Mr Jean-Paul Veronese1, Ms. Erin McKenna1, Ms. Terri Botha1, Dr. Patricia Lee1
1Griffith University, Gold Coast, Australia
Biography:
Jean-Paul (“JP”) Veronese is a Lecturer in Paramedicine at Griffith University and an Advanced Care Paramedic with the Queensland Ambulance Service. With over 20 years’ experience, his work focuses on simulation-based education, performance-based assessment, and developing job-ready paramedic graduates. He is currently completing a PhD in this area.
Abstract:
Background
Crisis resource management (CRM) skills, including communication, professionalism, and resource management, are essential for performance in high-pressure emergency care environments. Failures in non-technical skills contribute to adverse events as frequently as technical errors across healthcare and other high-risk industries. Despite widespread use of simulation-based education, limited research has examined how high-frequency simulation with structured feedback supports CRM skill development over time. This study examined the effect of a high-frequency simulation-based assessment (SBA) and feedback model on CRM development in paramedicine students preparing for workforce readiness.
Methods
A secondary analysis of 2025 performance data was conducted across three-year levels of undergraduate paramedicine courses at Griffith University. Students participated in repeated SBA using a structured performance-based assessment tool aligned to CRM domains. Associations between formative and summative performance were analysed using paired t-tests, mixed ANOVA, and hierarchical regression.
Results
A total of 180 students were included (64.4% female). Female students achieved higher mean summative CRM scores than males (73.9 ± 8.75 vs 70.3 ± 9.9; p = 0.013). CRM performance improved significantly across repeated SBA exposure (p < 0.05). Simulation frequency predicted resource management performance (p = 0.034), while early formative performance predicted summative outcomes (p < 0.05). No significant association was observed for communication.
Conclusions
A high-frequency SBA and feedback model supports CRM development relevant to emergency care practice. Repeated exposure to high-pressure scenarios prepares graduates for workforce readiness and operational environments. Extending this approach into graduate internship programs may support ongoing development of performance under pressure and team-based decision-making.