranted with particular attention to longterm outcomes and skill attainment. It is recommended that TBL be implemented in other courses within colleges of agriculture to further examine its utility.

Revealing Deep Interaction Patterns of Team Learning Processes through Video-based Interactive Analysis

New tools provide new lenses for a better understanding of how learning occurs within the team setting. A better understanding of team learning will enable human resource development (HRD) professionals to more effectively develop an enhanced level of performance in the workplace. Since teams represent complex learning systems, traditional questionnaires that take a static 'snapshot' of the reality and interviews that capture retrospective member memories fail to reflect the dynamics or the holistic nature of teamwork. Deeper patterns of the dynamics of team learning will provide the foundation for more generalisable theories. We argue that a better understanding of team learning in HRD will grow when scholars generate new models of team learning systems based on new ways of measuring team behaviour that capture the complex interactions among members. In this paper, we propose that video-based interaction analysis can offer more opportunities. We discuss the current research methods issues, profile the current state of the scholarship of team learning, and recommended a new data collection/analysis approach: video-based interactive analysis (VIA).

Impact of Coaching on Team Performance among MBA Teams

Coaching is a fast-growing trend and has gained much significance in the recent years. Research suggests that several organizations are looking at team coaching, as a great tool towards the achievement of collective goals which in return is expected to deliver an additional value through the creation of high-performing teams. Team coaching is distinct from individual coaching because in team coaching, the team is the client and collective performance is the goal, versus the individual focus of one-on-one coaching. The objective of the current study is to do an evidence-based coaching research and its effect on MBA teams’ performance that is based on the coaching model developed by the leadership development program at the Goizueta Business School. The sample of the present study comprised of 170 first year Full Time MBA (FTMBA) students in 31 teams and 46 selected second year FTMBA Leadership Coaching Fellows (LCFs) who serve as coaches to the first year FTMBA student teams. The results of the paper shed some light on how coaching not only an effect on team performance has as seen in the FTMBA teams but also has a positive effect on the academic grades achieved by the teams in group assignments. BACKGROUND OF THE STUDY: The objective of the paper was to do an evidence-based coaching research and its effect on MBA teams’ performance that is based on the coaching model developed by the leadership development program at the Goizueta Business School. Goizueta Business School: Leadership Coaching Fellows Program. The purpose of the Goizueta Leadership Coaching Fellows Program is to help 2nd Year MBA students understand, practice, and enhance their skills of providing individual and team performance feedback. This is done by training them to be peer-coaches for 1st Year MBA students in selected team settings of the curriculum and one on one coaching sessions. Fellows learn how to coach and to be coached. They work with an Executive Coach one-on-one, develop essential skills as a leader to provide individual and team coaching, and be provided the opportunity to engage with business and community leaders in various settings.

Management Driven Structured Reporting in Ovarian Cancer

AbstractSince majority (80%) of ovarian cancer patients present at an advanced stage, imaging performed on these patients have numerous findings. The combination of multiple findings on imaging, complexity of anatomical structures which are involved in ovarian cancer, and the need to perceive certain subtle imaging features which would impact management often makes it challenging to systematically review images of these patients. Similarly, it is difficult to effectively communicate these findings in radiology reports. Structured reporting that is geared toward clinical decision-making has been an area of recognized need. An understanding of the review areas, which aid clinical decision-making in a multidisciplinary team setting at our institution led us to the proposed structured reporting template for ovarian cancer. Through this review, the authors would like to share this reporting template with examples.

Implementation and evaluation of a standardised performance profile intervention with collegiate athletes

Performance profiling is a technique commonly utilised by sport psychology practitioners to assist athletes in identifying and understanding their perceived strengths and weaknesses. Although a number of studies have investigated and described the usefulness of performance profiling, there is limited empirical research using standardised protocols for implementation and pre–post designs. The purpose of this study was to examine the efficacy, validity, and practitioner utility of a revised performance profile intervention [Gucciardi, D. F., & Gordon, S. (2009). Revisiting the performance profile technique: Theoretical underpinnings and application. The Sport Psychologist, 23, 93–117. doi:10.1123/tsp.23.1.93] delivered in a team setting. Specifically, we examined the extent to which the intervention impacted self-awareness, intrinsic motivation, stigma tolerance, and confidence in sport psychology consultation, as well as perceived usefulness and future application of the technique. Participants were 98 (male = 30, female = 68) varsity and club-level collegiate athletes who completed measures of self-awareness, intrinsic motivation, and sport psychology attitudes at pre-intervention and post-intervention, and a post-assessment evaluation. Results revealed that the intervention was efficacious in increasing athletes’ confidence in sport psychology consultation and intrinsic motivation from pre-intervention to post-intervention, while self-awareness and stigma tolerance did not significantly improve. Analysis of performance profile worksheets provided evidence for the validity of the technique and its utility for practitioners. Thematic-analysis of post-intervention feedback revealed specific perceived benefits of the technique and future application.

Gender differences in volunteer’s dilemma: Evidence from teamwork among graduate students

Undertaking logistical tasks in a teamwork setting exhibits a volunteer’s dilemma: it takes only one volunteer to take a costly action to generate a benefit to the entire team. Using naturally-occurring data in a top graduate professional school, I show that female students volunteer significantly more than male students in booking rooms for team meetings. I also find that the gender difference in undertaking this logistical task is statistically and quantitatively significant only when students have limited interaction prior to teamwork. This suggests that when students’ preferences are not completely known to each other, gender stereotyping—beliefs that most female students will undertake such tasks or some male students will not—may disfavor female students who end up bearing a cost higher than males. Even though booking a room involves a relatively small time cost, such costs can add up, and also contribute to gender stereotyping in allocation of tasks in other team settings.

