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

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

175 Simulation for Social Integration

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

Four more excellent articles for Ben and Vic to discuss this month. Speaking up (or listening down?), transformational debriefing, is deliberate practice really better than self guided practice, and the perils of ‘god-terms’.  Links here.  Barlow et al. <a href="https://www.ijohs.com/article/doi/10.54531/sufd5615" rel="nofollow" target="_blank">Understanding observed receiver strategies in the healthcare speaking up context</a>.   Petrosoniak et al. <a href="https://pubmed.ncbi.nlm.nih.gov/37326922/" rel="nofollow" target="_blank">Are we talking about practice? A randomized study comparing simulation‑based deliberate practice and mastery learning to self‑guided practice</a> Varpio &amp; Sherbino. <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/medu.15148" rel="nofollow" target="_blank">Demonstrating causality, bestowing honours, and contributing to the arms race: Threats to the sustainability of HPE research</a> Kainth &amp; Reedy. <a href="https://journals.lww.com/simulationinhealthcare/Fulltext/9900/Transforming_Professional_Identity_in_Simulation.72.aspx" rel="nofollow" target="_blank">Transforming Professional Identity in Simulation Debriefing: A Systematic Metaethnographic Synthesis of the Simulation Literature</a> Also – don’t forget – <a href="https://www.eventbrite.com.au/e/translational-research-collaborative-symposium-simulationreconnect-tickets-604165444107" rel="nofollow" target="_blank">Simulation Reconnect</a> is on again.   Wednesday November 15th at Bond University. Registrations open now!   Happy listening

174 Simulcast Journal  Club July 2023

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

What do we really mean by ‘IPE’? And how can we design and deliver simulations for IPE outcomes?  In this episode, Vic speaks with <a href="https://www.researchgate.net/profile/Karen-Dickinson" rel="nofollow" target="_blank">Dr Karen Dickinson </a>about her work in IPE at the University of Arkansas for Medical Sciences in Little Rock, AR., where she is an Assistant Professor of Surgery and the Director of IPE Simulation and Clinical Skills Training.  Karen gave us an overview of work in the area of IPE – “l<a href="https://www.ipecollaborative.org/assets/2016-Update.pdf" rel="nofollow" target="_blank">earning about, from, and with other professions</a>”. Groups such as the <a href="https://www.ipecollaborative.org/" rel="nofollow" target="_blank">Interprofessional Education Collaborative (IPEC)</a> offer resources such as this <a href="https://www.ipecollaborative.org/ipe-scoping-review" rel="nofollow" target="_blank">scoping review of IPE and patient care</a> and this <a href="https://www.sciencedirect.com/science/article/pii/S240545262200060X" rel="nofollow" target="_blank">Institutional Assessment Instrument </a>(readers can evaluate their IPE efforts locally)  We spoke about the differences and similarities between ‘IPE’ and ‘team training’ in sim and the barriers and enablers of this kind of work.   Karen cited some examples, including <a href="https://link.springer.com/article/10.1007/s44186-022-00013-4" rel="nofollow" target="_blank">interprofessional trauma simulations</a>, and the <a href="https://www.ijohs.com/article/doi/10.54531/zxmk6987" rel="nofollow" target="_blank">mock trial involving health professions and law students</a>,  (previously discussed on Simulcast!)  A cross-cutting theme was that success requires a <a href="https://link.springer.com/article/10.1007/s40670-022-01608-8" rel="nofollow" target="_blank">thoughtful change management strategy</a>, including institutional alignment, deep engagement with stakeholders, and using evidence-informed approaches.  Thanks to Dr Karen Dickinson for her insights

