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A podcast dedicated to the discussion of healthcare simulation. Debunking dogma, demystifying jargon and translating knowledge. Hosted by Victoria Brazil, Jesse Spurr & Ben Symon
Oct 12, 2020
113 Journal Club Monthly Podcast September 2020
This month we discussed Calhoun, Aaron W. Pian-Smith, May. Shah, Anjan et. al. Guidelines for the Responsible Use of Deception in Simulation, Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: August 2020 - Volume 15 - Issue 4 - p 282-288 We were also joined by Ian Summers, Director of Monash Simulation, who contributed as our expert commentator this month. Ben and Vic summarised the article and online discussion, and our trio then went deep on the definition of deception, and the concept of ‘fair’ in simulation design, drawing on the article and personal experience. And we reviewed 2 extra papers Lin Y, Hecker K, Cheng A, et al. Cost-effectiveness analysis of workplace-based distributed cardiopulmonary resuscitation training versus conventional annual basic life support training BMJ Simulation and Technology Enhanced Learning Published Online First: 29 September 2020 Caners, K., Baylis, J., Heyd, C., & Chan, T. (2020). Sharing is caring: How EM Sim Cases (EMSimCases.com) has created a collaborative simulation education culture in Canada. CJEM, 1-3. And finally – Ben gave us an invitation for the September Journal Club. Kerrey, Benjamin, MD, MS, Boyd, Stephanie, et al. Developing a Profile of Procedural Expertise: A Simulation Study of Tracheal Intubation Using 3-Dimensional Motion Capture. Simul. healthc.. 2020;15(4):251-258. Please come along and join the conversation …
Sep 11, 2020
112 Intro to Sim 101: A Simulcast Series
Welcome to the new series Simulcast 101 – in this episode Jess @j_stokesparish introduces you to the new series exploring the basics of simulation in bite-sized snippets. She is joined by Dr Charlotte Alexander @_CharAlexander, emergency medicine resident/registrar who is putting in the grunt work behind project. Hear about how it will work, what you can expect to hear about and who some of the guests will be! And be sure to let us know what topics you want to cover!
Sep 8, 2020
111 Journal Club Monthly August 2020
This month we discussed “Leung, J.S., Brar, M., Eltorki, M. et al. Development of an in situ simulation-based continuing professional development curriculum in pediatric emergency medicine. Adv Simul 5, 12 (2020). Ben and I recap on the paper and the online discussion, Including the expert contributions from James Leung, the first author An we reviewed 3 extra papers – two looking at different ways healthcare simulation has been adapted to deal with the pandemic. Dubé, M., Kaba, A., Cronin, T. et al. COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada. Adv Simul 5, 22 (2020). Cheng, A., Kolbe, M., Grant, V. et al. A practical guide to virtual debriefings: communities of inquiry perspective. Adv Simul 5, 18 (2020). And one looking at how bomb defusal can help interprofessional learning ! Tidbury L, Jarvis K, Bridge P. Initial evaluation of a virtual reality bomb-defusing simulator for development of undergraduate healthcare student communication and teamwork skills BMJ Simulation and Technology Enhanced Learning 2020;6:229-231. And finally – Ben gave us an invitation for the September Journal Club. Calhoun, Aaron W. Pian-Smith, May. Shah, Anjan et. al. Guidelines for the Responsible Use of Deception in Simulation, Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: August 2020 - Volume 15 - Issue 4 - p 282-288 Please come along and join the conversation …
Aug 23, 2020
110 Simulation Self Sabotage: Ben's Talk at APLS PAC 2019
This episode is a recording of Ben Symon’s APLS PAC 2019 (Advanced Paediatric Life Support Paediatric Acute Care Conference) in Perth on ‘Simulation Self Sabotage’. Through exploring 4 journal articles, Ben shares reflections on the negative impacts we can have as sim educators on our intended learning outcomes and the ways in which we unintentionally shoot our educational goals in the foot. Many thanks to APLS, who were kind enough to give their recording to Simulcast to share with our listeners. References : 1. Purdy E, Alexander C, Caughley M et al. Identifying and Transmitting the Culture of Emergency Medicine Through Simulation. AEM Education and Training 2019;3:118-128. doi:10.1002/aet2.10325 2. Fraser K, Meguerdichian M, Haws J et al. Cognitive Load Theory for debriefing simulations: implications for faculty development. Advances in Simulation 2018;3. doi:10.1186/s41077-018-0086-1 3. Roussin C, Weinstock P. SimZones. Academic Medicine 2017;92:1114-1120. doi:10.1097/acm.0000000000001746 4. Marshall S. Sink or swim? The difficulty of finding the correct level of independence and support for trainees. British Journal of Anaesthesia 2015;114:724-725. doi:10.1093/bja/aev032
1 hr 2 min
Aug 2, 2020
109 Journal Club Monthly Podcast July 2019
This month we discussed “How to include medical students in your healthcare simulation centre workforce” by Viggers et. Al. We have already recorded a wonderful episode with Sandra on this paper that can be found here…. Ben and I recap on the paper and the online discussion, as well as the expert opinion from two medical students undertaking their simulation-based education rotation at present. We also reviewed 4 extra papers – one focused on reopening simulation facilities in the COVID era:- Ingrassia, P.L., Capogna, G., Diaz-Navarro, C. et al. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Adv Simul 5, 13 (2020). and three papers with a with a simulated patient methodology theme: - Smith CM, Sokoloff LG, Alsaba N. Collaborative framework for working with older simulated participants (SP). BMJ Simulation and Technology Enhanced Learning Published Online First: 16 June 2020. ( and this one makes reference to the ASPE Standards of Best practice that can be read here.) Budd, Natasha PhD; Andersen, Patrea PhD; Harrison, Penny BA; Prowse, Nycole Engaging Children as Simulated Patients in Healthcare Education, Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: June 2020 - Volume 15 - Issue 3 - p 199-204 Naismith, Laura M. PhD; Kowalski, Christopher et al. Participant Perspectives on the Contributions of Physical, Psychological, and Sociological Fidelity to Learning in Interprofessional Mental Health Simulation, Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: June 2020 - Volume 15 - Issue 3 - p 141-146 And finally – Ben gave us a heads up for the August Journal Club. Leung, J.S., Brar, M., Eltorki, M. et al. Development of an in situ simulation-based continuing professional development curriculum in pediatric emergency medicine. Adv Simul 5, 12 (2020). Please come along and join the conversation …
Aug 2, 2020
108 Advances in Simulation: How to include medical students in your healthcare simulation centre workforce
In this latest episode in our collaboration with Advances in Simulation, Vic speaks with Sandra Viggers (@StarSkaterDk) about her recent paper and the program she describes for involving medial student sin the simulation mission at her institution in Copenhagen. We were joined by South African anaesthetist Rowan Duys (@HealthThink) and discuss the recruitment, roles and professional development and training opportunities available for students. We ended up talking about broader issues related to the positioning of medical students in health services, and sandra offered some tips about how to get started. vb
Jul 10, 2020
107 Journal Club Monthly Podcast June 2020
This month’s paper was Lack of Diversity in Simulation Technology by Conigliaro et al from Simulation in Healthcare. Vic and Ben were joined by Jess and our special guest Dr Karanjot Lall (@KaranjotLall) We spoke about the paper’s findings – the predominance of white skinned mannikins in advertising materials – and how simulation might instead be able to contribute to antiracism and better representation of traditionally marginalised groups. We also highlighted Debra’s Nestel’s recent SESAM keynote on a similar topic and recommend this as additional viewing !
Jun 11, 2020
106 The COVID-19 Intubation Box
The COVID intubation box, a hot topic on social media – is it safe or effective? Jessica (not Jesse…) hosts her first podcast with guests Jonathan Begley, Albert Chan and Vic Brazil exploring a new paper in Anaesthesia – An aerosol box for intubation in COVID-19 patients: an in-situ simulation crossover study. <link https://onlinelibrary.wiley.com/doi/abs/10.1111/anae.15115 > We cover why they conducted the study, the outcomes, the use of simulation and future direction. We also discussed some interesting topics like the MacGuyver Bias and the article that Albert wrote in Life in The Fast Lane about the intubation box. MacGuyver Bias Article - https://link.springer.com/article/10.1007/s12630-019-01361-4 Albert’s Life in the Fast Lane Article - https://litfl.com/should-we-use-an-aerosol-box-for-intubation/
Jun 3, 2020
105 Journal Club Monthly Podcast May 2020
Ben and Vic discuss the paper of the month(s) - Cheng, A et al A Conceptual Framework for the Development of Debriefing Skills. - and attempt to summarise the brilliant discussion from the blog comments. We discuss the elements of ‘good debriefing’, reflect on the value of having a conceptual framework for debriefing skill development, and take a deeper dive into the nature of ‘adaptive expertise’. We talk about Kris Krogh’s practice development triangle and draw on the wisdom of Booker’s rule of three and Hannah Gadsby’s Nanette. We agree to embrace the ‘rich palette’ of debriefing skills, but encourage first learning the rules about how to make purple…….
May 27, 2020
104 Women in Simulation
Vic spoke with (Dr) Jess Stokes-Parish and Steph Barwick about the ‘Women in Simulation’ Initiative within Simulation Australasia. Diversity is important in professional communities and Steph and Jess explained a bit about the background to this initiative, the work so far and how this can positively influence policy and support diversity within simulation. If you’re interested in the upcoming webinar series, find out more info or register here https://my.simaust.com/events - this Masterclass Series will run on June 4, June 18 and July 2 covering building confidence, kicking imposter syndrome to the curb and building a personal brand. And the link to the FB page https://www.facebook.com/groups/285101322099769
May 24, 2020
103 Simulation or Simulacrum: Can Simulation Be Too Real?
Can simulation be ‘too real’? Can this ‘hyper-reality’ actually have negative impacts on learning? Vic takes a deep breath and dives into theory with the team from Queens University Belfast, including Jenny Johnston, Helen Reid and Gerry Gormley. We discuss their recent Medical Education article - Into the uncanny valley: simulation versus simulacrum? Eve Purdy joined the chat to offer her unique anthropological perspectives. If you’ve ever felt slightly uncomfortable with OSCEs or breaking bad news to a plastic mannequin, this might help you understand why…..
May 5, 2020
102 Journal Club Monthly Podcast April 2020
This month Ben and Vic discuss 4 papers, in a bit of a variation to our usual format. In the first paper, the authors compare VR and ‘live’ team-based simulation for interprofessional student groups, and suggest these modalities have the same outcome, as measured by performance on a team communication assessment. Next we discuss Natarajah and colleagues’ brilliant work in Myanmar, using a low cost simulator for training to use air enemas in paediatric intussusception, with measurably improved patient outcomes. In our third paper, Brown and colleagues offers a new approach to debriefing large groups, such as might be needed in large scale trauma simulations - offer us ‘simultaneous successive debriefing’. And finally – we discuss Laura Rock’s BMJ Opinion piece - Don’t answer feelings with facts. Guidance for our conversations in the clinical and simulation contexts, and well beyond. Join the conversation for next month, when we pick up the March JC paper and review.…
Apr 27, 2020
101 Simulcast Team Debrief - COVID-19 Edition
In this podcast, we got the full team together, Vic, Ben, Jess and Jesse, and thought we would "show our workings" through having a structured team debrief while looking in on any lessons emerging from our individual work contexts
Apr 19, 2020
100 - Advances in Simulation: Living the Title With New EIC, Gabe Reedy
Dr Gabe Reedy has been announced as the new Editor in Chief for Advances in Simulation. Vic speaks with him about his background, his vision for the journal, and the role of journals in supporting healthcare workers, simulationists and academics during the COVID-19 pandemic. His gives tribute to Professor Debra Nestel, the outgoing EIC, and tells us he aims to ‘live the title’ – aiming to be advancing the field – for scholars and practitioners. Simulcast looks forward to our continued collaboration with Gabe and with Advances.
