Simulcast

Is rapid cycle deliberate practice a better way to train for paediatric cardiac arrest? How can simulation and ‘institutional ethnography’ be used to explore ‘latent social threats’ in healthcare? Ben and Vic discuss these papers in our November journal club, as well as an amazing technical report on VR modelling to improve surgeons preparation for complex neurosurgical procedures, and a discussion of video assisted debriefing in healthcare simulation.   Happy listening!  vb 

Jess and Vic talk about the topic of moulage - a French word meaning "to mould", but more commonly known as the use of special effects makeup techniques to replicate illness and effects. Jess talks about her PhD journey and her (shock horror!) moulage scepticism that drove her to studying the topic. We discuss some of the theories that relate to moulage use, new research and where the future of moulage might be heading (Jess might have mentioned her obsessive watching of google scholar for moulage papers...).   Links and resources   Shiner et al 2019 Radiography and moulage https://www.sciencedirect.com/science/article/pii/S1078817418302153   Bauer et al 2021 T attoos and moulage https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-021-02763-z   Stokes-Parish 2020 Engagement and moulage in med students https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-020-00142-0   Stokes-Parish et al 2019 Authenticity in moulage https://advancesinsimulation.biomedcentral.com/articl

In this episode Vic and Jesse have a long overdue on air catch and talk through a human centred design project to improve medication safety in the Intensive Care Unit that Jesse has being working through in his day job. Vic and Jesse discuss, real world applications of Safety-II approaches, the core philosophy and practices of psychological safety and the importance of clinician led approaches to risk in practice. The episode closes with drawing parallels between this work and the skills and practices of simulation. We would love to hear your thoughts and experiences.

Ben and Vic kicked off this episode talking about some upcoming healthcare simulation events – NYSIM Hot topics virtual symposium October 22nd (USA) , The ASPIH ‘Moving Upstream’ conference 8th – 10th November (UK), and the RCPSC 2021 Simulation Summit, November 4th and 5th (Canada)  We gave some shout outs to friends of Simulcast who’ve joined us in Twitter conversations and more!  We enjoyed reading Team debriefings in healthcare: aligning intention and impact from Michaela Kolbe and colleagues – a must read for those interested in translating their simulation debriefing skills to clinical debriefings. We welcomed the launch of the International Journal of Healthcare Simulation and reviewed Dogan et al. A form of mental simulation with significant enhancements enabling teamwork training. (link not yet available)   We appreciated the efforts of the Norwegian anaesthetic group in auditing their practice at a national level - Is simulation-based team training performed by personnel in accordance with the IN

There is a new journal on the block. The International Journal of Healthcare Simulation – Advances in Theory and Practice is led by Editor in Chief Debra Nestel AM and “provides a forum to share scholarly practice for advances in simulation across diverse applications in health and social care.” Peer viewed, and open access, IJOHS is jointly owned by the Society for Healthcare Simulation (SHS, India) and Adi Health+Wellness.  Vic spoke with Debra about the philosophy and aims of the Journal, the diverse articles planned for the first issue, and some detail for readers and potential authors.  We look forward to discussing papers from IJOHS on the Simulcast journal club and wish the team all the best.   Follow @IJoHSim on Twitter for updates  .  

Equity, diversity and inclusion in healthcare simulation – reflecting on our values, beliefs and actions    Many in the simulation community are thinking about the ways we might work on equity, diversity and inclusion through healthcare simulation. We are tempted to try and ‘fix’ inequities and biases, but are also aware than if badly done – these ‘fixes’ may cause harm.  Ben Symon hosts this episode with Vic Brazil and Eve Purdy, and discuss the EDI-SIM tool they are trialling at the Gold Coast, and the collaborative autoethnography Eve is leading to explore the impact of this strategy.  We made reference to recent publications on Recommendations and Guidelines for the Use of Simulation to Address Structural Racism and Implicit Bias and ‘moving from safe to brave’ in Simulation in healthcare , applaud the work that many are doing in the area, and  look forward to more conversations on these issues. 