173 Interprofessional Education in Healthcare Simulation with Dr Karen Dickinson

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

Ben and Vic talk about four articles from the healthcare simulation literature, on diverse topics: psychological safety, cognitive load measurement, roles for maternity emergencies, and reflective pauses to optimise learning  Links here   Bahr, N., Ivankovic, J., Meckler, G. et al. <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-023-00253-4" rel="nofollow" target="_blank">Measuring cognitively demanding activities in pediatric out-of-hospital cardiac arrest</a>. Adv Simul 8, 15 (2023).  Janssens, Sarah &amp; Kikkawa, Yoriko &amp; Mavin, Timothy. (2023). <a href="https://www.ijohs.com/article/doi/10.54531/wywv6555" rel="nofollow" target="_blank">How do maternity teams perform in and perceive a role-based approach to teamwork in maternity emergencies?</a> A qualitative study in simulation. International Journal of Healthcare Simulation. 10.54531/wywv6555.  Lee JY, Donkers J, Jarodzka H, Sellenraad G, Faber TJE, van Merriënboer JJG. <a href="https://journals.lww.com/simulationinhealthcare/Fulltext/9900/The_Effects_of_Reflective_Pauses_on_Performance_in.66.aspx" rel="nofollow" target="_blank">The Effects of Reflective Pauses on Performance in Simulation Training</a>. Simul Healthc. 2023 May 3.  Somerville SG, Harrison NM, Lewis SA. <a href="https://www.tandfonline.com/doi/abs/10.1080/0142159X.2023.2214305?journalCode=imte20" rel="nofollow" target="_blank">Twelve tips for the pre-brief to promote psychological safety in simulation-based education.</a> Med Teach. 2023 May 21:1-8.  Also – don’t forget – <a href="https://www.eventbrite.com.au/e/translational-research-collaborative-symposium-simulationreconnect-tickets-604165444107" rel="nofollow" target="_blank">Simulation Reconnect</a> is on again.   Wednesday November 15th at Bond University. Registrations open now!

172 Simulcast Journal Club June 2023

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

In this joint episode with <a href="https://www.emergencymind.com/" rel="nofollow" target="_blank">The Emergency Mind</a> podcast, Vic Brazil and Dan Dworkis talk about ‘stress exposure’ simulation/ training, and how we prepare ourselves and our teams to perform under pressure. We started with a general discussion about the need for this kind of training and how others have approached it. There are some fantastic resources on this topic, including this one from <a href="https://first10em.com/performance-under-pressure/" rel="nofollow" target="_blank">First10EM. </a> The main conversation was our recent article - <a href="https://onlinelibrary.wiley.com/doi/10.1002/aet2.10852" rel="nofollow" target="_blank">Exploring participant experience to optimize the design and delivery of stress exposure simulations in emergency medicine</a>.   In our conversation we also talked about <a href="https://www.podbean.com/ew/pb-cmip5-13fcf95" rel="nofollow" target="_blank">adaptive expertise</a>, the book <a href="https://www.teamsthatwork.com/" rel="nofollow" target="_blank">‘Teams that Work’</a>, and Dan’s application of mental rehearsal and principles from martial arts.  Happy listening!

171 Stress Exposure Simulation. Crossover Ep ”The Emergency Mind”.

Ben and Vic talk about four articles from the healthcare simulation literature. Practical lessons mixed with some theoretical deep dives!  Links here   Vemuri, Sidharth. Et al. Informing Simulation Design: A Qualitative Phenomenological Study of the Experiences of Bereaved Parents and Actors. Simulation in Healthcare: 18(2):p 75-81, April 2023.  Rose SC, et al. Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. CJEM. 2022 Nov;24(7):695-701.  Phillips, Emma et al. Maximizing opportunities during a simulation fellowship. International Journal of Healthcare Simulation April 2023  Clarke, Samuel et al. Fostering Adaptive Expertise Through Simulation. Academic Medicine. April 21, 2023. And for more on educating for adaptive expertise, you might like to listen to this Harvard Macy Institute podcast.   Also – don’t forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open now! 

