![]() Expert players applied similar teamwork principles on a moderately high complexity level. Both groups showed relatively superficial debriefing reflections.Ĭonclusions: Playing a multiplayer game for interprofessional teamwork appears to facilitate the application of teamwork principles by students in all important teamwork domains on a basic level. Some specific Crew Resource Management principles were less observed among both groups, for example, prevention of fixation errors and use of cognitive aids. Among experts, teamwork principles were used with more open forms of speak up and more justification of decisions. Among students, these principles were often used on a basic level. Results: Results showed that most teamwork principles were used during gameplay: shared situational awareness, decision-making (eg, re-evaluation), communication (eg, closed loop), and team management (eg, distributing the workload). For the analysis, a deductive approach was used, starting with a conceptual framework based on Crew Resource Management principles, including shared situational awareness, decision-making, communication, team management, and debriefing. Game chat data from 2 scenarios were analyzed. We performed a qualitative study (content analysis) on these chats with 144 fifth-year medical students and 24 health care teamwork experts (as a benchmark study) playing the game in groups of 4. During gameplay, 4 players in different roles (physician, nurse, medical student, and student nurse) had to share information, prioritize tasks, and decide on next steps to take in web-based patient scenarios, using one-to-one and team chats. Methods: We investigated a web-based multiplayer game designed for training students’ interprofessional teamwork skills. Findings can improve our understanding of the potential of serious games for training these complex skills. Objective: This study aimed to investigate the teamwork principles that were used during gameplay by medical students and teamwork experts. Given that training is increasingly designed in a blended way, serious games may offer an efficient method of preparing face-to-face simulation training of these procedural skills.
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