We recorded the September Journal Club during Healthcare Simulation Week – a chance to reflect on the amazing work of the healthcare simulation community.   Our first paper showcased the work of the STEPs (Simulation To Enhance Patient Safety) team at Fiona Stanley Hospital in Perth. Rory Trawber et al. write about Improving Simulation Accessibility in a Hospital Setting - Implementing a Simulation Consultation Service. They give us a practical guide to leveraging the impact of a small, skilled simulation delivery team through a formalised consultation service for clinical units seeking to use translational simulation for their quality and safety challenges in clinical care. Rory makes an ( audio) appearance in the podcast and describes the importance of using a quality ansafety based reporting tool, based on the work of Mel Barlow and colleagues on a documentation framework for healthcare simulation quality improvement activities.  As a nice example of using simulation as a test bed for planned clinical pr

This special episode is s joint release from Simulcast and The Emergency Mind podcast, with Vic talking with co-hosts Dan Dworkis and Andrea Austin.  We start by discussing what Dan and Andrea mean by ‘Emergency Mind’ – “Leveraging the mental models and lessons from his own practice of emergency medicine—as well as from experts in the military, business, and athletic worlds—how to train mentally to perform at your best when you’re needed the most.”  For more check out the book and more podcast episodes. We chat about other resources – the book On Combat, Scott Weingart on Combat Aviation Paradigms - and how simulation can shape culture.  

In the August Journal Club episode Ben and Vic look at articles involving the clinical outcomes from simulation training, trauma team leadership and serious games. We applauded a study looking at the association of simulation training with rates of medical malpractice claims among obstetrician–gynaecologists. This segued nicely into discussion of return on Investment for QI/ educational interventions offer to us by Shah and colleagues. Team leadership was next on the agenda – with a deep dive into the development of a behavioural marker took for observation and feedback for trauma team leaders. We finished with a systematic review looking at learner engagement and learning outcomes from serious games.  Happy listening! 

How should we design and deliver healthcare Simulation Fellowships?   In this episode of the podcast we discuss the thoughtful approach taken by Michael  Meguerdichian, Komal Bajaj and Katie Walker at NYHHC Sim, and their recent paper on the topic in Advances in Simulation - Fundamental underpinnings of simulation education: describing a four-component instructional design approach to healthcare simulation fellowships.  We spoke with Michael and Katie from the author team about the background to their Simulation Fellowship program, their strategy for selection and development of Fellows and take a deep dive into the application of Cognitive Load theory and the 4 Component Instructional Design approach they use. We reflect on how the field is developing and what the future holds for issues like curricula and accreditation of Sim Fellowships.  Happy Listening! 

We revisit Plus Delta Debriefing in the July Journal Club and talk about some new perspectives on a classic technique. Thanks Adam Cheng and many of the team from @Debriefing Academy. We also discuss work demonstrating the association of sim training with improvement in clinical performance in cord prolapse emergencies, and some impressive (if confronting) work on how illness experiences inform simulated participants’ encounters in health profession education.   We also lamented the closure of BMJ STEL, but look forward to new endeavours by EIC Debra Nestel and team at the International Journal of Healthcare Simulation (IJoHS)  Happy listening and look forward to next month! 

We know that simulation debriefing can be hard. Poor facilitation risks psychological safety breaches or simply ineffective conversations. Faculty development probably helps us improve, especially if its part of a community of practice. The Meta Debrief Club in NHS Lothian draws on these principles in their monthly ‘debrief the debrief’ sessions.  Ed Mellanby, Nathan Oliver and Chris Schnieke-Kind offer us the story of how the Meta Debrief Club originated, how it works, and the transformative experience it has been for their faculty. We spoke about the way they enable psychological safety, how they use tools like the DASH and OSAD, and their hopes for broader collaboration.  Truly inspirational! 