Ben and Vic talk about four articles from the healthcare simulation literature. Practical lessons mixed with some theoretical deep dives!  Links here   Vemuri, Sidharth. Et al. <a href="/BMedSci,%20FRACP,%20FAChPM;%20O" rel="nofollow" target="_blank">Informing Simulation Design: A Qualitative Phenomenological Study of the Experiences of Bereaved Parents and Actors.</a> Simulation in Healthcare: 18(2):p 75-81, April 2023.  Rose SC, et al. <a href="https://link.springer.com/article/10.1007/s43678-022-00361-6" rel="nofollow" target="_blank">Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings.</a> CJEM. 2022 Nov;24(7):695-701.  Phillips, Emma et al. <a href="https://www.ijohs.com/article/doi/10.54531/flxg5019" rel="nofollow" target="_blank">Maximizing opportunities during a simulation fellowship.</a> International Journal of Healthcare Simulation April 2023  Clarke, Samuel et al. <a href="https://journals.lww.com/academicmedicine/Abstract/9900/Fostering_Adaptive_Expertise_Through_Simulation.433.aspx" rel="nofollow" target="_blank">Fostering Adaptive Expertise Through Simulation.</a> Academic Medicine. April 21, 2023. And for more on educating for adaptive expertise, you might like to listen to this <a href="https://www.podbean.com/ep/pb-cmip5-13fcf95" rel="nofollow" target="_blank">Harvard Macy Institute podcast.</a> Also – don’t forget – <a href="https://www.eventbrite.com.au/e/translational-research-collaborative-symposium-simulationreconnect-tickets-604165444107" rel="nofollow" target="_blank">Simulation Reconnect</a> is on again.   Wednesday November 15th at Bond University. Registrations open now!

170 Simulcast Journal Club May 2023

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

Training to listen effectively is a powerful skill that can transform our conversations in healthcare simulation, clinical work and even our home lives.   In this episode Vic interviews Rebecca Minehart, Ben Symon and Laura Rock on their Harvard Business Review article <a href="https://hbr.org/2022/05/whats-your-listening-style" rel="nofollow" target="_blank">“What’s your Listening Style”</a> in order to deepen our understanding of what listening is, how it can be classified and how we can use this knowledge to shape the ways we connect with the humans around us.  If you’d like to explore what your listening style is, you can check out the quiz in <a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/9781119102991.ch42" rel="nofollow" target="_blank">Bodie’s 2013 paper here.</a> The paper  Minehart, R., Symon, B. and Rock, L. (2022) What's your listening style?, Harvard Business Review. Available at: <a href="https://hbr.org/2022/05/whats-your-listening-style" rel="nofollow" target="_blank">https://hbr.org/2022/05/whats-your-listening-style</a>

169 What’s Your Listening Style?

Ben and Vic talk about four articles from the healthcare simulation literature. This month we had a focus on simulation debriefing and on simulation design and delivery to optimise transfer to practice.  Links here (all open access)  Kaba et al. Entrustable Professional Activities for simulation faculty?! A novel approach to standardizing mentorship and faculty development for healthcare simulation programs. International Journal of Healthcare Simulation. 2023;:1-10.  Baliga, K., Halamek, L.P., Warburton, S. et al. The Debriefing Assessment in Real Time (DART) tool for simulation-based medical education. Adv Simul 8, 9 (2023).  Shariff et al. Learning After the Simulation Is Over: The Role of Simulation in Supporting Ongoing Self-Regulated Learning in Practice. Academic Medicine 95(4):p 523-526, April 2020  Frerejean, J. et al. Critical design choices in healthcare simulation education: a 4C/ID perspective on design that leads to transfer. Adv Simul 8, 5 (2023)    Also – don’t forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open in May.  

Ben and Vic talk about four articles from the healthcare simulation literature. This month we had a focus on simulation debriefing and on simulation design and delivery to optimise transfer to practice.  Links here (all open access)  Kaba et al. <a href="https://www.ijohs.com/article/doi/10.54531/gdil6011" rel="nofollow" target="_blank">Entrustable Professional Activities for simulation faculty?! A novel approach to standardizing mentorship and faculty development for healthcare simulation programs.</a> International Journal of Healthcare Simulation. 2023;:1-10.  Baliga, K., Halamek, L.P., Warburton, S. et al. <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-023-00248-1" rel="nofollow" target="_blank">The Debriefing Assessment in Real Time (DART) tool for simulation-based medical education</a>. Adv Simul 8, 9 (2023).  Shariff et al. <a href="https://journals.lww.com/academicmedicine/fulltext/2020/04000/learning_after_the_simulation_is_over__the_role_of.19.aspx" rel="nofollow" target="_blank">Learning After the Simulation Is Over: The Role of Simulation in Supporting Ongoing Self-Regulated Learning in Practice</a>. Academic Medicine 95(4):p 523-526, April 2020  Frerejean, J. et al. <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-023-00242-7" rel="nofollow" target="_blank">Critical design choices in healthcare simulation education: a 4C/ID perspective on design that leads to transfer</a>. Adv Simul 8, 5 (2023)  Also – don’t forget – <a href="https://bond.edu.au/researchers/research-strengths/faculty-research-centres/translational-simulation-collaborative/news" rel="nofollow" target="_blank">Simulation</a> Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open in May.