Mar 30, 2020
99 - Advances in Simulation: Bringing Sim to the Masses
In this next instalment in our collaboration with Advances in Simulation, Ben speaks with Dr Barbara Walsh and discussant Dr Ben Lawton (@paedsem) regarding how to bring simulation to the masses. Community-based in situ simulation: bringing simulation to the masses Authors: Barbara M. Walsh, Marc A. Auerbach, Marcie N. Gawel, Linda L. Brown, Bobbi J. Byrne and Aaron Calhoun Despite advances in simulation technology and widespread understanding of the process, is healthcare simulation being delivered in the places that need it most? Writing in Advances in Simulation, Dr Barbara Walsh and colleagues explore technological innovations and organization strategies to bring simulation outside academic or large hospital settings to other locations in need of healthcare simulation.
Mar 20, 2020
98 - Lessons Learned in Sim and Education: A Montage of Friends of Simulcast
IN this episode, we’ve asked five of our simulation colleagues to tell us what they’re doing, what they’ve found and any advice they might have for others as they work with their clinical colleagues on this challenge. In this episode you’ll hear from: Albert Chan (@gaseousXchange) from Hong Kong , with a great airway management infographic Andrew Petrosoniak (@petrosoniak) from Toronto, Canada Tim Willett (@SIMtim_one), also from Canada www.SIM-ONE.ca James Leung (@drjscleung), from Mc Master, Ontario Canada Christine Park (@cpark_stories) from Chicago * The Whats app group https://chat.whatsapp.com/LVy0T1dWvan9enqMDwElRN * The Google drive https://drive.google.com/drive/folders/1kDrTZ0mlFgug7RfoIocZ09Crj24py8z2 Please be in touch if you’d like to tell your COVID simulation stories
Mar 15, 2020
97 - COVID-19 Sim
COVID19 will be challenging for healthcare providers and communities around the world. Simulation providers are helping and targeting the various challenges we anticipate. In this episode Vic welcomes Jess Stokes-Parish to the team, and introduces the Simulcast page we’ve set up for sharing and curating resources for simulation providers They also discuss their personal experience so far with simulation preparation for COVID, and the strategies we’ve seen emerging around the world. More to come on #COVIDsim soon….
Mar 1, 2020
96 - Journal Club Podcast Feb 2020: Virtual Communities of Practice
Finding our (sim) people in a globally connected world – Virtual Communities of Practice How do we find our simulation friends online? What supports the formation and nurturing of these professional groups? This month Ben and Vic discuss the paper of the month….. Thoma, B., Brazil, V., Spurr, J., Palaganas, J., Eppich, W., Grant, V. and Cheng, A. (2018). Establishing a Virtual Community of Practice in Simulation. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 13(2), pp.124-130. We explore what that means, and consider some examples Our expert commentator @andrewjtagg offers his experience with https://dontforgetthebubbles.com/ For more great listening on CoP in health professions education – listen here We continued the CoP theme in looking at :- “It's Not an Acting Job … Don't Underestimate What a Simulated Patient Does” A Qualitative Study Exploring the Perspectives of Simulated Patients in Health Professions Education Pritchard…
Feb 25, 2020
95 - Book Review - Healthcare Simulation Research - A Practical Guide
Looking for that next step in your healthcare simulation research journey? In this episode, Vic reviews Healthcare Simulation Research - A Practical Guide with two of the editors -Debra Nestel and Aaron Calhoun. This book covers a vast array of research topics, with 48 chapters written by experts in their fields, with practical advice for researchers at all levels. Aaron and Debra describe what’s in the book and how to read it. They offer their own reflections on the writing and what they learnt in the process, as well as some thoughts about where the field is heading in the future. There are tips for beginners and experts, as well as Debra introducing us to ‘theoretical connoisseurship’ 😊 Healthcare Simulation Research - A Practical Guide by Debra Nestel, Joshua Hui, Kevin Kunkler, Mark W. Scerbo and Aaron W. Calhoun (eds)
Dec 23, 2019
94 - Journal Club Monthly Wrap Podcast November/December 2019
Ben and Vic discuss the paper of the month and consider the learning impact for active participants versus observers in sim. Vic stumbles her way through explaining a meta-analysis… Delisle, M., Ward, M., Pradarelli, J., Panda, N., Howard, J. and Hannenberg, A. (2019). Comparing the Learning Effectiveness of Healthcare Simulation in the Observer Versus Active Role. Simulation in Healthcare: Simulation in Healthcare, 14(5), pp.318-332. We continued the theme of ‘methods and metrics’ and considered a Delphi study used to develop an evaluation tool for scenarios Hernandez J, Frallicciardi A, Nadir N, et al. Development of a Simulation Scenario Evaluation Tool (SSET): modified Delphi study. BMJ Simulation and Technology Enhanced Learning Published Online First: 13 December 2019. And considered a proposed adjunct to the description phase of debriefing Secheresse, T., Nonglaton, S. The “Timeline Debriefing Tool”: a tool for structuring the debriefing description phase. Adv Si…
Dec 11, 2019
93 - What Does Learning Look Like? With Jen Keast.
Vic interviews Jen Keast (@jenkeastsim) about her PhD work on developing Medical Students’ Acute Patient Management Skills. They take a deep dive into how theory informs teaching practice for students – cognitive load, flow theory, and more. Jen explains the role of ‘in game coaching’ and how to design longitudinal curriculum. And if you’re thinking about doing a PhD .. there’s some inspiration here.
Nov 29, 2019
92 - Journal Club Monthly Wrap Podcast October 2019
Ben and Vic discuss the paper of the month and all things clinical event debriefing with our expert commentator Dr Laura Rock (@laurakanerock)￼ Rose, M. and Rose, K. (2018). Use of a Surgical Debriefing Checklist to Achieve Higher Value Health Care. American Journal of Medical Quality, 33(5), pp.514-522. Brindle, M., Henrich, N., Foster, A., Marks, S., Rose, M., Welsh, R. and Berry, W. (2018). Implementation of surgical debriefing programs in large health systems: an exploratory qualitative analysis. BMC Health Services Research, 18(1). We also reviewed an interesting conceptual paper on self regulated learning (SRL) and simulation. Shariff, F. Hatala, R. Regehr,G Learning After the Simulation Is Over: The Role of Simulation in Supporting Ongoing Self-Regulated Learning in Practice. Academic Medicine. Publish Ahead of Print:, NOVEMBER 12, 2019 And Ben introduced the paper for next month, reviewing the value observer roles in sim Delisle, M., Ward, M., Pradarelli, J., Panda, N.,…
Nov 2, 2019
91 - Advances in Simulation: Sim for clinical systems and facilities testing
n the latest instalment of our Advances in Simulation (@AdvinSimulation) series, Vic was joined by Nora Colman (@noracolman) and Sue Barnes to discuss how simulation can be used to plan and test new healthcare facilities and systems. They each brought immense personal experience to their publications, and we discussed ways to smooth the paths for others with similar challenges. We talked about key steps in stakeholder collaboration, needs assessment, scenario planning and delivery, debriefing, and reporting The papers:- Nora Colman, Cara Doughty, Jennifer Arnold, Kimberly Stone, Jennifer Reid, Ashley Dalpiaz & Kiran B. Hebbar. Simulation-based clinical systems testing for healthcare spaces: from intake through implementation. Advances in Simulation volume 4, Article number: 19 (2019) Alyshah Kaba & Sue Barnes. Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety. Advances in Simulation volume 4, Article number:…
Oct 27, 2019
90 - Simulcast ASC19 Montage
We share some highlights of the #SimCongress19 held on the Gold Coast, Australia. The episode includes thoughtful reflections from our own Ben Symon, an interview with Tash Yates (@DrTashY) about simulation to shape resilience in medical students, and Ian Summers (@IanMeducator) on the conference highlights. Thinking about conferences in 2020? Some links to the events Vic described at the end IMSH San Diego Jan 18-22, 2020. http://imsh2020.org/ SEAM Milan 17-19th June. https://www.sesam-web.org/events/event/sesam-milan-2020/ NZASH Christchurch 6-7th November. https://nzash.co.nz/
Oct 14, 2019
89 - Journal Club Podcast Monthly Wrap September 2018
Simulcast Journal Club podcast September 2019 episode Ben and Vic discuss the paper of the month, Kolbe, M., Eppich, W., Rudolph, J., Meguerdichian, M., Catena, H., Cripps, A., Grant, V. and Cheng, A. (2019). Managing psychological safety in debriefings: a dynamic balancing act. BMJ Simulation and Technology Enhanced Learning, pp.bmjstel-2019-000470. Ng, S., Kangasjarvi, E., Lorello, G., Nemoy, L. and Brydges, R. (2019). ‘There shouldn't be anything wrong with not knowing’: epistemologies in simulation. Medical Education. We also discussed 2 other papers on peer debriefing and using sim to embed surgical safety checklists Solanki P, Angel D, Foster A Peer group high-fidelity simulation debriefing for final year medical students BMJ Simulation and Technology Enhanced Learning 2019;5:225-226. Zaffry Z, Jaye P, Laws-Chapman C, et al. Safer surgery through simulation: increasing compliance with the 5 Steps to Safer Surgery through an in-situ simulation based training programme at…
Sep 30, 2019
88 - Simulcast Presents at ASC19 - Leadership with Sarah Janssens
At our live ‘Simulcast presents..” session at the Australasian Simulation Congress, Vic interviewed Sarah Janssens (@SJanssensSimOG), an Obstetrician / Gynaecologist ad simulation leader from the Mater Hospital. They speak about Sarah’s research on shared leadership in maternity teams – including models of leadership, measures of team performance, and what it means for how we train teams in simulation. The two papers we discussed were. Janssens S., Simon R, Beckmann M., Marshall, Stuart Shared Leadership in Healthcare Action Teams: A Systematic Review. Journal of Patient Safety: June 4, 2018 Janssens S, Simon R, Barwick S, et al. Leadership sharing in maternity emergency teams: a retrospective cohort study in simulation BMJ Simulation and Technology Enhanced Learning Published Online First: 07 February 2019.
Sep 18, 2019
87 - #HcSimWeek19 STORK Team
STORK team @LankyTwig STORK team (Simulation Training Optimising Resuscitation in Kids) from Children’s Health Queensland provides simulation based education throughout Queensland. Check out the OPTIMUS Bonus Content at https://dontforgetthebubbles.com/practice-made-perfect/
Sep 18, 2019
86 - #HcSimWeek19 Nemat Alsaba
Nemat Alsaba @talk2nemat Nemat drops in for #HcSimWeek19 to share about 2 great sim projects she is involved with at Gold Coast University Hospital and Bond University
Sep 18, 2019
85 - #HcSimWeek19 Steph Barwick & Mater Education Team
Stephanie Barwick @InSituSteph Steph dropped by for #HcSimWeek19 to share the work of the Mater Education team. Definitely big friends of Simulcast and hosts of the Simulcast Journal Curry Club!