Coordinating Clinical Teams

Patient safety errors account for over 400,000 preventable deaths annually in US in hospitals alone, 70% of which are caused by team communication breakdowns, stemming from hierarchical structures and asymmetrical power dynamics between physicians, nurses, patients, and others. Nurses are uniquely positioned to identify and prevent these errors, but they are often penalized for speaking up, particularly when physicians are responsible. Nevertheless, empowering nurses and building strong interdisciplinary teams can lead to improved patient safety and outcomes. Thus, our group has been developing a series of intelligent systems that support teaming in safety critical settings, Robot-Centric Team Support System (RoboTSS), and recently developed a group detection and tracking system for collaborative robots. In this paper, we explore how RoboTSS can be used to empower nurses in interprofessional team settings, through a three month long, collaborative design process with nurses across five US-based hospitals. The main findings and contributions of this paper are as follows. First, we found that participants envisioned using a robotic crash cart to guide resuscitation procedures to improve efficiency and reduce errors. Second, nurses discussed how RoboTSS can generate choreography for efficient spatial reconfigurations in co-located clinical teams, which is particularly important in time-sensitive situations such as resuscitation. Third, we found that nurses want to use RoboTSS to "stop the line," and disrupt power dynamics by policing unsafe physician behavior, such as avoiding safety protocols using a robotic crash cart. Fourth, nurses envisioned using our system to support real-time error identification, such as breaking the sterile field, and then communicating those errors to physicians, to relieve them of responsibility. Finally, based on our findings, we propose robot design implications that capture how nurses envision utilizing RoboTSS. We hope this work promotes further exploration in how to design technology to challenge authority in asymmetrical power relationships, particularly in healthcare, as strong teams save lives.

Team Performance in a Simulated Maritime Control Room: The Effect of Information Integration and Operator Configuration

How team cognition is conceptualized has evolved rapidly in the last decade with the emerging use of a systems approach, moving the focus from the cognition residing in the heads of individuals, to that distributed across the team. This is referred to as ‘distributed cognition’. Increasingly, network approaches are being explored in attempts to model team distributed cognition. The specific domain of interest in the present study is the sociotechnical system within a maritime control room. This comprises human, machine and software agents interacting to interpret sensor data in order to develop a timely and accurate picture of surrounding contacts at sea. To achieve the goal, information is shared or integrated across the maritime control room consoles. The aim of this study was to develop and apply a suite of workload, situation awareness and team performance measures, including network analysis techniques, to examine how the distributed cognition of a team might change as a function of console configuration and information integration within a control room, and how these changes, if any, impact overall team performance. Sixteen teams of six novices conducted two one-hour scenarios operating generic maritime control room positions. Each team completed a one-hour simulation in each of two console configuration layouts with the order counter-balanced (within-subject design). Half the teams conducted the two scenarios in a high integration condition, and half in a low integration condition (between-subjects). The human machine interface (HMI) designs for the high integration condition emerged from a series of task analyses and user-centered design workshops. The emergent cognitively –oriented HMI designs are based on the assumption that each console can freely share information with other consoles. To create an analogue of current, less-integrated, and more stove-piped systems, a low integration condition was created where not all information was shared across consoles, but instead was shared verbally by console operators. Contacts detected at sea were introduced into the simulation and the team’s task was to assess, report and derive a solution (location, course, and speed) for each detected contact. Individual situation awareness was measured through the Situation Present Assessment Method (SPAM) and individual workload through the Air Traffic Workload Indicator Task (ATWIT). Team interaction from the scenarios were video recorded and we applied the Event Analysis of Systemic Teamwork (EAST) approach to examine the task, social and information networks which emerged. Team performance was measured as the accuracy and timeliness of the solutions We found higher information integration lowered average team workload, and improved average team situation awareness and team performance (faster solutions and a more accurate tactical picture). We found no impact of console configuration on team performance or any other dependent measure. The EAST method uncovered patterns in the network analysis that are potentially explanatory for the team workload, situation awareness and performance findings as a function of the information integration manipulation. This experiment showed that there can be reductions in workload, and improvements to situation awareness and performance when information is shared between consoles in a considered design. This has implications for HMI design within a team setting. The set of diagnostic metrics developed were largely effective in examining teamwork and team performance. Acknowledgements. The authors would like to thank Justin Hill (Royal Australian Navy) for his subject matter expertise, Graeme Muller (elmTEK) for his software, technical and infrastructure support, David Munro-Ford (Total Technology Partners) for his simulation programming, Dr Aaron Roberts for his advice on general aspects of the experiment, and Professor Paul Salmon for his advice on EAST.

Multidisciplinary Evaluation and Management of Cortical Deafness and Other Related Central Hearing Impairments

PurposeA summary of literature surrounding cortical hearing impairment (cortical deafness, auditory agnosia, and pure word deafness) was studied to identify causes and prognoses of the disorders, in addition to assessment methods and rehabilitation strategies for the multidisciplinary care team setting.MethodA comprehensive review of the literature surrounding cortical hearing impairment with a focus on clinical evaluation and management of patients with these conditions was performed.ResultsAn extensive literature search resulted in 109 relevant articles discussing cases of cortical hearing impairment.ConclusionsCortical deafness continues to be the rarest of the cortical hearing impairment spectrum of disorders, with reports of auditory agnosia and pure word deafness appearing more commonly. In order to assess and manage patients with these conditions, audiologists must utilize a comprehensive set of clinical tools. This information must be combined with results of thorough multidisciplinary evaluations in order to better characterize diagnoses and outcomes for these patients. Continued reporting of case studies and summaries of the literature is encouraged, with a specific call for more consistent assessment and reporting formats.