J Anesth Perioper Med. 2017;4(6):293-296. https://doi.org/10.24015/ebcmed.japm.2017.0080

Introducing “4 Steps-to-Team” — An Innovative Educational Concept for Teambuilding in The Operating Room

Mikhail Chernov, Angela Vick, Sujatha Ramachandran, and Ellise Delphin

From the Department of Anesthesiology, Montefiore Medical Center, Bronx, NY, USA.

Correspondence to Correspondence to Dr. Mikhail Chernov at mcmd001@gmail.com.

EBCMED ID: ebcmed.japm.2017.0080 DOI: 10.24015/ebcmed.japm.2017.0080


Clinical competence is not enough to allow a contemporary operating room to function effectively. Complexity of the tasks, lack of time, low tolerance for mistakes and corresponding high level of stress make it challenging for even a highly skilled physician to perform safely at his/her full capacity. However, current medical training is focused primarily on acquiring specialty-related knowledge and practical skills that are related to a single specialty. This makes it very difficult for the specialists to cross subspecialty barriers in the case of emergencies and to allow the operating rooms to function at a high level. Our multi-step team-building approach is an attempt to reverse this trend by teaching residents basic cross-specialty skills at the beginning of professional training. Acquiring cross-specialty skills and knowledge helps residents improve their interpersonal and communication skills, professional behavior and confidence which eventually will be reflected in enhanced quality of patient care and clinical outcome.

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Declaration of Interests
The authors have no conflicts about this work.

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