168 Simulcast Journal Club April 2023

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

In our latest Advances in Sim collaborative episode, we talk about how to establish and sustain in situ simulation (ISS) programs on health services. Ben and Vic were joined by <a href="https://www.linkedin.com/in/susan-eller-2789894b/" rel="nofollow" target="_blank">Susan Eller</a> who is lead author on an important article on this topic: <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-023-00243-6" rel="nofollow" target="_blank">Leading change in practice: how “longitudinal prebriefing” nurtures and sustains in situ simulation programs</a>. Susan is Associate Dean for Immersive Learning and Learning Spaces at the Center for Immersive and simulation Based learning at Stanford, and a long time friend of Simulcast. Her co-authors for this article are Jenny Rudolph, Stephanie Barwick, Sarah Janssens, and Komal Bajaj.  In the episode we discuss the challenges for ISS: space, time, people, resources, safety; but also the opportunities: exploring work environments and the people in them, and probing systems and processes. The authors recognised the need for patient, systematic engagement with staff across healthcare institutions, and take us through their journeys in three separate ISS programs. They call their implementation approach ‘longitudinal prebriefing’. This great work is a reminder of how we need to play the ‘long game’ as simulation faculty, and to embrace ISS implementation as an organisational change challenge.

167 Advances in Simulation: Longitudinal prebriefing for successful in situ simulation

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

More interesting work from the healthcare simulation community this month.   Christensen, M.D., Østergaard, D., Stagelund, S. et al. <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-022-00240-1" rel="nofollow" target="_blank">Embracing multiple stakeholders’ perspectives in defining competent simulation facilitators’ characteristics and educational behaviours: a qualitative study from Denmark, Korea, and Australia</a>. Adv Simul 8, 1 (2023).  Cassidy, D.J., Jogerst, K., Coe, T. et al. <a href="https://link.springer.com/article/10.1007/s44186-022-00063-8" rel="nofollow" target="_blank">Simulation versus reality: what can interprofessional simulation teach us about team dynamics in the trauma bay</a>?. Global Surg Educ 1, 56 (2022).  Swerdlow, Barry et al. <a href="https://www.nursingsimulation.org/article/S1876-1399(22)00075-5/fulltext" rel="nofollow" target="_blank">What is the Best Method to Teach Screen-Based Simulation in Anesthesia Distance Education? </a>Clinical Simulation In Nursing, Volume 74, 49 - 56  Karen J Dickinson, Wendy L Ward, Robert Minarcin, Christopher Trudeau, Kathryn K Neill . International Journal of Healthcare Simulation: <a href="https://www.ijohs.com/article/doi/10.54531/zxmk6987" rel="nofollow" target="_blank">An interprofessional medical malpractice mock trial: event evolution and assessment of efficacy.</a> 10.54531/zxmk6987. Adi Health + Wellness.   Happy listening!

166 Simulcast Journal Club March 2023

A podcast dedicated to the discussion of healthcare simulation. Debunking dogma, demystifying jargon and translating knowledge. Hosted by Victoria Brazil, Jesse Spurr &amp; Ben Symon

