#22 The DR5 Model

The DR5 model


In this episode, Dr. Zab Johnson, Dr. Al’ai Alvarez, and
Dr Preston Cline will break down the DR5 model using a
Trauma Resuscitation scenario.


The DR5 represents the latest version of the original MCTI
Learning Diagnostic Tool (The LERP and then the DR4) that was
developed through a collaborative inquiry process between the
Mission Critical Team Institute, Naval Special Warfare, and the
Wharton Neuroscience Initiative (UPENN), to improve the training
for hostage rescue teams. This version was specifically developed
for use in medical resuscitation. As always, it is designed as a
tool to help Instructor Cadre improve performance within
immersion events and is currently being utilized by teams
worldwide. Initially created to move past the all too common “You
Suck! Suck Less!” instructor/student interaction by providing
instructors a more precise language to overcome the Tacit
Knowledge Transfer Problem [1]. This is the problem that experts
face when trying to explain or articulate their expertise (e.g.,
Having the skill to ride a bike versus explaining that skill to
another). Using research from Psychology, Education, and
Neuroscience, the DR5 model breaks down the immersion event into
5 distinct areas of Detection, Recognition, Reaction, Response,
Reset, and Reflection. While neurologically, these stages do not
behave sequentially [2], the model provides Instructor Cadres a
mechanism for specificity [3] to diagnose better and mediate
learning within and after immersion events.


Guests:


Dr. Elizabeth (Zab) Johnson


Executive Director, Wharton Neuroscience Initiative


Senior Fellow, Wharton Neuroscience Initiative


Elizabeth (Zab) Johnson is the executive director and senior
fellow of the Wharton Neuroscience Initiative. Her research
focuses on vision and visual behavior. Her work spans
physiological approaches in the retina and early visual cortex to
using eye tracking to investigate how human observers look and
navigate through the world, how these processes unfold over time
and with experience, and the role of social cognition and
decision making in these processes. She is an expert on color
vision. She received her PhD in Neural Science at New York
University.


 


Al'ai Alvarez, MD, FACEP, FAAEM (@alvarezzzy)


Assistant Residency Program Director, Emergency Medicine


Clinical Assistant Professor - Co-Chair, WellMD Physician
Wellness Forum


Stanford University School of Medicine


Al'ai is a clinical assistant professor of Emergency Medicine
(EM) and an associate residency program director (APD) at the
Stanford Emergency Medicine Residency Program. He is the APD for
Residency Process Improvement (Quality and Clinical Operations),
Recruitment (Diversity), and Well-being (Inclusion). Dr. Alvarez
focuses on the intersectionality and interdependence of
wellbeing with performance improvement on patient experience,
quality and patient safety, diversity, equity and inclusion, and
medical education.


Additional Articles


DR5 Model


High Performance Resuscitation Teams