Aug 28, 2019
84 - Book Review: Healthcare Simulation at a Glance
Vic speaks with Kirsty Forrest (@forrest_kirsty) Glance about simulation, book writing and lifelong learning. Kirsty and Judy McKimm have co-edited an easy to read book with diverse contributors. The book can be viewed/ purchased here. https://www.wiley.com/en-us/Healthcare+Simulation+at+a+Glance-p-9781118871836
Aug 21, 2019
83 - FOAMsim and Online Learning with VCHlearn
Looking for great online simulation education resources for yourself or for your team’s faculty development? In this episode Vic speaks with Christina Choung (@ckchoung) and Karen Schafer (@KarenShafer) from Vancouver Coastal Health about their new resources at https://bcsimulation.ca/ (you can also get there via https://simulation.vchlearn.ca/ ) We talked about the content of these modules, the challenges of faculty development, and some lessons learned for those of us trying to develop online resources in simulation education. @BCSimNet on Twitter
Aug 16, 2019
82 - Australasian Sim Congress 2019 Preview
The Australasian Simulation Congress is on 2nd–5th September at the Gold Coast. Check out the website-https://www.simulationcongress.com/ Vic spoke to Sharon Clipperton (@sjclipperton), the Congress convenor about the keynote speakers, abstracts and other highlights of the event. We also spoke with Komal Bajaj (@KomalBajajMD) about her talk–change, sustainability and ‘new power’ in simulation....The Simulcast team will be covering proceedings, as well as hosting a “Simulcast presents” session with interviews, and a live journal club recording on stage! See you there.
Aug 15, 2019
81 - Healthcare Simulation Week 2019
This is a mini episode update on how we at Simulcast would love to celebrate healthcare simulation week 2019.
Aug 10, 2019
80 - Journal Club Podcast Monthly Wrap July 2019
Ben and Vic discuss the paper of the month, Bochatay, N., Bajwa, N., Blondon, K., Junod Perron, N., Cullati, S. and Nendaz, M. (2019). Exploring group boundaries and conflicts: a social identity theory perspective. Medical Education. We also discussed 3 other papers covering a theme of ‘non-technical skills’. * Hamilton AL, Kerins J, MacCrossan MA, et al Medical Students’ Non-Technical Skills (Medi-StuNTS): preliminary work developing a behavioural marker system for the non-technical skills of medical students in acute care BMJ Simulation and Technology Enhanced Learning 2019;5:130-139. * Johnson AP, Aggarwal R Assessment of non-technical skills: why aren’t we there yet? BMJ Quality & Safety 2019;28:606-608. * Hughes PG, Ahmed RA Blindfolded trauma team resuscitation: a strategy for improved leadership and communication BMJ Simulation and Technology Enhanced Learning 2019;5:174-175. And Ben introduced the paper for August Stokes-Parish, J., Duvivier, R. and Jolly, B.…
Jul 4, 2019
79 - Journal Club Podcast Monthly Wrap June 2019
Ben and Vic discuss the papers of the month, including expert commentary from Kristian Krogh Eve Purdy, Charlotte Alexander, Melissah Caughley, Shane Bassett, Victoria Brazil. Identifying and Transmitting the Culture of Emergency Medicine Through Simulation. AEM Education and Training 2019; 3: 118– 128 (Open access) Purdy, E. (2019). Simulation and Cultural Compression. [online] ICE Blog. Available at: https://icenetblog.royalcollege.ca/2019/03/19/simulation-and-cultural-compression/ [Accessed 29 May 2019]. Purdy, E., Alexander, C., Caughley, M., Bassett, S. and Brazil, V. (2019). Identifying and Transmitting the Culture of Emergency Medicine Through Simulation. AEM Education and Training, 3(2), pp.118-128. We also discussed 3 other papers covering a theme of ‘measurement’. Diederich, Emily, MD et al. Balancing Deliberate Practice and Reflection. A Randomized Comparison Trial of Instructional Designs for Simulation-Based Training in Cardiopulmonary Resuscitation Skills. Simu…
May 28, 2019
78 - Advances in Simulation: Transmitting Culture Through Simulation
In this, another joint feature with Advances in Simulation journal, we explore three main ideas: * Why does simulation have such a symbiosis with culture? * How to we understand more about this relationship? ie. there is nothing so practical as a good theory. * What does can this teach us about targeting culture as a translational objective in a sim program? To answer these questions we stir in the ingredients of a thriving simulation program/service at Gold Coast University Hospital, two pieces of academic work from our guests, and some personal reflection along the way. The guests for this episode are Simulcast partner in crime, Victoria Brazil, and the very clever, Canadian Emergency Doc, Anthropologist, author and adventurer on temporary loan to Australia, Eve Purdy. The publications of interest are: Brazil, V., E. Purdy, C. Alexander and J. Matulich (2019). "Improving the relational aspects of trauma care through translational simulation." Advances in Simulation 4(1): 10…
May 13, 2019
77 - Simulcast Journal Club Podcast Monthly Wrap April 2019
Ben and Vic discuss the paper of the month, including expert commentary from Stuart Rose. Hollingsworth, C., Wesley, C., Huckridge, J., Finn, G. and Griksaitis, M. (2017). Impact of child death on paediatric trainees. Archives of Disease in Childhood, 103(1), pp.14-18. And we talked about a few other sim papers across a range of topics and research methods, Goldshtein D, Krensky C, Doshi S, et al In situ simulation and its effects on patient outcomes: a systematic review BMJ Simulation and Technology Enhanced Learning Published Online First: 05 April 2019. doi: 10.1136/bmjstel-2018-000387 Petrosoniak A, Almeida R, Pozzobon LD, et al. Tracking workflow during high-stakes resuscitation: the application of a novel clinician movement tracing tool during in situ trauma simulation. BMJ STEL. 2019;5:78–84. (Open Access) Ann L. Butt, Suzan Kardong-Edgren, Anthony Ellertson. Using Game-Based Virtual Reality with Haptics for Skill Acquisition, Clinical Simulation in Nursing, Volume 16, 20…
May 2, 2019
76 - Advances in Simulation - Words Matter
‘Non-technical skill’ is not a great term for the range of skills and behaviours we expect of our healthcare professionals. It also belies a not so subtle hierarchy of skills where ‘hard’, technical, ‘medical expertise’ are afforded primacy, sometimes to the detriment of our patient care. Our latest collaborative podcast with Advances in Simulation features an editorial - Words matter: towards a new lexicon for ‘nontechnical skills’ training by Paul Murphy, Debra Nestel and Gerry Gormley. In this podcast I was joined by Paul Murphy from Queens University Belfast, the lead author of the article, as well as Pamela Andreatta, who was part of a group who authored a similarly themed article in 2011. We discussed words, culture, drama, impression management and values in health professional education and simulation. vb
Apr 26, 2019
75 - Advances in Simulation: Another Debriefing Course! Who Benefits?
Another debriefing course! Who benefits? Kristian Krogh, Albert Chan, and Nancy McNaughton Many health professional educators attend courses on simulation debriefing, but do they actually perform better as simulation debriefers as a result? Writing in Advances in Simulation, Kristian Krogh (@DrKrogh), Albert Chan (@gaseousXchange) and Nancy McNaughton (@uto_nancy) provoke us to consider this issue in their commentary - Another debriefing course! Who benefits? In this next instalment in our collaboration with Advances in Simulation, I spoke with Kristian and Nancy about the article. They suggest that high quality debriefing courses are not enough, and that we need to think more transfer to our local contexts, with a community of practice for peer feedback and support
Apr 4, 2019
74 - Simulcast Journal Club Podcast Monthly Wrap March 2019
Ben and Vic discuss the paper of the month, including expert commentary from Jack Matulich. Fraser, K., Meguerdichian, M., Haws, J., Grant, V., Bajaj, K., & Cheng, A. (2019). Cognitive Load Theory for debriefing simulations: implications for faculty development. And we talked about a few other sim papers across a range of topics and research methods, Turton, D. , Buchan, K. , Hall‐Jackson, M. and Pelletier, C. (2019), Simulation: the power of what hurts. Med Educ, 53: 326-328. Chancey RJ1, Sampayo EM, Lemke DS, Doughty CB. Learners' Experiences During Rapid Cycle Deliberate Practice Simulations: A Qualitative Analysis. Simul Healthc. 2019 Feb;14(1):18-28 Chen HE1, Yovanoff MA, Pepley DF, Sonntag CC, Mirkin KA, Han DC, Moore JZ, Miller SR. Can Haptic Simulators Distinguish Expert Performance? A Case Study in Central Venous Catheterization in Surgical Education. Simul Healthc. 2019 Feb;14(1):35-42. And Ben introduced the April paper Hollingsworth, C., Wesley, C., Huckridge, J.,…
Apr 4, 2019
73 - Ben & Vic at IMSH with David Grant, Amy Zheng, Jannet Lee-Jararam & Benjamin Berg
Our final podcast from IMSH starts with a deep dive in to how simulation might help us ‘train’ more comprehensive leadership skills and behaviours – not just in the resus room, but rather in quality improvement and change management. @davidgrantsim , President of @SESAMSimulation , spoke to Vic on the topic. Ben then turned our attention to followership and interviewed Jannet Lee-Jararam and Benjamin Berg from @SIMTIKI_HI in Honolulu. We loved hearing from delegates at #IMSH2019 and @AmyZhengMD from @UCSDMedSchool kindly volunteered to be interviewed, and spoke about how IMSH had changed in the time she had been attending. To wrap up – Ben and Vic reflect on their take home lessons from #IMSH2019. See you next year in California !
Mar 4, 2019
72 - Simulcast Journal Club Podcast Monthly Wrap February 2019
Ben and Vic discuss the paper of the month, including expert commentary from Ann Mullen (@keepsimsafe) Schroeder J, O'Neal C, Jagneaux T. “Practically Saline”. J Investig Med High Impact Case Rep. 2015;3(4):2324709615618980 PMID 26663812. And we talked about a few other sim papers across a range of topics and research methods, Bearman, M. , Greenhill, J. and Nestel, D. (2019), The power of simulation: a large‐scale narrative analysis of learners’ experiences. Med Educ. doi:10.1111/medu.13747 Gardner AK, Abdelfattah K Getting better all the time? Facilitating accurate team self-assessments through simulation BMJ Simulation and Technology Enhanced Learning Published Online First: 12 January 2019. doi: 10.1136/bmjstel-2018-000411 O’Shea CI, Schnieke-Kind C, Pugh D, et al The Meta-Debrief Club: an effective method for debriefing your debrief BMJ Simulation and Technology Enhanced Learning Published Online First: 02 February 2019. doi: 10.1136/bmjstel-2018-000419 (and check…
Mar 4, 2019
71 - Ben & Vic at IMSH with Ron Harden, Yue Dong and Suzie Kardong-Edgren
Our third podcast from IMSH starts with a focus on disruptive innovation, big data and artificial intelligence, based on the opening plenary by Joel Selanikio (@jselanikio) who also gave a TeD talk on the topic. Vic had a fan girl moment speaking to Ron Harden, living legend of medical education and General secretary of AMEE, abut his reactions to the talk. We also spoke to Yue Dong (@dongyue), one of the conference organisers, for his reflections. Ben finished the day with a chat with Suzie Kardong-Edgren (@SuzieEdgren) about Tag Team Patient Safety Simulation.
Mar 4, 2019
70 - Ben & Vic at IMSH with Bram Welch-Horan, Belinda Lowe and Michelle Kelly
Our second podcast from #IMSH2019 features a deep dive on Rapid Cycle Deliberate Practice with Bram Welch-Horan (@DrBramPedsER ), and some reflections on the topic from Belinda Lowe (@Belinda_J_Lowe ), Bond University Simulation Fellow. We then shifted focus to research and publishing in simulation with Michelle Kelly (@KellyKelmich ) summarising the session on ‘Articles of Influence’, and Sharon Muret-Wagstaff , one of the associate editors of Simulation in Healthcare, giving us some tips on how to be a peer reviewer. Ben and Vic reflect on other parts of Day 2, especially the morning plenary by Sir Ken Robinson, who inspired us to think about creativity and learning. Join the 56 million people who have watched his TeD talk on the topic here. Play more!