Simulcast

 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 really just want to make sure you’re ok to be on nights on your own……”   “so relax….”   Two of the participants dash off for a toilet break before you start.    The podcast gave us a wonderful opportunity to delve deeper into the philosophy behind Jenny et al’s excellent article on Establishing a Safe Container for Learning in Simulation.   Most of our learners are pretty apprehensive about participating in sim. As Jenny explained to us – some people ‘come to life’ on stage with an audience, but most of us feel a sense of psychological threat if we are doing things in front of others and perceive this as evaluative i.e. a test of some sort. We may not know how an individual will be predisposed to respond, but as facilitators we can help everyone feel more psychologically safe.   We can do this through some practical steps - clarifying expectations, discussing confidentiality, and telling stories/ sharing our own fears and vulnerabilities. Establishing the fiction contract is important - as described in the ‘safe container’ paper, and building on work by Peter Dieckmann here.  (beware -  a deep dive into theory!)  The fundamental mindsets (of learner and facilitator behind these steps need to be understood.   Jenny described some key concepts in the area, starting with helping to shift our learners to a ‘growth mindset’ (see Carol Dweck’s TeD talk here) in response to the challenge of a simulation activity.  The idea of positive regard is crucial. We have to truly respect our learners and their efforts, and we need to demonstrate that. Well intentioned words suggesting this respect can be easily undone with ‘guess what I’m thinking’ questions that might make learners feel manipulated or unfairly judged.    So how do we know if we have achieved psychological safety for our sim participants?   Its complex.  Experts like Amy Edmonson (another TeD talk to watch) suggests that seeing supportive responses when one puts oneself on the line, such as by asking a question, seeking feedback, reporting a mistake, or proposing a new idea.  Sounds like our aspirations for our work teams….?  Again, simulation practice parallels our real world healthcare practice.  Thanks again to Jenny Rudolph for an illuminating podcast.

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 really just want to make sure you’re ok to be on nights on your own……”   “so relax….”   Two of the participants dash off for a toilet break before you start.  The podcast gave us a wonderful opportunity to delve deeper into the philosophy behind Jenny et al’s excellent article on <a href="http://journals.lww.com/simulationinhealthcare/Fulltext/2014/12000/Establishing_a_Safe_Container_for_Learning_in.2.aspx" rel="nofollow" target="_blank">Establishing a Safe Container for Learning in Simulation</a>.   Most of our learners are pretty apprehensive about participating in sim. As Jenny explained to us – some people ‘come to life’ on stage with an audience, but most of us feel a sense of psychological threat if we are doing things in front of others and perceive this as evaluative i.e. a test of some sort. We may not know how an individual will be predisposed to respond, but as facilitators we can help everyone feel more psychologically safe.   We can do this through some practical steps - clarifying expectations, discussing confidentiality, and telling stories/ sharing our own fears and vulnerabilities. Establishing the fiction contract is important - as described in the ‘safe container’ paper, and building on work by Peter Dieckmann <a href="http://www.ncbi.nlm.nih.gov/pubmed/19088622" rel="nofollow" target="_blank">here</a>.  (beware -  a deep dive into theory!)  The fundamental mindsets (of learner and facilitator behind these steps need to be understood.   Jenny described some key concepts in the area, starting with helping to shift our learners to a ‘growth mindset’ (see <a href="http://www.ted.com/talks/carol_dweck_the_power_of_believing_that_you_can_improve" rel="nofollow" target="_blank">Carol Dweck’s TeD talk here</a>) in response to the challenge of a simulation activity.  The idea of <a href="https://en.wikipedia.org/wiki/Unconditional_positive_regard" rel="nofollow" target="_blank">positive regard</a> is crucial. We have to truly respect our learners and their efforts, and we need to demonstrate that. Well intentioned words suggesting this respect can be easily undone with ‘guess what I’m thinking’ questions that might make learners feel manipulated or unfairly judged.    So how do we know if we have achieved psychological safety for our sim participants?   Its complex.  Experts like <a href="http://www.hbs.edu/faculty/Pages/profile.aspx?facId=6451" rel="nofollow" target="_blank">Amy Edmonson</a> (another <a href="https://www.youtube.com/watch?v=LhoLuui9gX8" rel="nofollow" target="_blank">TeD talk to watch</a>) suggests that seeing supportive responses when one puts oneself on the line, such as by asking a question, seeking feedback, reporting a mistake, or proposing a new idea.  Sounds like our aspirations for our work teams….?  Again, simulation practice parallels our real world healthcare practice.  Thanks again to Jenny Rudolph for an illuminating podcast.

