• Niraj L Sehgal, Michael Fox, Arpana R Vidyarthi, Bradley A Sharpe, Susan Gearhart, Thomas Bookwalter, Jack Barker, Brian K Alldredge, Mary A Blegen, Robert M Wachter, and Triad for Optimal Patient Safety Project.
• Division of Hospital Medicine, University of California, San Francisco, CA 94143, USA. nirajs@medicine.ucsf.edu
• J Gen Intern Med. 2008 Dec 1;23(12):2053-7.

IntroductionCommunication and teamwork failures are a common cause of adverse events. Residency programs, with a mandate to teach systems-based practice, are particularly challenged to address these important skills.AimTo develop a multidisciplinary teamwork training program focused on teaching teamwork behaviors and communication skills.SettingInternal medicine residents, hospitalists, nurses, pharmacists, and all other staff on a designated inpatient medical unit at an academic medical center.Program DescriptionWe developed a 4-h teamwork training program as part of the Triad for Optimal Patient Safety (TOPS) project. Teaching strategies combined didactic presentation, facilitated discussion using a safety trigger video, and small-group scenario-based exercises to practice effective communication skills and team behaviors. Development, planning, implementation, delivery, and evaluation of TOPS Training was conducted by a multidisciplinary team.Program EvaluationWe received 203 evaluations with a mean overall rating for the training of 4.49 +/- 0.79 on a 1-5 scale. Participants rated the multidisciplinary educational setting highly at 4.59 +/- 0.68.DiscussionWe developed a multidisciplinary teamwork training program that was highly rated by all participating disciplines. The key was creating a shared forum to learn about and discuss interdisciplinary communication and teamwork.

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