Feb 14, 2019
69 - Journal Club Special Edition Sim & Sonography with Dr Resa E. Lewiss & Team
In this special edition of Simulcast, we feature three articles on simulation applied to point of care ultrasound (POCUS). Vic visited the team at Thomas Jefferson University Hospital Ultrasound Division (@jeff_sono) in Philadelphia, led by Dr Resa E. Lewiss (@ultrasoundREL) Resa chose 3 articles for us to review, each focused on different aspects of using simulation for POCUS education. These have obvious relevance for those who use ultrasound at the bedside, but anyone using simulation for clinical skills training will find our discussion interesting. The papers:- * Mackay FD, Zhou F, Lewis D, Fraser J, Atkinson PR. Can You Teach Yourself Point-of-care Ultrasound to a Level of Clinical Competency? Evaluation of a Self-directed Simulation-based Training Program. Cureus. 2018;10(9):e3320. Published 2018 Sep 17. doi:10.7759/cureus.3320 * Chetioui, A., Masia, T., Claret, P.-G., Markarian, T., Muller, L., Lefrant, J. Y., … Bobbia, X. (2018). Pocket-sized ultrasound device for in…
Feb 14, 2019
68 - Ben & Vic at IMSH with KT Waxman, Komal Bajaj & James Leung
Ben and Vic at IMSH – podcast one The International Meeting for Simulation in Healthcare (IMSH) is the biggest sim conference in the world. This year it was held in San Antonio, Texas, USA and Simulcast was a podcast partner for the meeting. Over the next few weeks, we’ll release five podcasts of conference highlights. Ben and Vic interview speakers, attendees, organisers, researchers, tech gurus and educators, and bring you some of our perspectives on what are useful lessons for our simulation practice. I this first instalment, we hear from the incoming president of the Society for Simulation in Healthcare (SSH), KT Waxman (@KTWaxman). Ben interviewed an enthusiastic Komal Bajaj (@KomalBajajMD) about the Women in Leadership pre-conference activity, and James Leung (@drjscleung) from the Impacts group on paediatric simulation research. We heard more from our friend Stuart Rose (@INFOdebriefing) on clinical debriefing, and reflected on the opening plenary.
Dec 23, 2018
67 - Simulcast Journal Club Podcast Nov/Dec 2018
Simulcast Journal Club podcast November 2018 episode Ben and Vic discuss the paper of the month, including expert commentary from our own Jesse Spurr! Is this really the holy grail of ‘proof’ for insitu sim? Josey, K., Smith, M., Kayani, A., Young, G., Kasperski, M., Farrer, P., Gerkin, R., Theodorou, A. and Raschke, R. (2018). Hospitals with more-active participation in conducting standardized in-situ mock codes have improved survival after in-hospital cardiopulmonary arrest. Resuscitation, 133, pp.47-52. We also discussed 3 other papers, with a theme of scenario/ simulation design. The first two were focused on complexity science. * Launer J. Complexity made simple. Postgrad Med J 2018;94:611–612 * Gormley, Gerard and Tara J. Fenwick. Learning to manage complexity through simulation: students’ challenges and possible strategies. Perspectives on medical education (2016). On this topic, Jesse reminded us of this great post from Chris Hicks (@HumanFactOrz) https://emcr…
Dec 10, 2018
66 - Advances in Simulation: Simulation Safety First
In this episode of our continuing collaboration with Advances in Simulation, Victoria takes the helm and interviews two brilliant guests about a high profile, multi-journal simultaneous publication: Advances in Simulation Raemer, D., A. Hannenberg and A. Mullen (2018). "Simulation safety first: an imperative." Advances in Simulation 3(1): 25. Journal of the Society for Simulation in Healthcare Raemer, D., A. Hannenberg and A. Mullen (2018). "Simulation Safety First: An Imperative." Simulation in Healthcare 13(6). Journal of Surgical Simulation Raemer, D., A. Hannenberg and A. Mullen (2018). "Simulation Safety First: An Imperative." Journal of Surgical Simulation(5). It is with great pleasure that we have Dan Raemer, one of the authors of the editorial ‘Simulation Safety First. An Imperative’ as guest today. Dan Raemer has had a long career in simulation and medical education spanning almost 40 years. He is a bioengineer by training and been a member of a surgery or anesthesiolo…
Dec 4, 2018
65 - Simulcast Goes To IMSH
Simulcast goes to IMSH! The International Meeting on Simulation in Healthcare (IMSH) will be in San Antonio, TX, USA in January 26-30th, 2019. Simulcast has partnered with the Society for Simulation in Healthcare (SSH) to cover the event for our listeners, and Ben and Vic will be bringing you the highlights of plenary talks, research updates and the latest technology from the Expo Hall. We spoke to Joseph Lopreiato, the current President of SSH about the planned event highlights, the city of San Antonio, and building the healthcare simulation community. For more details about the event, check out the conference website and follow #IMSH2019 on social media. vb
Nov 4, 2018
64 - Simulcast Journal Club Podcast October 2018
Ben and Vic discuss the paper of the month, including expert commentary from Dr Marc Berg. Resuscitation Education Science: Educational Strategies to Improve Outcomes From Cardiac Arrest: A Scientific Statement From the American Heart Association Cheng, A., Nadkarni, V., Mancini, M., Hunt, E., Sinz, E., Merchant, R., Donoghue, A., Duff, J., Eppich, W., Auerbach, M., Bigham, B., Blewer, A., Chan, P. and Bhanji, F. (2018) Circulation, 138(6). We also discussed 3 other papers, with a theme of assessment and feedback * Hendrik Friederichs, Bernhard Marschall & Anne Weissenstein (2018) Simulation-based mastery learning in medical students: Skill retention at 1-year follow up, Medical Teacher, DOI: 10.1080/0142159X.2018.1503411 * Molloy, E. and Bearman, M. (2018), Embracing the tension between vulnerability and credibility: ‘intellectual candour’ in health professions education. Med Educ. . doi:10.1111/medu.13649 * Jeffrey N. Siegelman, Michelle Lall, Lindsay Lee, Tim P. Moran,…
Oct 17, 2018
63 - Just Say 'No' to Simulation - Myths and Fails
This episode was recorded live at Markham Stouffvile Hospital in Canada. Victoria and Jesse were generously hosted by the hospital to share some lessons learned in simulation programs. This presentation was initially developed for a symposium in Dunedin in March 2018. We decide to reprise it, but instead of a presentation - Simulcast Live. Hope you enjoy and we'd love to here some of your lessons learned and keep adding to the myths and fails. Thanks to Justin Morgenstern @First10EM for making the visit happen. We had a great time and the hospitality was amazing.
Oct 6, 2018
62 - Healthcare Consumers and In Situ Simulation
In situ simulation is increasingly popular for all the right reasons – highly realistic training with opportunities for team and systems testing. We’ve recognized there are risks, especially disruption of service and physical safety. But what about those patient and families ‘exposed’ to ISS? What do they think about it? What are their risks? And what should we do about it? Are there opportunities we haven’t yet realized? I spoke with Stephanie Barwick (@InSituSteph) and Damian Roland (@Damian_Roland) about this topic – how they got interested, what kind of research are they doing, and what recommendations do they have for our practice. vb
Oct 4, 2018
61 - Simulcast Journal Club Podcast September 2018
Welcome to the Simulcast Journal Club Podcast and monthly wrap post. Please read our pdf summary of the Journal Club article, the month’s discussion and our expert commentary here. Ben and Vic discuss the paper of the month, including expert commentary from Dr Gabriel Reedy (@gabereedy). Cheng, A., Palaganas, J., Eppich, W., Rudolph, J., Robinson, T. and Grant, V. (2015) Co-Debriefing for Simulation Based Education” Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 10(2), pp.69-75. And we talked about a few other sim papers across a range of topics and research methods, Yogarajah A, Verma MM, Claro B, et al Construction of a reusable, high-fidelity model for simulation of extracorporeal cardiopulmonary resuscitation. BMJ Stel August 2018 doi:10.1136/bmjstel-2018-000389 Wilbanks, Bryan A., PhD, DNP; Watts, Penni I., PhD; Epps, Chad A., MD Electronic Health Records in Simulation Education: Literature Review and Synthesis. Simulation in Healthca…
Sep 14, 2018
60 - CMS & Simulcast Translational Sim
Jenny Rudolph interviews Victoria Brazil: Translational Simulation Since the start of the modern simulation era, many in the healthcare simulation community have taken a “Field of Dreams” approach to our simulation efforts, believing, like the character Ray Kinsella in the movie of the same name, that we “If we build it, they will come.” Often however, “buy-in” to simulation programs is just as difficult as getting real people to come to a baseball diamond in the middle of an Iowa cornfield. Simulation increasingly competes with a variety of other healthcare education, quality, and safety efforts for resources. In this podcast, Jenny Rudolph talks with Victoria Brazil talk about Victoria’s alternate approach to positioning simulation in healthcare. Rather than creating simulation programs and then hoping people will come, instead, she argues, we need to solve real clinical problems, using goals co-created with the colleagues we aim to serve. This work focuses on clinica…
Aug 30, 2018
59 - Simulcast Journal Club August 2018
Welcome to the Simulcast Journal Club Podcast and monthly wrap post. Please read our pdf summary of the Journal Club article, the month’s discussion and our expert commentary here. This month's journal club podcast was a special live recording from on stage at Don't Forget the Bubbles conference in Melbourne. Ben, Victoria and Jesse were handed a whole concurrent session to deliver a Simulcast Presents Play School session. One of these sessions saw Jesse join Vic and Ben for the August Journal Club Live - excuse the few ums and ahs, crowd coughs and babies babbling (yep DFTB lead the way in being a parent and baby friendly conference. We broke through the high cognitive load to hopefully deliver the normal JC gold. We discussed Intellectual Streaking in depth. Listen in for Ben's most risqué JC commentary yet. Intellectual streaking: The value of teachers exposing minds (and hearts) Bearman, M. and Molloy, E. (2017). Medical Teacher, 39(12), pp.1284-1285. Victoria then brough…
Aug 5, 2018
58 - Pause & Discuss Simulation Research in EM in Canada
Simulation-based research in emergency medicine in Canada For this ‘pause and discuss’ episode, I was joined by Dr. Tim Chaplin - an ‘emerg doc’ (as they say in Canada) and Assistant Professor at Queen’s University, Kingston, Canada. Tim is also the Simulation Lead for the Department of Emergency Medicine. His research interests are in simulation-based education and resuscitation medicine. He has developed a simulation-based trauma education program for resident Trauma Team Captains as well as the Nightmares Course for junior residents covering in-patient call. I wanted to interview Tim after seeing him at a poster presentation on Boston recently, and was impressed by how he’d managed to bring together a large and geographically diverse group, to undertake a national snapshot of simulation-based research in Canada. We mention a range of topics including the outcomes of the 2017 SAEM Academic Emergency Medicine Consensus Conference: Catalyzing System Change Through Healt…
Aug 1, 2018
57 - Simulcast Journal Club July 2018
Simulcast Journal Club podcast July 2018 episode Ben and Vic discuss the paper of the month, including expert commentary from Steph Barwick (@InSituSteph) * J. Grant, T. Robinson, H. Catena, W. Eppich & A. Cheng (2018) Difficult Debriefing Situations : A toolbox for simulation educators” Medical Teacher, DOI: 10.1080/0142159X.2018.1468558 And we talked about a few other sim papers across a range of topics and research methods, Bajaj K, Minors A, Walker K, Meguerdichian M, Patterson M. "No-Go Considerations" for In Situ Simulation Safety. Simul Healthc. 2018 Jun;13(3):221-224. Walsh, Chloe, MSc; Lydon, Sinéad, PhD; Byrne, Dara, MMEd Ed; Madden, Caoimhe, MSc; Fox, Susan, PhD; O'Connor, Paul, PhD The 100 Most Cited Articles on Healthcare Simulation: A Bibliometric Review. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: June 2018 - Volume 13 - Issue 3 - p 211–220 (#FOAMsim) Verkuyl, M., Lapum, J. L., Hughes, M., McCulloch, T., Liu, L., Mastri…
Jul 4, 2018
56 - Simulcast Journal Club June 2018
