Table 1.

Summary of Scenario Design with key elements for debriefing

Scenario Content	Teamwork Probe	Key T-NOTECHS Teamwork Domains	Observable Teamwork Behaviors	Clinical Care Concepts
Football Injury: Minor with ruptured spleen	Shoulder pads on patient Parents’ religion prohibits transfusion	Assessment and Decision Making Situational Awareness and Coping with Stress Communication Leadership	Primary survey completed after pads removed Transfusion decision communicated to members	Massive transfusion protocol Hemorrhagic shock/upgrading level of activation Consent conflict for minors
Motor Vehicle Crash (MVC): Intoxicated celebrity with facial trauma	Distracting “gawker” enters trauma room. Key team member called away/Handoff required Uncooperative patient	Situational Awareness and Coping with Stress Leadership Cooperation and Resource Management	Delegation of roles and responsibilities Explicit airway role handoff Management of distractions	Head trauma Alcohol confounder Multi-casualty incident
Pedestrian vs MV: 20 week pregnant woman, CPR on arrival	Poor CPR technique by confederate	Communication and interaction Leadership Assessment and Decision Making	CPR quality identified Communication of clinical priorities	Trauma in pregnancy Management of pulseless patient
Burn: Extensive burn in geriatric patient	Conflict among confederates regarding intubation/advance directives Telephone communication with family	Leadership Communication and interaction	Discussion of limits to care within team Communication of family member status to leader	Limits to care in nonsurvivable injury Advanced directives