8 - The Safe Container for Simulation

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. 

Scenario design  Kyla Caners <a href="https://twitter.com/drcaners" rel="nofollow" target="_blank">(@drcaners)</a> from <a href="http://emsimcases.com" rel="nofollow" target="_blank">emsimcases.com</a> 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 <a href="https://emsimcases.com/" rel="nofollow" target="_blank">EM simcases blog</a> – 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.

Ep. 11 - Designing Better Sim Cases

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 

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, <a href="http://pure.au.dk/portal/en/persons/kristian-krogh(48e5c15c-34b7-48c3-9827-eb6c7fe8e20f).html" rel="nofollow" target="_blank">Kristian Krogh</a> (@DrKrogh), Albert Chan (@gaseousXchange) and <a href="https://www.linkedin.com/in/nancy-mcnaughton-133a6215/" rel="nofollow" target="_blank">Nancy McNaughton</a> (@uto_nancy) provoke us to consider this issue in their commentary - <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-018-0087-0" rel="nofollow" target="_blank">Another debriefing course! Who benefits?</a> 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

75 - Advances in Simulation: Another Debriefing Course! Who Benefits?

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 skills and obvious early applications, but communication skills and teamwork via multiplayer ‘games’ are on the horizon.    Jack will be leading a panel on this topic at SEAM in Spain next week, and we look forward to more from him, and in this interesting field 

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 skills and obvious early applications, but communication skills and teamwork via multiplayer ‘games’ are on the horizon.  Jack will be leading a panel on this topic at SEAM in Spain next week, and we look forward to more from him, and in this interesting field

55 - AR/VR in health care simulation 

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 Simul 4, 29 (2019)  And in the Christmas spirit – Ben trialled a Santa Simulator from roblox… compete against him if you dare….  https://www.roblox.com/games/2596675282/Santa-Simulator    Join the discussion at www.simulationpodcast.com    Victoria 

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). <a href="https://www.ncbi.nlm.nih.gov/pubmed/31135683" rel="nofollow" target="_blank">Comparing the Learning Effectiveness of Healthcare Simulation in the Observer Versus Active Role. Simulation in Healthcare:</a> 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. <a href="https://stel.bmj.com/content/early/2019/12/13/bmjstel-2019-000521" rel="nofollow" target="_blank">Development of a Simulation Scenario Evaluation Tool (SSET): modified Delphi study.</a> 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. <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-019-0119-4" rel="nofollow" target="_blank">The “Timeline Debriefing Tool”: a tool for structuring the debriefing description phase</a>. Adv Simul 4, 29 (2019) And in the Christmas spirit – Ben trialled a Santa Simulator from roblox… compete against him if you dare…. <a href="https://www.roblox.com/games/2596675282/Santa-Simulator" rel="nofollow" target="_blank">https://www.roblox.com/games/2596675282/Santa-Simulator</a> Join the discussion at <a href="http://www.simulationpodcast.com" rel="nofollow" target="_blank">www.simulationpodcast.com</a> Victoria

94 - Journal Club Monthly Wrap Podcast November/December 2019

Ben and Vic discuss the paper of the month, which provoked controversy about the interplay of feeling and facts in clinical debriefing. Rose, S. &amp; 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 &amp; 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 &amp; Pim W. Teunissen. (2018): Learning how to learn using simulation: Unpacking disguised feedback using a qualitative analysis of doctors’ telephone talk, Medical Teacher, DOI: 10.1080/0142159X.2018.1465183   So we’ll be back with journal club in July – join the discussion   Victoria