Ben and Vic discuss the paper of the month, which provoked controversy about the interplay of feeling and facts in clinical debriefing. Rose, S. & Cheng, A. (2018). “Charge nurse facilitated clinical debriefing in the emergency department.” CJEM, 1-5. doi:10.1017/cem.2018.369. And we talked about a few other sim papers across a range of topics and research methods, including simulation educators’ qualifications and transformative experiences, and sim for improving telephone conversations in healthcare Gardner, Aimee K. et al. Entrustable Professional Activities (EPAs) for Simulation Leaders: The Time Has Come. Journal of Surgical Education, 2018 * Dieckmann, M. Birkvad Rasmussen, S. B. Issenberg, E. Søreide, D. Østergaard & C. Ringsted (2018): Long-term experiences of being a simulation-educator: A multinational interview study, Medical Teacher, DOI: 10.1080/0142159X.2018.1471204 Walter J. Eppich, Jan-Joost Rethans, Timothy Dornan & Pim W. Teunissen. (2018): Learning how…
Jun 22, 2018
55 - AR/VR in health care simulation
I was joined by Jack Pottle, co-founder of Oxford Medical Simulation, a VR simulation company to discussed augmented (aR) and virtual reality (VR) in healthcare simulation. Jack started his career as a psychologist, and has now been a doctor in acute medicine for the last 7 years. He got involved in medical education through a FOAMed site he set up called Oxford Medical Education and over the last five years has been involved with simulation – first as a physical sim instructor, now in his role as co-founder and medical director of Oxford Medical simulation Jack took us on a deep dive – explaining exactly what is meant by the terms AR and VR, and helped us distinguish the hype around this technology from the true potential to improve training. We geeked out a little on how it works, but then talked about AR/VR is in healthcare simulation in 2018, ad where it’s going – and its certainly likely to be in a sim program near you very soon, if not already. Anatomy and procedural sk…
May 27, 2018
54 - SSIH Sim Ops Pause & Discuss
Sim OPS 2018 July 26-28, 2018, Portland, Oregon SimOps is a healthcare simulation training and education event for operations and technical professionals. The conference attracts 200+ professionals to participate in workshops, hand-on sessions, leadership discussions and networking events. In this ‘pause and discuss’ I am joined by David Biffar, Assistant Director, Operations, from the Arizona Simulation Technology & Education Center (ASTEC), University of Arizona, College of Medicine He told us about the conference and what to expect - the theme this year is professional development through both available courses and the networking opportunities that inherent in a conference designed specifically for the simulation operations specialist (SOS). Registration and information here - http://www.ssih.org/Events/SimOps-2018
May 9, 2018
53 - Advances in Simulation: What's in a Name?
In this episode of our continuing collaboration with Advances in Simulation, Jesse takes the helm as we put Victoria in the guest seat with Glenn Posner, to discuss their recent publications in Advances. The articles for discussion were both published in the second half of 2017. ‘Simulation in the clinical setting: towards a standard lexicon’. by Glenn Posner, Marcia Clark and Vincent Grant. https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-017-0050-5 ‘Translational Simulation: not ‘where?’ but ‘why?’ A functional view of in situ simulation. By Victoria Brazil. https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-017-0052-3 We traverse the subject of how terminology sets expectation and the importance of being precise when establishing the goals and expected outcomes and matching the right modality to achieve success. Enjoy.
May 2, 2018
Ep. 12 - Rapport with Jenny Rudolph
Ep. 12 Rapport with Jenny Rudolph. So we all need to get along in simulation debriefing, right? So easy to say, and yet rapport building can be difficult in any group, let alone one that has just been confronted with their own performance Jenny Rudolph from the Center for Medical Simulation was our guest in discussing this concept, prompted by a recent article and editorial in Simulation in Healthcare. In our discussion, we step through the ‘rapport framework’ - face sensitivities, sociality rights, interactional goals - and how it might apply to our debriefing conversations. We reflected on many of the concepts discussed in our first interview with Jenny on psychological safety. http://simulationpodcast.com/2016/10/14/ep-4-safe-container-simulation/ Jenny offered theoretical insights from Carl Rogers and Milton Erickson, as well discussion of as a more contemporary take from Kim Scott in Radical Candor. We discussed how voice and body language contribute enormously to rappor…
Apr 29, 2018
Simulcast Journal Club Podcast 13
Ben and Vic discuss the paper of the month. Kumar A, Sturrock S, Wallace EM, et al. Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study. BMJ Open 2018;8:e017451. doi:10.1136/bmjopen-2017-017451 And a few other sim papers across a range of topics and research methods, all in the theme of ‘measurement’. Jiang, Bailin; Ju, Hui; Zhao, Ying; Yao, Lan; Feng, Yi. Comparison of the Efficacy and Efficiency of the Use of Virtual Reality Simulation with High-Fidelity Mannequins for Simulation-Based Training of Fiberoptic Bronchoscope Manipulation. Simulation in Healthcare: April 2018 - Volume 13 - Issue 2 - p 83–87. doi: 10.1097/SIH.0000000000000299 Seelandt JC, Grande B, Kriech S, et al DE-CODE: a coding scheme for assessing debriefing interactions BMJ Simulation and Technology Enhanced Learning Published Online First: 08 November 2017. doi: 10.1136/bmjstel-201…
Apr 5, 2018
Simulcast Journal Club Podcast 12
Ben and Vic discuss the paper of the month. Eppich, W. and Cheng, A. (2015). Promoting Excellence and Reflective Learning in Simulation (PEARLS). Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 10(2), pp.106-115. And a few other sim papers across a range of topics and research methods. * 1. Snelgrove H, Fernando A Practising forethought: the role of mental simulation BMJ Simulation and Technology Enhanced Learning Published Online First: 29 January 2018. doi: 10.1136/bmjstel-2017-000281 * Lorello, G., Hicks, C., Ahmed, S., Unger, Z., Chandra, D., & Hayter, M. (2016). Mental practice: A simple tool to enhance team-based trauma resuscitation. CJEM, 18(2), 136-142. doi:10.1017/cem.2015.4 * McNaughten B, Hart C, Gallagher S, et al. Clinician’s gaze behaviour in simulated paediatric emergencies. Archives of Disease in Childhood Published Online First: 07 March 2018. doi: 10.1136/archdischild-2017-314119 * Greenwood K, Ewell S. Faculty develo…
Mar 7, 2018
Simulcast Journal Club Podcast 11
Ben and Vic discuss the paper of the month. Hicks, C. and Petrosoniak, A. “The Human Factor : Optimising Trauma Team Performance in Dynamic Clinical Environments ” Emergency Medicine Clinics of North America, 36(1), pp.1-17 And a few other sim papers across a range of topics and research methods. * Jessica B. Stokes-Parisha,Robbert Duvivier, Brian Jolly. Investigating the impact of moulage on simulation engagement — A systematic review. Nurse Education Today 64 (2018) 49 - 55https://doi.org/10.1016/j.nedt.2018.01.003 * McGrath BA,Doherty C, Moore JA, et al. The role of high-fidelity simulation in designing emergency airway management algorithms: the experience of the UK National Tracheostomy safety project, BMJ STEL Published Online First 2017 doi:10.1136/bmjstel-2017-000267 * Katie A.Haerling. Cost-Utility Analysis of Virtual and Mannequin-Based Simulation. Sim Healthcare 13:34–41, 2018 * Dennis T.Hsieh , Wendy C. Coates. Poverty Simulation: An Experiential Learn…
Feb 11, 2018
Advances in Simulation - SESAM
Our next joint podcast with Advances in Simulation focused on the SESAM Conference. SESAM is the Society in Europe for Simulation Applied to Medicine, and hosts an annual conference. This podcast was inspired by a blog post by Gabe Reedy highlighting the ‘best of’ work presented at SESAM 2017 in Paris, and highlighted as a supplement in Advances in Simulation journal . We also took the opportunity to look ahead to SESAM 2018 which will be in Bilbao, Spain June 27 – 29th, with the theme Translational simulation. My guests were Gabe Reedy (@gabereedy) , author of the blog post and educational leader at SAiL Centres in London, as well as Carla Sa Couto, chair of SESAM scientific committee this year. Simulcast will be bringing you highlights form the conference in June.
Dec 28, 2017
Advances in Simulation - Learning From Success
In the next of our series with Advances in Simulation, we consider Dieckmann et al. Variation and adaptation: learning from success in patient safety-oriented simulation training In their own words “we describe the learning from success (LFS) approach to simulation and debriefing. Drawing on several theoretical frameworks, we suggest supplementing the widespread deficit-oriented, corrective approach to simulation with an approach that focusses on systematically understanding how good performance is produced in frequent (mundane) simulation scenarios.” Peter Dieckmann and Mary Patterson joined us for the podcast, and we took a deep dive into Safety 2.0 and some theory underpinning this approach. Appreciative inquiry, “positive deviance” and “exnovation” are new ideas for most simulation debriefers, but ideas which we need in our toolbox for making the most of our simulation. We offer some practical examples for what this might mean for our scenario design, delivery and d…
Dec 15, 2017
Simulcast Journal Club Podcast 10
In our November journal club podcast Ben and Vic discuss the paper of the month – a classic debriefing article. Rudolph, J., Raemer, D. and Simon, R. (2014). “Establishing a Safe Container for Learning in Simulation” Simulation in Healthcare: Journal of the Society for Simulation in Healthcare, 9(6), pp.339-349. We tried to summarise a fantastic, multifaceted discussion and admired the wonderful expert article commentary from Chris Nickson. We then reviewed some recent papers * Cecilia Escheret al. Method matters: impact of in-scenario instruction on simulation-based teamwork training Advances in Simulation 2017 2:25 - how should we provide ‘extra scenario information’ to close the gap between the simulator appearance and real life.? * Coffey F, Tsuchiya K, Timmons S, et alAnalysing voice quality and pitch in interactions of emergency care simulation BMJ Simulation and Technology Enhanced Learning Published Online First: 06 September 2017. - interesting question,…
Nov 20, 2017
ALiEM MEDiC X-over Wrap: The Case of the Difficult Debrief
In early November the Simulcast Team combined forces with the team behind the ALiEM MEdIC Series for a joint case discussion around “The Case of the Difficult Debrief”. After a fantastic online discussion involving a number of simulation superstars, a summary of the case and the discussions were uploaded at the ALiEM Website here. For those who aren’t aware, the Academic Life in Emergency Medicine “Medical Education in Cases” series puts difficult medical education cases under a microscope through facilitating an online discussion about hypothetical educational dilemmas. Their cases and expert responses were the original inspiration for the Simulcast Journal Club and their website is a tour de force of FOAMed role modelling that is well worth spending a lot of time in. In our inaugural crossover podcast, Ben Symon talks to Dr Brent Thoma (@Brent_Thoma) who is Emergency Medicine Research Director at the University of Saskatchewan and an Associate Editor of ALiEM, and expert…
Nov 20, 2017
Debrief 2 Learn X-over: Faculty Development
Faculty development – joint release podcast with debrief2learn A highlight of my recent trip to Canada was meeting many simulation experts and enthusiasts. Adam Cheng (@DocChenger) suggested we record a podcast on faculty development in simulation programs, as we also had Dawn Taylor Petersen from the University of Alabama and Ryan Brydges (@rbrydges) from the Wilson Centre at University of Toronto visiting. We’re very pleased to release this podcast jointly with debrief2learn – an amazing group of people and a rich online resource for all things simulation debriefing. Thanks again to Adam for his hospitality and generosity. vb
Nov 13, 2017
Ep. 11 - Designing Better Sim Cases
Scenario design Kyla Caners (@drcaners) from emsimcases.com was our guest on this Simulcast episode on scenario design. She and Jesse shared tips on knowing what you’re trying to achieve, planning the scenario, using templates, finding ‘supporting objects and ‘road testing’ and peer review for sim cases. Design requires a lot of attention to detail and really sets up the educational event for success or otherwise. There was a strong theme to keep it simple and not overburden participants with difficult diagnostic cases if simulator cues are relatively poor, which might add to cognitive load without effective educational effect. We also profiled Kyla’s EM simcases blog – a #FOAMed resource with pre-written cases, templates and more. Check out this resource and Kyla also encouraged listeners to send simulation scenario cases for peer review if interested.
