Simulcast

Simulcast and Bond University hosted the Simulation Reconnect symposium at the end of November. last year. A great day of talks, networking and sharing our healthcare simulation experience. For those who could not be there (and for those looking for a little reminder of key points) – Jess and Vic offer you our Sim Reconnect FOMO episode.   Some highlights   Vicki LeBlanc talked about emotions and simulation. More from Vicki on Simulcast here.  Katie Walker and Ben Symon talked about ROI and demonstrating value and impact from our sim work.   Ellen Davies gave us the Art and Science of designing recommendations for an organisation-wide simulation program. Our recent podcast with her here  Zach Buxton helped us demystify 3 D printing for simulation educators.   Ian Summers shared his “Confessions of a manikin addict”   Another nice summary of the day in IJOHS – thanks Liam McCollow  And finally …We are on again in 2024  Wednesday 27th November. Sim Reconnect 2024. Mark your diaries!  In the meantime, if you’r

Welcome to another “Advances in Simulation Edition”   In this episode, Jesse is (finally) back behind the mic to interview Ellie Davies and Victoria Brazil about their work and recent publication in Advances in Simulation.   Davies, E., Montagu, A. & Brazil, V. Recommendations for embedding simulation in health services. Adv Simul 8, 23 (2023). https://doi.org/10.1186/s41077-023-00262-3   We explore the background to this work and look to understand:   The concept of sim being embedded - why/ what contexts?   What do good 'embedded' sim services do?   The recommendations. The recommendation domains are: (1) governance and leadership; (2) human resources; (3) principles and planning; (4) operationalise and evaluate and (5) look to the future. For more detail listen to the episode or head to Advances in Simulation in Healthcare to read the article. You can find Ellie, Adam and Victoria on LinkedIn and also contact Ellie as the corresponding author of the article on Advances.

Teams and teamwork were the themes for our November Journal Club. In this special episode, Ben and Vic were joined by Eve Purdy to review four articles that took us on a deep dive into team science, team training using simulation and researching teamwork.   This is the first of a series on teamwork that we will be releasing over the next 12 months at Simulcast. Our motivation is to give simulation practitioners a deeper understanding of teamwork and to enable more nuanced conversations about team performance and improvement in the debriefing room and beyond. We want to go beyond simple concepts and buzzwords about teamwork.   Relax though, if you are not a teamwork nerd……in 2024 our Simulcast Journal Club will run every month with our usual eclectic mix of literature, and our teamwork thread episodes will be additional.  So, this month we embarked on the journey with some classics:  Rosenman et al. Changing Systems Through Effective Teams: A Role for Simulation. Academic Emergency Medicine 2017  Hicks and Pet

AI and Chat GPT in simulation and in publishing, helping babies breathe (and live) through simulation training and another take n the ‘safe not soft’ discussion - four more excellent articles for Ben and Vic to discuss this month.   Links here.  Rodgers, David  et al. Artificial Intelligence and the Simulationists. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, September 21, 2023.  Scerbo, Mark Can Artificial Intelligence Be My Coauthor?. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare 18(4): p 215-218, August 2023.  Vadla, May Sissel et al.. Increase in Newborns Ventilated Within the First Minute of Life and Reduced Mortality After Clinical Data-Guided Simulation Training. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, July 18, 2023.  Pai, Dinker Ramananda MS, FRCS (Edin), CHSE, FSSH. Recovering From Adversity: Do We Need to Protect Our Learners?. Simulation in Healthcare: The Journal of the Society for

Death of the simulator, co-regulated learning, simulation-enabled building redesign, and writing better (or not) with Chat GPT - four more excellent articles for Ben and Vic to discuss this month.   Links here.  Rajendran G, et al. (August 10, 2023) The Effect of Simulated Patient Death on Learner’s Stress and Knowledge Retention: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Cureus 15(8): e43278  Lorello GR, et al. Relinquishing control? Supervisor co-regulation may disrupt students' self-regulated learning during simulation-based training. Adv Health Sci Educ Theory Pract. 2023 May 28.  Smith-Millman M,et al. Hazard Assessment and Remediation Tool for Simulation-Based Healthcare Facility Design Testing. HERD. 2023 Aug 7  Lingard L. Writing with ChatGPT: An Illustration of its Capacity, Limitations & Implications for Academic Writers. Perspect Med Educ. 2023 Jun 29;12(1):261-270.  Plus Ben referred to this interesting Revisionist History episode – on answering new moral dilemmas