Practising communication, with good feedback, helps us get better at our jobs in healthcare. This is especially important for ‘high stakes communication’ (but really is there any other kind 

Ben and Vic are joined by Eve Purdy this month to discuss the UK national strategy for simulation, how to prepare for for systems-based simulation (the ‘pre-work phase’) , cultural consideration in simulation debriefing, and how simulations in ACLS training may perpetuate gender bias in emergency medicine.  We give a shout out to ASPiH, the UK based learned sociality for healthcare simulation, and their conference in November 2021.  Ben impresses again with his tun of phrase including the ‘visual haiku’, ‘framework mashups’ and ‘paragraph of Purdy’.  Happy listening and look forward to next month! 

 In this episode Ben shares a lecture he’s given at The Prince Charles Hospital about his journey as an educator and the ways that some of simulation’s foundational concepts have influenced his practice outside of educational spaces.  Through an exploration of psychological safety, above the table negotiation and cultural compression, he invites us to reflect on the ways we generate trust in healthcare, how our words connect us to our colleagues, and how simple acts like clinical handover can impact how we see ourselves and each other.    References :   Edmondson, Amy C. Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Jossey-Bass, 2012.   Rudolph, J., Raemer, D. and Simon, R., 2014. Establishing a Safe Container for Learning in Simulation. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 9(6), pp.339-349.  Cheng, A., Palaganas, J., Eppich, W., Rudolph, J., Robinson, T. and Grant, V., 2015. Co-debriefing for Simulation-based Education. Si

Ben and Vic dive into video supported feedback of actual resuscitations in this months Simulcast Journal Club. We review 2 papers on the topic - Filming for auditing of real-life emergency teams: a systematic review - and a case study of a Canadian emergency department experience - Ethical, legal and administrative implications of the use of video and audio recording . In reading these we reflect on the use of video for simulation debriefing, and the challenge of finding good evidence to guide our practice.   We chat about 2 other articles focuses on debriefing for systems improvement and on team performance under stress.  Vic suggests we take a look at a UK document outlining a national simulation strategy that might be of interest  Happy listening and look forward to next month! 

Vic is joined by Susan Eller to review the highlights form the recent SESAM (Society for Simulation in Europe) conference. They pick our messages from the keynote speakers including Vicki LeBlanc, Patrea Andresen, Cristina Diaz-Navarro, and Doris Ostergaard. There are also some reflections on how to run a great virtual conference, and trends in using simulation for systems. Congrats to Marc Lazarovici , SESAM President, and the team 

Translational sim in Action  In this episode we consider another Advances in Simulation article - Translational simulation: from description to action  Ben talks with authors Chris Nickson, Steph Barwick and Vic Brazil, and draws out the principles and processes for translational simulation. Chris illustrates the approach describing his own work in ECMO in intensive care   

This month Ben and Vic discuss articles about engaging with children, parents and caregivers in healthcare simulation - as educators, as simulated patients and as learners in sim.  Ben shares his own experience in  partnering with consumers , and of others in developing “paediatric patient-focused and family-focused simulations”  Vic reviews a qualitative exploratory analysis of simulation educators perspectives in working with Child and adolescent simulated patients (CASPs), and the experience of the Boston Children’s hospital in their Ready, Sim Go: an adapted simulation service line for patients and care givers.    Next month – we’re talking all things video, specifically - Video Supported Feedback of Actual Resuscitations.  

n our latest episode in the collaboration with Advances in Simulation, Vic speaks with Christina Condon and Suzanne Gough, two of the authors on a recent paper on VR simulation for clinical care of patients with respiratory conditions. We talk about research process, VR modalities, systematic reviews and meta-analyses, and future direction for research in the field of VR simulation for both education and clinical practice.   Suzanne is Associate Dean Learning and Teaching and Associate Professor of Physiotherapy at Bond University, Australia, and Christina is a recent Doctor of Physiotherapy student from Bond University