Ben and Vic discuss the paper of the month, which provoked controversy about the interplay of feeling and facts in clinical debriefing. Rose, S. &amp; Cheng, A. (2018). <a href="https://www.cambridge.org/core/journals/canadian-journal-of-emergency-medicine/article/charge-nurse-facilitated-clinical-debriefing-in-the-emergency-department/CC224433937ACBA849491A66EBC9593D" rel="nofollow" target="_blank">“Charge nurse facilitated clinical debriefing in the emergency department.”</a> 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. <a href="https://www.jsurged.org/article/S1931-7204(17)30752-3/fulltext" rel="nofollow" target="_blank">Entrustable Professional Activities (EPAs) for Simulation Leaders: The Time Has Come.</a> Journal of Surgical Education, 2018 <ol><li>Dieckmann, M. Birkvad Rasmussen, S. B. Issenberg, E. Søreide, D. Østergaard &amp; C. Ringsted (2018<a href="https://www.tandfonline.com/doi/full/10.1080/0142159X.2018.1471204" rel="nofollow" target="_blank">): Long-term experiences of being a simulation-educator: A multinational interview study</a>, Medical Teacher, DOI: 10.1080/0142159X.2018.1471204</li> </ol>Walter J. Eppich, Jan-Joost Rethans, Timothy Dornan &amp; Pim W. Teunissen. (2018<a href="https://www.tandfonline.com/doi/full/10.1080/0142159X.2018.1465183" rel="nofollow" target="_blank">): Learning how to learn using simulation: Unpacking disguised feedback using a qualitative analysis of doctors’ telephone talk</a>, Medical Teacher, DOI: 10.1080/0142159X.2018.1465183 So we’ll be back with journal club in July – join the discussion Victoria

56 - Simulcast Journal Club June 2018

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/ 

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. <a href="http://imsh2020.org/" rel="nofollow" target="_blank">http://imsh2020.org/</a> SEAM Milan 17-19th June.  <a href="https://www.sesam-web.org/events/event/sesam-milan-2020/" rel="nofollow" target="_blank">https://www.sesam-web.org/events/event/sesam-milan-2020/</a> NZASH Christchurch 6-7th November. <a href="https://nzash.co.nz/" rel="nofollow" target="_blank">https://nzash.co.nz/</a>

90 - Simulcast ASC19 Montage

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 &amp; 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 &amp; 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: 17 (2019) 

n the latest instalment of our <a href="http://www.advancesinsimulation.biomedcentral.com/" rel="nofollow" target="_blank">Advances in Simulation</a> (@AdvinSimulation) series, Vic was joined by Nora Colman (<a href="https://twitter.com/noracolman" rel="nofollow" target="_blank">@noracolman</a>) and <a href="https://www.linkedin.com/in/sue-barnes-09596415/?originalSubdomain=ca" rel="nofollow" target="_blank">Sue Barnes</a> 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 &amp; Kiran B. Hebbar. <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-019-0108-7" rel="nofollow" target="_blank">Simulation-based clinical systems testing for healthcare spaces: from intake through implementation</a>. Advances in Simulation volume 4, Article number: 19 (2019)  Alyshah Kaba &amp; Sue Barnes. <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-019-0107-8" rel="nofollow" target="_blank">Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety</a>. Advances in Simulation volume 4, Article number: 17 (2019)

91 - Advances in Simulation: Sim for clinical systems and facilities testing

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 and developed models of various forms of congenital heart disease. Fabulous collaboration between clinician educators and engineers. We wait with interest to hear the outcomes of her research in evaluating this educational technique. We asked Andy Buck, of ETM course fame, about his favourite home made part task trainer, and how he makes it. Andy cited better functional task alignment and lower cost as key reasons to ‘make your own’. We chatted about whether 3D printing is ready for prime time for the average simulation educators? For those superkeen Andy is happen to be contacted on Twitter via DM (@edexam) Finally, we spoke to Jessica Stokes-Parish in her minimal spare time between work and convening this year’s Australasian Simulation Congress. She’s just published an article that asks us to reflect of how much ‘bang for buck’ we get from the moulage efforts we make as sim educators. Does Appearance Matter? Current Issues and Formulation of a Research Agenda for Moulage in Simulation. Stokes-Parish, Jessica B. M. Nurs (Adv Prac); Duvivier, Robbert MD, PhD; Jolly, Brian PhD. Simulation in Healthcare February 2017 - Volume 12 - Issue 1 - p 47–50 I enjoyed this article so much I wrote a blog post about it for the International Clinical Educators Network blog.