Virtual and older SPs, transformative simulation, and psychological safety - four more excellent articles for Ben and Vic to discuss this month.   Links here.  Weldon et al. Transformative forms of simulation in health care – the seven simulation-based ‘I’s: a concept taxonomy review of the literature  Smith et al. Older adults as simulated participants: a scoping review  Bond et al. The Use of Virtual Standardized Patients for Practice in High Value Care  Klenke-Borgmann et al. Role Clarity and Interprofessional Colleagues in Psychological Safety: A Faculty Reflection    Also – don’t forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open now!  

We talk a lot about sim for education or quality improvement, but less about how it can connect us as people.  In this episode Ben and Eve talk to Drs Sam Smith and Vicky Tallentire, the lead authors of a new essay in IJOHS entitled “Simulation for Social Integration”.  Together we explore how Sam and Vicky’s article introduces this concept of simulation for social integration, what that means, and then what that looks like through a series of case studies from sim teams around Scotland.  In doing so we unpack some deeper theories from the social sciences about the seeds of discord and how we can blossom them into something more productive.  Many thanks to Sam, Eve and Vicky for their time.  Reference:   Samantha Eve Smith, Victoria Ruth Tallentire. Simulation for social integration, International Journal of Healthcare Simulation,  . 10.54531/tdzn8875. https://www.ijohs.com/article/doi/10.54531/tdzn8875   

Four more excellent articles for Ben and Vic to discuss this month. Speaking up (or listening down?), transformational debriefing, is deliberate practice really better than self guided practice, and the perils of ‘god-terms’.  Links here.  Barlow et al. Understanding observed receiver strategies in the healthcare speaking up context.   Petrosoniak et al. Are we talking about practice? A randomized study comparing simulation‑based deliberate practice and mastery learning to self‑guided practice  Varpio & Sherbino. Demonstrating causality, bestowing honours, and contributing to the arms race: Threats to the sustainability of HPE research  Kainth & Reedy. Transforming Professional Identity in Simulation Debriefing: A Systematic Metaethnographic Synthesis of the Simulation Literature    Also – don’t forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open now!     Happy listening 

What do we really mean by ‘IPE’? And how can we design and deliver simulations for IPE outcomes?  In this episode, Vic speaks with Dr Karen Dickinson about her work in IPE at the University of Arkansas for Medical Sciences in Little Rock, AR., where she is an Assistant Professor of Surgery and the Director of IPE Simulation and Clinical Skills Training.  Karen gave us an overview of work in the area of IPE – “learning about, from, and with other professions”. Groups such as the Interprofessional Education Collaborative (IPEC) offer resources such as this scoping review of IPE and patient care and this Institutional Assessment Instrument (readers can evaluate their IPE efforts locally)  We spoke about the differences and similarities between ‘IPE’ and ‘team training’ in sim and the barriers and enablers of this kind of work.   Karen cited some examples, including interprofessional trauma simulations, and the mock trial involving health professions and law students,  (previously discussed on Simulcast!)  A cros

Ben and Vic talk about four articles from the healthcare simulation literature, on diverse topics: psychological safety, cognitive load measurement, roles for maternity emergencies, and reflective pauses to optimise learning  Links here   Bahr, N., Ivankovic, J., Meckler, G. et al. Measuring cognitively demanding activities in pediatric out-of-hospital cardiac arrest. Adv Simul 8, 15 (2023).  Janssens, Sarah & Kikkawa, Yoriko & Mavin, Timothy. (2023). How do maternity teams perform in and perceive a role-based approach to teamwork in maternity emergencies? A qualitative study in simulation. International Journal of Healthcare Simulation. 10.54531/wywv6555.  Lee JY, Donkers J, Jarodzka H, Sellenraad G, Faber TJE, van Merriënboer JJG. The Effects of Reflective Pauses on Performance in Simulation Training. Simul Healthc. 2023 May 3.  Somerville SG, Harrison NM, Lewis SA. Twelve tips for the pre-brief to promote psychological safety in simulation-based education. Med Teach. 2023 May 21:1-8.  Also – don’t