Nov 5, 2017
Simulcast Journal Club Podcast 9
Simulcast Journal Club podcast October episode Two announcements to kick off our October Journal club podcast. * Check out the great work ofKomalBaja and colleagues in producing a PEARLs debriefing infographic – a design informed presentation of the framework originally developed by Walter Eppich and Adam Cheng. All the materials free to download here and please provide feedback to the team in a 5 minute survey on the site. * Join the online discussion with our friends at Academic Life in Emergency Medicine in the Case of the Difficult Debrief. In a collaboration with Simulcast, theMEdICteam have presented an interesting case for discussion and we’ll be doing a podcast wrap at the conclusion of the case. We then discuss the paper of the month. “The Association of Standardized Patient Educators (ASPE) Standards of Best Practice (SOBP).” Lewis, K., Bohnert, C., Gammon, W., Hölzer, H., Lyman, L., Smith, C., Thompson, T., Wallace, A. and Gliva-McConvey, G. (2017). Advance…
Oct 29, 2017
Ep. 10 - Housekeeping and Team Huddle
This epsiode, Victoria, Jesse and Ben share the airwaves for the first time. We track through the first 12 months. Put a lid on some things and to a bit of a plus/delta. What does the future hold? Hopefully more of what YOU want! Contact us, make suggestions and leave us a rating/review on iTunes. Also come over and chat at the website or on Instagram and Twitter @sim_podcast or on LinkedIn Simulcast page.
Oct 15, 2017
Pause & Discuss - The Harms Involved in Improving Patient Safety
Safety in simulation – the harms involved in trying to improve patient safety! Many healthcare simulation programs are aimed at improving patient safety, and yet these programs also carry their own safety risks – to participants, and to the institutions and patients whose safety we are trying to improve. Ann Mullen joined us in this episode of Simulcast to discuss the Foundation for Simulation Safety – an initiative that she and Dan Raemer from Center for Medical Simulation in Boston have developed. Ann is the Simulation Center program manager at Newton-Wellesley Hospital in Massachusetts, and a nurse by clinical background. We discussed the categories of risks inherent in simulation – learner psychological and physical safety, and patient and institutional risks from fake medications, or unintended triggering of hospital responses to simulation activities. Stu Marshall and Cate McIntosh authored a chapter on this topic1 in the Nestel et al textbook recently reviewed on Sim…
Oct 2, 2017
Simulcast Journal Club Podcast 8
In our September journal club podcast Ben and Vic discuss the paper of the month Chung HS, Dieckmann P, Issenberg SB. It is time to consider cultural differences in debriefing. Simulation in Healthcare : The Journal of the Society for Simulation in Healthcare. 2013 Jun;8(3):166-70. doi: 10.1097/SIH.0b013e318291d9ef. We then reviewed some recent papers Thomson FC, Morrison I, Watson WA ‘Going Professional’: using point-of-view filming to facilitate preparation for practice in final year medical students BMJ Simulation and Technology Enhanced Learning Published Online First: 30 June 2017. doi: 10.1136/bmjstel-2017-000224 Davison M, Kinnear FB, Fulbrook P Evaluation of a multiple-encounter in situ simulation for orientation of staff to a new paediatric emergency service: a single-group pretest/post-test study BMJ Simulation and Technology Enhanced Learning Published Online First: 28 June 2017. doi: 10.1136/bmjstel-2016-000138 Lovett S, Roche J, Hunter S, Symonds I, Tomlinson N, G…
Sep 26, 2017
Advances in Simulation: Tracing the Prescription Journey
In the third of our series with Advances in Simulation, we discuss Tracing the prescription journey: a qualitative evaluation of an interprofessional simulation-based learning activity. Cooke et al. evaluated an interprofesional simulation activity involving medical and pharmacy students, using a qualitative analysis. The simulation involved followed a patient journey from presentation in a community setting, through an assessment and prescribing process, to the dispensing and patient education stages of the patient journey. Simulcast was fortunate to have Gerry Gormley (@DrGerryG) as our guest author, together with Christy Noble as a discussant. Gerry is an academic general practitioner and Senior Lecturer in the Centre for Medical Education (CME), Queen’s University Belfast (QUB). His roles there include the lead for educational research, including that relating to simulation based learning in healthcare. Christy Noble is a pharmacist and Principal Research Fellow (Allied Healt…
Sep 11, 2017
Official Broadcast: Australasian Simulation Congress - Serious Games Stream
Ben Symon covered the “Serious Games” stream at the Australasian Simulation Congress in Sydney. Serious Games “…are those designed for a primary purpose other than pure entertainment”. The ASC included the Serious Games Showcase & Challenge – Australasia (SGSCA), with a number of outstanding entrants. Dale Linegar convened the Games section of the ASC. He spoke to Ben about the concept and the competition, including a description of the winner - Opaque Space’s Earthlight – a VR experience of being on the international space station. He also interviewed Maureen Winn from HETI who developed the ‘Comprehensive Assessment’ game for the Rural Generalist Nurse online learning program. And finally Ben caught up with Brett Levy from Bilbie Virtual Labs, who are taking a new approach to Australian cultural heritage in the Virtual Kumay
Sep 10, 2017
Official Broadcast: Australasian Simulation Congress - Day 3 Wrap
Victoria Brazil and Ben Symon hosted a wrap of Day 3 at the ASC. Our coverage starts with a session on “Hands off teaching” with Rod Peadon and David Gillespie from Coffs Harbour. We then covered the final health plenary on The future of healthcare simulation, involving some leading figures from the simulation community. Leonie Watterson from Sydney Clinical Skills and Simulation Centre spoke about the RQI program and a possible future of automated assessment. Michelle Kelly from Curtin University presented work on the integration of simulation into nursing curricula, from a collaboration that included fellow panel members Phillipa Seaton from University of Otago and Tracey Levitt-Jones from University of Technology Sydney.
Sep 10, 2017
Official Broadcast: Australasian Simulation Congress - The Exhibitors
Victoria Brazil interviewed a series of industry exhibitors at the Australasian Simulation Congress in Sydney. The podcast featured Graeme Foulds from Laerdal Australia, one of the main meeting sponsors, Charles Henden from the Valley General Hospital Virtual Hospital, and some defence simulation from Lockheed Martin.
Sep 3, 2017
Official Broadcast: Australasian Sim Congress - Standardised Patients with Cathy Smith
ASPE and Simulated Patients with Cathy Smith at ASC 2017 Simulated Patient methodology has been featured in a number of sessions at the Australasian Simulation Congress in Sydney Victoria Brazil spoke with Cathy Smith, the current chair of ASPE – the Association of Standardised Patient Educators We discussed some hot topics in human simulation, together with the recently published Standards of Best Practice (SOBP) in Advances in Simulation.
Sep 3, 2017
Official Broadcast: Australasian Sim Congress - Day 2 Wrap
Day 2 at the Australasian Simulation Congress in Sydney Victoria Brazil and Ben Symon hosted a wrap of Day 2 at the ASC, with a focus on Serious Games and interprofessional education. Jeffrey Brand from Bond University gave an insight into the panel discussion and the state of the art for Serious Games in Australia. The Simhealth stream offered a plenary session on interprofessional education, chaired by Cathy Smith. She and John Paige spoke to us after the panel and offered some insights into best practice in IPE in 2017.
Aug 30, 2017
Official Broadcast: Australasian Sim Congress - In Situ Sim
Victoria Brazil and Ben Symon interviewed panelists from the final plenary for Day 1 at the ASC We heard from Alison Michaels and Steph Barwick about their Popup simulation program in Brisbane, and Cameron Knott from Victoria about how ISS can run in hospital practice. Simon Wilson then shared his insights into GP simulation, and Dylan Campher from CSDS in Queensland gave us an idea about how simulation centres are supporting ISS and patient safety in new ways.
Aug 30, 2017
Official Broadcast: Australasian Sim Congress - Day 1 Wrap
Day 1 at the Australasian Simulation Congress in Sydney Victoria Brazil and Ben Symon hosted a wrap of Day 1 at the ASC, with a focus on teamwork and In situ Simulation. Keynote speaker Eduardo Salas presented the highlights of 30 years of teamwork research, and we interviewed him after the session, concentrating on some ways forward for research and practice in this area. We also captured a few delegate perspectives. We also spoke to ASC convenor Jessica Stokes- Parish about running simulations on stage and wat the exhibitors had in store for us.
Aug 28, 2017
Advances in Simulation: From Research to Policy, How Much Evidence is Enough?
In the second of our series with Advances in Simulation, we consider Ryan Brydges 2016 editorial - From simulation research to education policy: how much evidence is enough? In this article he considers the question - What level of evidence is required for translation of healthcare simulation research to policy? or institutional practice ? Ryan uses the specific example of recent changes to nursing training in the USA as a result of a large simulation study. The editorial considers issues of methodology and ‘tipping points’, and comes from the perspective of a researcher who has authored a number of large scale systematic reviews in healthcare simulation The study discussed is the NCSBN National Simulation Study: a longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education. By Hayden JK, Smiley RA, Alexander M, Kardong-Edgren S, Jeffries PR in the Journal of Nursing Regulation. 2014;5(2):S3–S40. In a short period of t…
Aug 22, 2017
Simulcast Journal Club Podcast - Ultrasound Special Edition
Resa Lewiss (@ultrasoundREL) joined Simulcast for this month’s journal club – reviewing a paper focused on the use of simulation for assessment of point of care ultrasound (POCUS) skills. Resa is an emergency physician, self described ‘global soul’, and experienced educator and thought leader in POCUS. The paper discussed was Collecting Validity Evidence for Simulation-Based Assessment of Point-of-Care Ultrasound Skills by Jensen et al in J Ultrasound Med 2017 The paper concludes that the simulation based assessment process they examined was a valid tool for POCUS skills assessment, promising significant savings where human assessors can be replaced to some extent by the machine. Resa helped us understand the specific context of POCUS and the background to how these skills have been traditionally assessed. Her review of the use of simulation in ultrasound can be found here. The process described in the article is instructive for thinking about how to establish validity for…
Aug 20, 2017
Simulcast Book Review - 'Healthcare Simulation Education: Evidence Theory and Practice'
Michelle Kelly (@KellyKelmich) was our guest on Simulcast for the inaugural Book Review, discussing Healthcare Simulation Education: Evidence Theory and Practice – a recently published textbook for the simulation practitioner. Editors Debral Nestel, Michelle Kelly, Brian Jolly and Marcus Watson have drawn together a diverse range of authors to produce a comprehensive, but disciplined, review of current theory and practice in healthcare simulation. Michelle is a simulation academic and practitioner from Curtin University in Perth and past chair of the Australian Society for Simulation in Healthcare (ASSH). Her academic publications and extensive sim experience have made her well placed to edit the book, and to discuss some ‘big picture’ issues in healthcare sim. In the podcast we discuss highlights from the book, the writing process, simulation terminology, and predictions for the future.
