Programme no. 510-WS
Quality Improvement
Teamwork, leadership and decision making in primary care emergency teams
Magnus Hjortdahl*1, Mante Hedman*2, Helen Brandstorp*3, Peder A. Halvorsen4
1Department of Community Medicine,UiT- The Arctic University of Norway,Tromsø,Norway, 2Rural Medicine Center in Storuman,Västerbotten County Council,Storuman,Sweden, 3Department of Community Medicine,UiT- The Arctic University of Norway,Tromsø,Norway, 4Department of Community Medicine,UiT- The Arctic University of Norway,Tromsø,Norway
* = Presenting author
Objectives: Participants will be presented with a team training model for primary care emergencies that has proven sustainable for several years. Through small group discussions and short presentations of ongoing research we will explore how teamwork, leadership and decision making is enacted.
Background: When a person in Norway is in need of immediate medical care, an alarm is issued simultaneously to both the GP on call at the local casualty clinic and the local ambulance. The intention is that the ambulance and the GP will attend to the patient as a team, and training interaction in such teams is mandatory by regulation. By law the GP is also responsible for decisions regarding diagnosis and treatment. However, the benefit of GPs responding to these call outs is a matter of controversy. Some studies suggest that ambulance personnel perceive themselves as more capable in emergency medicine, and that GPs are perceived as the most problematic occupational group to cooperate with during emergencies. Furthermore, when the GP decides to accompany the ambulance, there are tradeoffs involved since he local casualty clinic may have to manage without a physician until the GP returns.
Content: 1) Small group discussion of clinical scenario (15 min).

2) On site demonstration of training session (20 min).

3) The role of GPs in primary care emergency teams – a qualitative study by Magnus Hjortdahl, MD (12 min).

4) Training interaction in primary care emergency teams – an action research project by Helen Brandstorp, MD (12 min).

5) Teamwork at a distance - experiences from the Rural Medicine Center in Storuman by Peter Berggren, MD (12 min)

6) General discussion (19 min).

Chair: Professor Peder A. Halvorsen

Method: Participants are presented with a clinical vignette describing a potential on call emergency. In small groups participants will discuss the decision of whether to accompany the ambulance or not, and possible pros and cons of GP participation. An on site demonstration of a training session based on the same vignette will be given, followed by two short presentations and a general discussion.
Other considerations: None.