In this joint episode with The Emergency Mind podcast, Vic Brazil and Dan Dworkis talk about ‘stress exposure’ simulation/ training, and how we prepare ourselves and our teams to perform under pressure. We started with a general discussion about the need for this kind of training and how others have approached it. There are some fantastic resources on this topic, including this one from First10EM.   The main conversation was our recent article - Exploring participant experience to optimize the design and delivery of stress exposure simulations in emergency medicine.   In our conversation we also talked about adaptive expertise, the book ‘Teams that Work’, and Dan’s application of mental rehearsal and principles from martial arts.  Happy listening! 

Ben and Vic talk about four articles from the healthcare simulation literature. Practical lessons mixed with some theoretical deep dives!  Links here   Vemuri, Sidharth. Et al.

Training to listen effectively is a powerful skill that can transform our conversations in healthcare simulation, clinical work and even our home lives.   In this episode Vic interviews Rebecca Minehart, Ben Symon and Laura Rock on their Harvard Business Review article “What’s your Listening Style” in order to deepen our understanding of what listening is, how it can be classified and how we can use this knowledge to shape the ways we connect with the humans around us.  If you’d like to explore what your listening style is, you can check out the quiz in Bodie’s 2013 paper here.  The paper  Minehart, R., Symon, B. and Rock, L. (2022) What's your listening style?, Harvard Business Review. Available at: https://hbr.org/2022/05/whats-your-listening-style  

Ben and Vic talk about four articles from the healthcare simulation literature. This month we had a focus on simulation debriefing and on simulation design and delivery to optimise transfer to practice.  Links here (all open access)  Kaba et al. Entrustable Professional Activities for simulation faculty?! A novel approach to standardizing mentorship and faculty development for healthcare simulation programs. International Journal of Healthcare Simulation. 2023;:1-10.  Baliga, K., Halamek, L.P., Warburton, S. et al. The Debriefing Assessment in Real Time (DART) tool for simulation-based medical education. Adv Simul 8, 9 (2023).  Shariff et al. Learning After the Simulation Is Over: The Role of Simulation in Supporting Ongoing Self-Regulated Learning in Practice. Academic Medicine 95(4):p 523-526, April 2020  Frerejean, J. et al. Critical design choices in healthcare simulation education: a 4C/ID perspective on design that leads to transfer. Adv Simul 8, 5 (2023)    Also – don’t forget – Simulation Reconnect is

In our latest Advances in Sim collaborative episode, we talk about how to establish and sustain in situ simulation (ISS) programs on health services. Ben and Vic were joined by Susan Eller who is lead author on an important article on this topic: Leading change in practice: how “longitudinal prebriefing” nurtures and sustains in situ simulation programs.  Susan is Associate Dean for Immersive Learning and Learning Spaces at the Center for Immersive and simulation Based learning at Stanford, and a long time friend of Simulcast. Her co-authors for this article are Jenny Rudolph, Stephanie Barwick, Sarah Janssens, and Komal Bajaj.  In the episode we discuss the challenges for ISS: space, time, people, resources, safety; but also the opportunities: exploring work environments and the people in them, and probing systems and processes. The authors recognised the need for patient, systematic engagement with staff across healthcare institutions, and take us through their journeys in three separate ISS programs. They

More interesting work from the healthcare simulation community this month.   Christensen, M.D., Østergaard, D., Stagelund, S. et al. Embracing multiple stakeholders’ perspectives in defining competent simulation facilitators’ characteristics and educational behaviours: a qualitative study from Denmark, Korea, and Australia. Adv Simul 8, 1 (2023).  Cassidy, D.J., Jogerst, K., Coe, T. et al. Simulation versus reality: what can interprofessional simulation teach us about team dynamics in the trauma bay?. Global Surg Educ 1, 56 (2022).  Swerdlow, Barry et al. What is the Best Method to Teach Screen-Based Simulation in Anesthesia Distance Education? Clinical Simulation In Nursing, Volume 74, 49 - 56  Karen J Dickinson, Wendy L Ward, Robert Minarcin, Christopher Trudeau, Kathryn K Neill . International Journal of Healthcare Simulation: An interprofessional medical malpractice mock trial: event evolution and assessment of efficacy. 10.54531/zxmk6987. Adi Health + Wellness.     Happy listening! 