Aug 2, 2017
Simulcast Journal Club Podcast 7
In our July journal club podcast Ben and Vic discuss the paper of the month. Peterson, Dawn Taylor PhD; Watts, Penni I. PhD, RN, CHSE-A; Epps, Chad A. MD; White, Marjorie Lee MD, MPPM, MA, CHSE (2017) “Simulation Faculty Development : A Tiered Approach” Simulation in Healthcare : The Journal of the Society for Simulation in Healthcare. Publish Ahead of Print, POST AUTHOR CORRECTIONS, 18 March 2017. We then covered some interesting stuff on simulators dying Weiss et al. Does the unexpected death of the manikin in a simulation maintain the participants’ perceived self-efficacy? An observational prospective study with medical students. BMC Medical Education (2017) 17:109 DOI 10.1186/s12909-017-0944-x And a deep dive into team science Rosenman et al. Changing Systems Through Effective Teams: A Role for Simulation. Acad Emerg Med. 2017 Jul 20. doi: 10.1111/acem.13260. [Epub ahead of print] Looking forward to another great discussion
Jul 23, 2017
Ep. 9 - The Trojan Horse of Simulation
The dasSMACC (social medial and critical care) conference was recently held in Berlin. Simulation was a theme woven throughout the conference, and we thought a simulcast episode recapping on some of the messages and themes was timely. Smacc has arguably redefined the way we think about medical conferences – great speakers, great messages, hard core critical care in an engaging format. This year, simulation activities were embedded in main stage talks, workshops, panel discussions and the ‘Sim Haus’ we previewed in a recent Simulcast episode. A series of linked main stage talks from Clare Richmond, Chris Hicks and Jon Gatward gave us a framework for thinking about simulation modalities and matching method to objective. Following the journey of a head injured patient, we saw performances by actor Renee Lim, the incredibly realistic manikin made by Lifecast, and how end of life discussions, organ donation, cognitive biases can be addressed using simulation just as well as the act…
Jul 19, 2017
Advances in Simulation - The Simulcast Collaborative
Simulcast is pleased to announce a collaboration with Advances in Simulation, an open access simulation journal based in Europe. In this interview with Editor in Chief Professor Debra Nestel (@DebraNestel), we profile the content, people and philosophy of the journal. Debra is already a friend of Simulcast, and wrote the expert commentary for our September 2016 Journal Club. Our plan is to produce a bi-monthly podcast featuring an article from Advances, with an interview with the author, and editor or another discussant. Our aim is to continue to connect the simulation community across geography, discipline and modality, and to help research to be translated to practice. This series will complement our ongoing Journal Club (which will still feature articles from across the relevant journals) and our usual podcasts. In this podcast, we take the opportunity to talk about diverse applications in simulation, peer review, open access journals, standards for simulated patients and the eth…
Jul 4, 2017
Simulcast Journal Club Podcast 6
In our June journal club podcast Ben and Vic discuss the paper of the month. Cheng et al. “Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs” Simulation in Healthcare : The Journal of the Society for Simulation in Healthcare. Publish Ahead of Print, POST AUTHOR CORRECTIONS, 20 May 2017 Ben summarised the blog discussion and Walter Eppich’s expert opinion. We then reviewed some recent papers Roussin CJ1, Weinstock P. SimZones: An Organizational Innovation for Simulation Programs and Centers. Acad Med. 2017 May 30. doi: 10.1097/ACM.0000000000001746. [Epub ahead of print] And Bong et al. The effects of active (hot-seat) versus observer roles during simulation-based training on stress levels and non-technical performance: a randomized trial. Advances in Simulation (2017) 2:7 DOI 10.1186/s41077-017-0040-7 (Open Access) And Ben introduced next month’s paper on simulation faculty development. Looking forward to another great discussion…
Jun 17, 2017
Pause & Discuss - Silver Q Interprofessional Sim Program
Norma Robinson leads an interprofessional simulation program involving medical students from University of Queensland Rural Clinical School and nursing students from the University of Southern Queensland. The program is based in Toowoomba but has now been scaled up to include students from many part of rural southern and central Queensland. Interprofessional education and teamwork training at the student level has been a challenging area, although with some excellent programs, and I think simulation is at least part of the solution. Norma was kind enough to host me for a visit and I spoke to her afterwards about the program, the motivations for interprofessional education, and how to really build a healthcare workforce to serve a community.
Jun 13, 2017
Pause & Discuss - SimHaus at DASSMACC
Sara-Catrin Cook joined me for short chat about all things sim at smacc. Sara is part of a group who has put together a comprehensive simulation theme woven through the conference, including the SIMHaus – a showcase within the Tempdrom where attendees can meet and talk to other simulation enthusiasts ad experts. The SimHaus will be physically set up next to the main arena, and Sara tells us what to expect. Simulcast will be there covering the event for those who can’t make it. See you in Berlin
Jun 4, 2017
Simulation Journal Club Podcast 5
In an effort to streamline blog posts, we are continuing a merged Journal Club Podcast and monthly wrap post. Please read our pdf summary of the May Journal Club article, the month’s discussion and our expert commentary here In our May journal club podcast Ben and Vic discuss the papers of the month – a duo on Rapid Cycle Deliberate Practice and the approach to debriefing in this format Structuring feedback and debriefing to achieve mastery learning goals Eppich WJ1, Hunt EA, Duval-Arnould JM, Siddall VJ, Cheng A. Acad Med. 2015;90:00–00. First published online doi: 10.1097/ACM.0000000000000934 Pediatric resident resuscitation skills improve after “Rapid Cycle Deliberate Practice” training Hunt EA, Duval-Arnould JM, Nelson-McMillan KL, Bradshaw JH, Diener-West M, Perretta JS, Shilkofski NA. Resuscitation. 2014 Jul;85(7):945-51. doi: 10.1016/j.resuscitation.2014.02.025. Epub 2014 Mar 4. We then reviewed some recent papers * Theilen, Ulf et al.Regular in-situ simulation…
May 18, 2017
Ep. 8 - Live. Die. Repeat. Gamification of simulation training
This month we turned our focus to simulation delivery formats, and in particular a novel approach described recently. Sunga K, Sandefur B, Asirvatham U, et al. LIVE. DIE. REPEAT: a novel instructional method incorporating recursive objective-based gameplay in an emergency medicine simulation curriculum BMJ Simulation and Technology Enhanced Learning 2016;2:124-126. We were fortunate to be joined by 2 authors of the paper Kharmene Sunga (@Kharmene) is an emergency physician at Mayo Clinic in Rochester, Minnesota, where she is also lead for simulation in the ER residency. Daniel Cabrera (@CabreraERDR) is also an emergency physician at Mayo, a social media enthusiast and @smaccteam speaker. Their paper, and original blog post, challenges our traditional approach to simulation delivery – often ether a scenario followed by long(ish) debrief, or ‘pause and discuss’ where the scenario is paused at intervals for discussion and then continues on. Using gamification principles, and a…
May 1, 2017
Simulcast Journal Club Podcast 4
In our April journal club podcast Ben and Vic discuss the paper of the month – a classic debriefing article. Jenny W. Rudolph, PhD, Robert Simon, EdD, Ronald L. Dufresne, MS, and Daniel B. Raemer, PhD There’s No Such Thing as “Nonjudgmental” Debriefing: A Theory and Method for Debriefing with Good Judgment. Simulation in Healthcare • Volume 1, Number 1, Spring 2006 We then reviewed some recent papers * The Simnovate series - all FREE for now Rajesh Aggarwal. Simnovate: simulation, innovation and education for better healthcare. BMJ Simulation and Technology Enhanced Learning Mar 2017, 3 (Suppl 1) S1-S2; DOI: 10.1136/bmjstel-2016-000184 Philip H Pucher, et al. Simulation research to enhance patient safety and outcomes: recommendations of the Simnovate Patient Safety Domain Group. BMJ Simulation and Technology Enhanced Learning Mar 2017, 3 (Suppl 1) S3-S7; Wayne Choi, et al. Engagement and learning in simulation: recommendations of the Simnovate Engaged Learning Domain…
Apr 19, 2017
Ep. 7 - Moulage and Making Stuff
This episode was a ‘mix tape’ of moulage and other techniques to achieve physical realism in simulations – including procedural and anatomy teaching Clare Scott offered her considerable expertise in moulage and making bespoke manikins for trauma simulations. She emphasized keeping in simple, keeping it real and doing your research – online and through networks of interested sim moulage folks (like Behind the sim curtain). Clare offered some practical examples for making ‘Schkin’ for moulding wounds and other skin defects, bile from coke green food colouring, and more. She has a fabulous handout here: Keri Shafer shared her plans for using 3 D printing hearts to learn about congenital heart disease. Keri (@kerizozo) is a cardiologist from Boston whose clinical and educational work is focused on those tricky plumbing issues. Using a process designed to help surgeons operate better, she went to the 3D printing group within the Boston Childrens Hospital Simulation program an…
Apr 2, 2017
Simulcast Journal Club Podcast 3
Simulcast Journal Club podcast March episode In our March journal club podcast Ben and Vic discuss the paper of the month Marshall, S. D. (2017) “Helping experts and expert teams perform under duress: an agenda for cognitive aid research.” Anaesthesia, 72: 289–295. doi:10.1111/anae.13707. We shared some highlights from the online discussion, and Ben’s pdf summary is also included here. There’s more to a good checklist thean we realise. We then reviewed 3 recent papers (links below) Greig PR, Darbyshire JL, Richards E ‘The most useful exercise of medical school’: simulated death can be successfully incorporated into undergraduate simulation. BMJ Simulation and Technology Enhanced Learning Published Online First: 07 March 2017. Kessler DO, Chang TP, Auerbach M, et al Screening residents for infant lumbar puncture readiness with just-in-time simulation-based assessments BMJ Simulation and Technology Enhanced Learning 2017;3:17-22. Cheng et al. Conducting multicenter res…
Mar 19, 2017
Pause & Discuss - Translational Sim (VB as Guest)
I shifted to the other side of the mic a couple of weeks ago - as interviewee. I had spoken at a breakfast meeting of the Australasian College of Health Service Management, and was then interviewed by Anthony Frangi of @popupradioAU about Translational Simulation – my take on how we might think about using sim for quality improvement.
Mar 19, 2017
Pause & Discuss - Are you Experienced? Recruiting for ISS Debriefing Study.
