Today, I discuss the optimization of teams in Emergency Medicine with Dan Dworkis. We delve deeply into the various types of teams we encounter in medicine and the pluses and minuses of each.
This is part 1 of a 2 part conversation. In this first segment, I interview Dan about team optimization here on EMCrit. We then transfer to Dan's podcast for part 2 in which he interviews me about the optimization of individual performance. If you are ready for part 2, head on over to Dan's amazing Emergency Medicine Mind podcast.
Dan Dworkis, MD PhD FACEP
is the founder of The Emergency Mind Project, the Chief Medical Officer at the Mission Critical Team Institute, a board-certified emergency physician, and an assistant professor of emergency medicine at the Keck School of Medicine of USC. He performed his emergency medicine residency with Harvard Medical School at the Harvard Affiliated Emergency Medicine Residency at Massachusetts General Hospital / Brigham Health, and holds an MD and PhD in molecular medicine from the Boston University School of Medicine. Dr. Dworkis is the author of The Emergency Mind: Wiring Your Brain for Performance Under Pressure.
3 Types of Teams: Swarm, Smash, & Intact Teams
We discuss each of these types and their unique facets
Lit Support for Intact Teams
Stages of Swarm Teams
- Ready
- Assemble
- Operate
- Disassemble
Rentry Phenomenon
How to reintegrate from the individual and team perspective
Threshold Rituals
PPRE Cycle
- Prepare
- Perform
- Recover
- Evolve
ITSO Matrix
More on the ITSO Matrix
Additional New Information
More on EMCrit
Additional Resources
- EMCrit 373 – Mike Weinstock with another Critical Care Bounceback: “Asymptomatic Hypertension” - April 18, 2024
- EMCrit Wee – Ross Prager on 10 Heuristics for the New ICU Attending - April 13, 2024
- EMCrit 372 – FoundStab Intubation SOP - April 5, 2024
@Scott and Dan and all EMCritters, LOVE this two-parter, especially the three types of teams and the interplay between culture, group and individual beliefs and behaviors. Hoping to propose frameworks for determining when our teams are improving and when our learners are improving, and hear your thoughts! If I were to suggest a framework for determining the effects of efforts to improve “Smash” teams I would use Relational Coordination which focuses on the interplay between roles and relationships and the either virtuous or destructive cycle of the interplay between knowledge, roles, and relationships. How do we know and value what… Read more »