More interesting work from the healthcare simulation community this month.   Preiksaitis CM, Lee MO, Schertzer K. Creating a Safe Space for Simulation: Is it Time to Stop Calling Them Confederates? Simul Healthc. 2022 Nov 28.   Paul O’Connor, Emily O’Dowd, Sinéad Lydon, Dara Byrne . International Journal of Healthcare Simulation: Developing a strategic plan for a healthcare simulation facility.  Mallory LA, Doughty CB, Davis KI, Cheng A, Calhoun AW, Auerbach MA, Duff JP, Kessler DO. A Decade Later-Progress and Next Steps for Pediatric Simulation Research. Simul Healthc. 2022 Dec 1;17(6):366-376.   Minors AM, Yusaf TC, Bentley SK, Grueso D, Campbell-Taylor K, Harford M, Mehri S, Williams LJ, Bajaj K. Enhancing Safety of a System-Wide In Situ Simulation Program Using No-Go Considerations. Simul Healthc. 2023 Jan 10.   Happy listening! 

Healthcare debriefings have been primarily informed by theories and expert opinions but in this episode Ben explores with Michaela Kolbe how her team took on the remarkable endeavour to code over 18,000 debriefing micro-events from 50 simulation debriefings to uncover the quantitative mysteries inside ‘the black box of debriefing’.  Join us as we explore the evolving evidence on what ‘Advocacy and Inquiry’ actually leads to in a debrief, as well as the surprising impact of praise, paraphrasing and guess what I’m thinking questions.  The paper  Kolbe M, Grande B, Lehmann-Willenbrock N, et al  Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflections during team debriefings  BMJ Quality & Safety Published Online First: 28 July 2022. doi: 10.1136/bmjqs-2021-014393 

Ben and Vic round out the Simulcast Journal club year with 4 articles. Listed here with links to the full text versions.   Vadla, M.S., Moshiro, R., Mdoe, P. et al. Newborn resuscitation simulation training and changes in clinical performance and perinatal outcomes: a clinical observational study of 10,481 births. Adv Simul 7, 38 (2022).  Høllesli, L. J., Ajmi, S. C., Kurz, M. W., et al. (2022). Simulation-based team-training in acute stroke: Is it safe to speed up? Brain and Behavior, 12, e2814.  Moore N, Ahmadpour N, Brown M, Poronnik P et al. (1, Supplement SRSIS 1). Designing virtual reality experiences to supplement clinician Code Black education. International Journal of Healthcare Simulation 2022  Alyshah Kaba, Theresa Cronin, Walter Tavares, Tanya Horsley, Vincent J Grant, Mirette Dube. Improving team effectiveness using a program evaluation logic model: case study of the largest provincial simulation program in Canada. International Journal of Healthcare Simulation. 2022;:1-8.    Thank you to all our

Hierarchy is pervasive in healthcare, and current strategies to train providers to ‘speak up’ are not enough to overcome the intense challenges that hierarchy creates. In this episode, Vic talks with Taryn Taylor and Adam Garber about their recent articles in Advances in Simulation. Both studies explore the experience of practitioners working in teams managing obstetric emergences. Their studies use clever scenario design and delivery to re-create hierarchy and power gradients, as an example of ‘sociological fidelity’.  Their insights are comprehensive, confronting but deeply resonant for healthcare professionals. We discuss their methods, their findings and what this might mean for simulation being part of the solution to addressing harms caused by hierarchy.  The papers  Pack, R., Columbus, L., Duncliffe, T.H. et al. “Maybe I’m not that approachable”: using simulation to elicit team leaders’ perceptions of their role in facilitating speaking up behaviors. Adv Simul 7, 31 (2022).  Garber, A.B., Posner, G., R