There is increasing use of ‘in situ’ simulation (ISS) – conducted in the actual care environment – as a healthcare simulation modality. This method supports teamwork training, process improvement and the identification of safety threats related to the environment or care systems within that real clinical environment.1,2 The shared reflective experience during simulation promotes transfer of lessons back to the workplace. Debriefing achieves improved operational performance across a range of fields, including outside healthcare.3 Most guidance on debriefing strategies4-6 comes from theoretical frameworks developed within and outside healthcare, and from educationally focused simulation. An exploration of self reported expert debriefing practice revealed that factors such as values and artistry may be as important as specific techniques.7 Optimal debriefing strategies for ISS remain unclear, and current practice has not been reviewed systematically. Most published reports of IS…
Mar 13, 2017
Ep. 6 - Fellowship of the Sim - Training to be a Simulationista
Learning to be an effective simulation educator is a challenge. Education theory and practice, technical aspects and leadership are just some of the knowledge and skills involved. In this episode of Simulcast we were joined by Demian Szyld, (pronounced ‘shield’…….. “like the weapon” he told me). Demian (@demianszyld) is the Senior Director of the Institute for Medical Simulation at CMS in Boston, where he works with previous Simulcast guests Jenny Rudolph and Walter Eppich. He is involved in many aspects of simulation, including as Chair of the Formal Training programs Affinity Group with the Society for Simulation in Healthcare, so we thought he’d offer some great insights into this question of how to train to be an effective simulation educator. Demian is also a simulation podcaster – in Spanish. Check out Simulacion de Sur a Norte (Simulation from South to North) So we structured our discussion around 2 case studies Case study one An experienced ED nurse has be…
Mar 2, 2017
Simulcast Journal Club Podcast 2
In our February journal club podcast Ben and Vic discuss the paper of the month “Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training”. We shared some highlights from the online discussion, and Ben’s pdf summary is also included here. In short, it seems there’s more to communication skills training than recipes! We then reviewed 3 recent papers (all Open Access, and links below) #FOAMsim [Symbol] Design of simulation-based medical education and advantages and disadvantages of in situ simulation versus off-site simulation. Sørensen et al. BMC Medical Education (2017) 17:20 Observer roles that optimise learning in healthcare simulation education: a systematic review O’Regan et al. Advances in Simulation (2016) 1:4 A systematic review: Children & Adolescents as simulated patients in health professional education. Gamble et al. Advances in Simulation (2016) 1:1 And Ben gave us a taster for next month’s paper - M…
Jan 28, 2017
Simulcast Journal Club Podcast 1
Happy New Year from Simulcast We’ve really enjoyed the Journal Club at Simulcast over the last 6 months. A great array of articles, insightful comments from readers and nice perspectives from expert contributors, and brilliantly curated by Ben Symon. We hope it’s another way to bring the healthcare simulation community together, and discuss and dissect the increasing volume of published literature in our field. We want to make it even better, and in 2017 we’ll be doing a monthly podcast wrap of the JC – with a summary of the online discussion of our paper, and a brief review of some of the latest papers from the sim literature. Th podcast will come out in the regular Simulcast iTunes feed, so if you already subscribe – there’s nothing to do. In our first episode of ‘Simulcast JC’ Ben and Vic run through some highlights from Journal club over the last 6 months, and give a sneak preview into what’s ahead in 2017. We give a quick shout out to #IMSH2017 highlights i…
Dec 7, 2016
11 - APMSH Day 2 with Lance Baily
Day 2 of the Asia Pacific Meeting for Simulation in Healthcare (APMSH) with Lance Baily On Day 2 of APMSH I attended a fascinating workshop with Lance Baily of SimGhosts and Healthy Simulation fame. Lance works in Las Vegas and has established a global reputation in the technical aspects of conducting simulation, for maximal learning effect. Some of these skills are drawn from his previous life working in Hollywood, and our workshop was based on some of those * Getting the right camera angle * Using tripods * Thinking about sound Lance explains more in his brief chat with me after the workshop The short workshop was eye opening and I suggest you go to Healthy Simulation and Sim Ghosts (subscription required) to see the resources on offer. There are details of workshops there if you are interested.
Dec 7, 2016
10 - APMSH Day 1
Day 1 of the Asia Pacific Meeting for Simulation in Healthcare (APMSH) with Kathy Adams and Jesika Gavilanes A couple of weeks ago, I went to the Asia Pacific Meeting for Simulation in Healthcare (APMSH) in Singapore. I gave a talk on some of the in situ ‘translational’ simulation work I’ve been involved with, and it was great to see what other sim educators are doing in our region, and to network across geography and culture. In this pause and discuss episode I spoke to Kathy Adams, the Director of Continuing Education at the Society for Simulation in Healthcare. If you haven’t looked before – their website has many resources for simulation educators, and membership of the society (which is reciprocal with the Australian Society) offers even more. I also spoke with Jesika Gavilanes, one fo the co-Chairs for the upcoming IMSH meeting in Orlando Florida in January 28 – Feb 1st.
Nov 21, 2016
9 - Put the Rubber to the Road - In Situ Simulation
Be open and honest with the team about the true objectives you are trying to achieve. When these are focused on doing better for the patient, people will join the ride. Case: You’ve been running fortnightly scenarios in the nearby simulation centre. These are part of the resident training program and from time to time may get a nurse or two along depending on how busy the department is. While well evaluated, you see the residents go back to the shop floor and struggle to apply any of the lessons that the group agreed had been take homes from the previous sim session. They can’t find equipment, struggle to coordinate the multidisciplinary team and seem much slower to achieve critical actions in the real resus. You approach the Department director and the nurse manager and suggest starting to conduct one of the sim sessions in the department in a real resus bay once a month. This is met with resistance, “we’re too busy theirs not enough staff or time”, “the staff have done…
Oct 13, 2016
8 - The Safe Container for Simulation
In this episode we discuss psychological safety in simulation. Harvard professor Jenny Rudolph, PhD joined us for the discussion, taking time out form her busy schedule as the Director of the Center for Medical Simulation in Boston. We considered this all too familiar case study…… You’re facilitating a sim session in your ED. The junior docs and the nurses arrive, a few straggle in late. You do a nice RTR (Round the room) but everyone seems a bit anxious and they are shifting in their seats. You really want them to relax. “You shouldn’t be anxious guys, this is what you do every day”. They look more worried. “I mean these will be sick patients, but this is the place to stuff up, rather than with a real patient”. One of the docs looks like he might vomit. “and remember what happens here, stays here, no you tube videos from what we are recording” - as you attempt to lighten the mood. “Its not like this is a test, we real…
Oct 7, 2016
7 - Cognitive Load Theory Day 1 Sim Congress 2016
Day 1 – Cognitive Load theory with Michael Meguerdichia One of the highlights of attending conferences like the Australasian Simulation Congress is the opportunity to meet and learn from members of the international simulation community. Michael Meguerdichia (@mmegue01) is an emergency physician and is Medical Director at The Simulation Center Harlem in New York, part of the NY Health and Hospital Simulation Centers. He ran a workshop at the conference based on his recent BMJ STEL paper on cognitive load theory and the way we can improve knowledge transfer in simulation. There was standing room only at the workshop, and in the interview we talked about how this theory informs design and delivery of scenarios.
Oct 7, 2016
6 - Adam Cheng Day 3 Sim Congress 2016
Day 3 – Debriefing and Faculty Development with Adam Cheng Adam Cheng’s (@DocChenger) work on healthcare simulation debriefing is prolific. He is Director of Research and Development, KidSIM Simulation Program at Alberta Children’s Hospital and Associate Professor, Department of Paediatrics at the University of Calgary in Calgary, Canada. We met up at the ASC where I discovered he is also a lovely and self-effacing gentleman. We talked about the PEARLs workshop he conducted at the conference and the lessons from his comprehensive keynote lecture on all things debriefing. Adam’s leadership in developing debreif2learn.org promises to connect and inform the global simulation debriefing community.
Oct 7, 2016
5 - Jess Stokes-Parish Day 1 Sim Congress 2016
Day 1 – Pause and Discuss with Jessica Stokes-Parish Jessica Stokes-Parish (@j_stokesparish) was a co-convenor for the 2016 Australasian Simulation Congress. In this short interview on Day 1 we talked about the highlights of the conference so far, and her work on women speakers at conferences and women in STEM more generally. See also @WISSummit on this topic.
Sep 15, 2016
4 - Getting Started in Simulation Research
Case You’ve got your sim program up and running. The sessions are regular and you’ve managed to find a time when the doctors and nurses can both come. You’ve mastered the technical stuff well enough and you’ve run some cracker scenarios. Your debriefing is … well….. getting better…. During your performance review with your department head, she says that you really ought to be publishing some of this stuff – “it's great”, she says. “I’d like to see 1 or 2 papers from you in the next 12 months. And it would get admin off our backs if you could prove that the sim session are worth the money with some evidence” You wander off excited at the possibilities. You really want to demonstrate the effect of your sims, and start planning an RCT where one group of registrars does a sim and the other group just does a paper case. You’re not sure what should be the outcome measure…….. Margaret Bearman (@margaret_bea) was our special guest for this month’s episode. S…
Aug 17, 2016
3 - Eppich Debriefing
Debriefing is a social event – wisdom from Walter Eppich Case Ellen felt anxious walking into the debrief room. The ED team had just finished an in situ simulation where the focus was on rapid sequence intubation (RSI) in head injury, and using the new intubation checklist. This was the third sim session in a series the department had agreed to run following 3 patient cases where significant desaturation occurred during intubation attempts. Ellen thought they’d done OK but had recognized a lot of the usual ‘bad habits’ that frankly irked her when she worked on the floor with these guys – no nasal prong O2, a pretty vague conversation about who was going to actually do the tube, and low level grumbles about the time it takes to do the checklist. She was particularly disappointed that those things had come up in the last sim, and that a couple of the nurses had participated in that previous sim. “How can we actually get this into their heads?” she thought. Entering the…
Jul 25, 2016
2 - Australasian Sim Congress with Julian van Dijk
2 - Pause & Discuss: The Australasian Simulation Congress with Julian Van Dijk Collaboration is vital for successful sim programs, and yet we often work in isolation from fellow simulation enthusiasts. The Australasian Simulation Congress is a great opportunity for those of us in this part of the world to learn, to network, and to be inspired in our simulation work. It’s a joint effort for SimHealth (folks like us in healthcare), and Sim Tect (amazing simulation people from aviation, engineering, human factors, manufacturing and more) Big name guest speakers include Adam Cheng (@docChenger), a debriefing guru from Alberta, Canada. Look out for his new online project debreif2learn.com going live soon. Also speaking are Carrie Hamilton from the UK and William McGaghie from Chicago, USA. It’s on in Melbourne from Monday 26th September to Thursday 29th September, and we spoke to Julian Van Dijk (@julianvandijk2), the Sim Health conference convenor, about what to expect.
Jul 16, 2016
1 - The future vision of simulation in health care. Are we there yet?
You have been asked to develop a five-year strategic plan for simulation services in your hospital. Through your literature review you recall an article by David Gaba, ‘The future vision of simulation in healthcare’. All your dreams have been answered. In 2004 Gaba mapped the dimensions of organisational applications of simulation. You are thrilled to find his projection of two possible histories viewed from 2025; one optimistic – simulation integrated into the very fabric of health care; and one pessimistic – lamenting the abject failure of simulation to progress past and ad-hoc expensive education luxury. Now your challenge lies in which history rings most true in 2016 and how do we move forward for the next five years? In 2016, the term ‘simulation’ covers a wide range of activities - procedural skills, team training, quality improvement, mannequins, simulated patients, virtual reality and much more. And yet healthcare simulation remains inaccessible, badly d…