Physiological synchrony is detectable among medical resident teams both before and during CRM simulation training, exceeding surrogate-data chance levels¶

Claim · All claims
Evidence · 1 study (2 entries) · associational r1–r2 · q2 · i3 large
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i3 Real-team pre-simulation %REC exceeded surrogate %REC significantly with a large effect (r = 0.89). → Lucia Patino Melo 2026 q2 i3 Real-team during-simulation %REC exceeded surrogate %REC significantly with a large effect (r = 0.89). → Lucia Patino Melo 2026 (2)

Evidence¶

Lucia Patino Melo 2026¶

Lucia Patino Melo, Sebastian Wallot, Keerat Grewal, Matthew Moreno, Osamu Nomura, Jason M. Harley. (2026). Physiological synchrony amongst medical residents during crisis management simulation training and a video-based assessment of leaders' performance. Learning and Instruction 102 (2026) 102302. https://doi.org/10.1016/j.learninstruc.2025.102302

q2 · i3 · associational · r1

Wilcoxon signed-rank test comparing 9 teams' real pre-simulation %REC against randomized surrogate datasets from a field-based observational EDA study. Real teams showed "higher %REC than surrogate data" with "r = 0.89: large effect"; paired t-tests in supplemental material replicated the result.

"the Wilcoxon signed-rank test result of the pre-simulation window analysis revealed that there was a statistically significant difference between surrogate %REC and real data %REC PreSim values of all teams, with the real teams exhibiting higher %REC than surrogate data (Surrogate %REC and real %REC: W = 2.66, p = .008, r = 0.89: large effect)."

Lucia Patino Melo 2026 (2)¶

Lucia Patino Melo, Sebastian Wallot, Keerat Grewal, Matthew Moreno, Osamu Nomura, Jason M. Harley. (2026). Physiological synchrony amongst medical residents during crisis management simulation training and a video-based assessment of leaders' performance. Learning and Instruction 102 (2026) 102302. https://doi.org/10.1016/j.learninstruc.2025.102302

q2 · i3 · associational · r2

Wilcoxon signed-rank test on during-simulation %REC for the same 9 teams against surrogate datasets. Real teams again showed "higher %REC than surrogate data" with "r = 0.89: large effect", supporting PS during the scenarios themselves.

"the Wilcoxon signed-rank test result of the simulation window analysis revealed that there was a statistically significant difference between surrogate and real data %REC Sim values of all teams, with the real teams exhibiting higher %REC than surrogate data (Surrogate %REC and real %REC: W = 2.66, p = .008, r = 0.89: large ef- fect)."

Discussion¶

Related Claims¶

• Real collaborative groups show higher physiological synchrony than randomly matched false groups on %REC, %DET, and ADL — possibly the same claim (merge candidate)
• During-simulation physiological synchrony is positively correlated with team leaders' CRM performance scores (preliminary, 9 teams) — related
• Regression models of PS on CRM performance could not be conducted because four regression assumptions were not met — related
• Higher physiological synchrony relates to less monitoring with positive valence — related
• Increased physiological arousal and higher physiological synchrony relate to more monitoring with negative valence — related