Pamela B Andreatta

PhD, EdD, FSSH

Department of Primary Appointment:
School of Medicine
Surgery
Title
Professor, Director Surgical Assessment and JKSA Clinical Readiness Program Knowledge and Skills Assessment
Location: Uniformed Services University of the Health Sciences, Bethesda, MD
Research Interests:
Clinical Readiness Combat Casualty and Trauma Care
Assessment and Development of Expertise for High Acuity, High Stress Performance Contexts
Office Phone

Education

12/2003 University of San Francisco, San Francisco, CA EdD Educational Psychology (Assessment)
05/1999 San Jose State University, San Jose, CA MA (Instructional Design)
05/1998 San Jose State University, San Jose, CA MFA (Virtual Reality Design)
05/1994 Institute of Transpersonal Psychology, Palo Alto, CA PhD (NAc) (Human Performance, Affective Integration)

Biography

Professional scientist, educator, researcher, and expert human performance specialist dedicated to supporting the acquisition and implementation of abilities in critical and complex health services environments. Proficient analyst specializing in outcomes-based research and evidence-based evaluation leading to high impact quality of care and safety initiatives in medicine, surgery, nursing and the health professions. Expertise in high acuity performance under stress. Current interests focus on the development of mastery performance in emergency, critical, trauma, and combat casualty care for individuals and teams from Level 1 trauma centers to expeditionary and remote/ austere environments. Experienced, globally recognized leader in medical, surgical, nursing and health professions education. Deep expertise in assessment, evaluation, outcomes measurement, theoretical and empirical systems of practice, training and professional development for achieving performance mastery in all clinical performance disciplines. More than 25 years of administrative, operational, and executive leadership.

Career Highlights: Positions, Projects, Deployements, Awards and Additional Publications

• Demonstrated the critical importance of measuring clinical performance competencies with interval and ratio scales; not rating scales

• Demonstrated the efficacy of Integrated precise performance assessment for capturing performance gains for 80 trauma and emergency procedures associated with combat casualty care

• Demonstrated the efficacy of comprehensive clinical, tactical, and operational knowledge exams for identifying and closing gap areas in anesthesiology, craniomaxillofacial trauma, critical care, critical expeditionary procedures, general surgery, orthopaedic surgery, and trauma surgery.

• Identified the top 5 predictors of small (6-8) person emergency team performance in the concurrent management of multiple casualties

• Improved survival rates for pediatric and neonatal patients experiencing cardiopulmonary arrest at University of Michigan Children's Hospital from 17% survival to 56% survival over 2 years.

• Trained >450 illiterate traditional birth attendants in rural Sub-Saharan West Africa to perform two-person bimanual uterine compression for the management of post-partum hemorrhage, reducing associated maternal deaths in the areas from 30-33% to 0 over one year.

• Developed and implemented low tech, high fidelity training programs in Sub-Saharan West Africa for emergency and trauma procedural care and laparoscopic surgery.

• Developed a cell-phone texting protocol easily implemented by illiterate providers for collecting patient outcomes data from rural, remote sites in West Africa

• Demonstrated the transfer of catheterization abilities gained using low-tech ultrasound blocks to first-time placements of PICC/CVC catheters in the OR

• Served as an early member of the board of directors and a 3 year term as president of the Society for Simulation in Healthcare, engaging with simulation developers and clinical educators around the world

Representative Bibliography

• Andreatta PB, Bowyer MW, Renninger CH, Graybill JC, Gurney JM, Elster EA. Putting the ready in readiness: A post-hoc analysis of surgeon performance during a military MASCAL in Afghanistan. Journal of Trauma and Acute Care Surgery. 2024 May 13. doi: 10.1097/TA.0000000000004381. Epub ahead of print. PMID: 38738895.

• Andreatta PB, Renninger CH, Bowyer MW, Gurney JM. Measuring competency: Improving the validity of your procedural performance assessments. Annals of Surgery. 2023 Oct 30;4(4):e346. doi: 10.1097/AS9.0000000000000346.

• Weightman J, Latham K, Bowyer MW, Andreatta P. Lateral Canthotomy/Cantholysis performance gap analysis and training recommendations for expeditionary physicians. Mil Med. 2022 Dec 3;usac381. doi: 10.1093/milmed/usac381.

• Andreatta PB, John Christopher Graybill JC, Renninger CH, Armstrong RK, Bowyer MW, Gurney JM. Five influential factors for clinical team performance in urgent, emergency care contexts. Mil Med. 2022 Sep 19;usac269. doi: 10.1093/milmed/usac269.

• Bowyer MW, Andreatta PB, Armstrong JH, Remick KN, Elster EA. A Novel Paradigm for Surgical Skills Training and Assessment of Competency. JAMA Surgery. 2021; 156(12):1103-1109. doi: 10.1001/jamasurg.2021.4412

• Andreatta PB, Cho K, Chen Y, & Marsh M. (2011). Simulation-based training improves applied clinical placement of ultrasound-guided PICCs. Supportive Care in Cancer, 19(4), 539-543. doi: 10.1007/s00520-010-0849-2.

• Andreatta PB, Klotz JJ, Madsen JM, Hurst CG, & Talbot TB. Outcomes from two forms of training for first-responder competency in cholinergic crisis management. Mil Med. 2015 Apr;180(4):468-74. doi: 10.7205/MILMED-D-14-00290.

• Andreatta P, Perosky J, & Johnson TR. (2012). Two-provider technique for Bimanual Uterine Compression to control postpartum hemorrhage. Journal of Midwifery & Women’s Health, 57(4), 371-375. doi: 10.1111/j.1542-2011.2011.00152.x.

• Andreatta PB, Saxton E, Thompson M, & Annich G. (2011). Simulation-based mock codes significantly correlate with improved pediatric patient cardiopulmonary arrest survival rates. Pediatric Critical Care Medicine, 12(1), 33-38. doi: 10.1097/PCC.0b013e3181e89270.

• Andreatta P. (2020) Cognitive neuroscience foundations of surgical and procedural expertise: Focus on Theory. In: Nestel D., Reedy G., McKenna L., Gough S. (eds) Clinical Education for the Health Professions. Springer, Singapore