This episode was a ‘mix tape’ of moulage and other techniques to achieve physical realism in simulations – including procedural and anatomy teaching <a href="https://www.linkedin.com/in/clare-scott-81355862/" rel="nofollow" target="_blank">Clare Scott</a> 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 <a href="http://www.behindthesimcurtain.com/home" rel="nofollow" target="_blank">Behind the sim curtain</a>). 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:  <a href="http://simulationpodcast.com/wp-content/uploads/2017/04/Moulage-Handout-Clare-Scott.pdf" rel="nofollow" target="_blank"></a> <a href="http://www.childrenshospital.org/doctors/keri-shafer" rel="nofollow" target="_blank">Keri Shafer</a> shared her plans for using 3 D printing hearts to learn about congenital heart disease. Keri (<a href="https://twitter.com/kerizozo" rel="nofollow" target="_blank">@kerizozo</a>) 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 <a href="http://simpeds.org/engineering-core/" rel="nofollow" target="_blank">3D printing group</a> within the <a href="http://simpeds.org/" rel="nofollow" target="_blank">Boston Childrens Hospital Simulation program</a> and developed models of various forms of congenital heart disease. Fabulous collaboration between clinician educators and engineers. We wait with interest to hear the outcomes of her research in evaluating this educational technique. We asked Andy Buck, of <a href="http://etmcourse.com/" rel="nofollow" target="_blank">ETM course</a> fame, about his favourite home made part task trainer, and how he makes it. Andy cited better functional task alignment and lower cost as key reasons to ‘make your own’. We chatted about whether 3D printing is ready for prime time for the average simulation educators? For those superkeen Andy is happen to be contacted on Twitter via DM <a href="https://twitter.com/edexam" rel="nofollow" target="_blank">(@edexam</a>) Finally, we spoke to Jessica Stokes-Parish in her minimal spare time between work and convening this year’s Australasian Simulation Congress. She’s just published an article that asks us to reflect of how much ‘bang for buck’ we get from the moulage efforts we make as sim educators. <a href="http://journals.lww.com/simulationinhealthcare/Citation/2017/02000/Does_Appearance_Matter__Current_Issues_and.7.aspx" rel="nofollow" target="_blank">Does Appearance Matter? Current Issues and Formulation of a Research Agenda for Moulage in Simulation.</a> Stokes-Parish, Jessica B. M. Nurs (Adv Prac); Duvivier, Robbert MD, PhD; Jolly, Brian PhD. Simulation in Healthcare February 2017 - Volume 12 - Issue 1 - p 47–50 I enjoyed this article so much I wrote a <a href="https://icenetblog.royalcollege.ca/2017/03/28/simulation-moulage-bang-for-buck/" rel="nofollow" target="_blank">blog post</a> about it for the International Clinical Educators Network blog.

Ep. 7 - Moulage and Making Stuff

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  

Simulcast goes to IMSH!  The <a href="http://imsh2019.com/" rel="nofollow" target="_blank">International Meeting on Simulation in Healthcare (IMSH)</a> will be in San Antonio, TX, USA in January 26-30th, 2019.   Simulcast has partnered with the <a href="https://www.ssih.org/" rel="nofollow" target="_blank">Society for Simulation in Healthcare (SSH)</a> 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 <a href="https://www.youtube.com/watch?v=i2Umg19R8IM" rel="nofollow" target="_blank">Joseph Lopreiato</a>, 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 <a href="http://imsh2019.com/" rel="nofollow" target="_blank">conference website</a> and follow #IMSH2019 on social media.  vb

65 - Simulcast Goes To IMSH

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.  

Michelle Kelly (<a href="https://twitter.com/KellyKelmich" rel="nofollow" target="_blank">@KellyKelmich</a>) 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 <a href="https://staffportal.curtin.edu.au/staff/profile/view/Michelle.Kelly" rel="nofollow" target="_blank">simulation academic</a> and practitioner from Curtin University in Perth and past chair of the Australian Society for Simulation in Healthcare (<a href="http://www.simulationaustralia.org.au/divisions/about-assh" rel="nofollow" target="_blank">ASSH</a>). Her <a href="https://www.researchgate.net/profile/Michelle_Kelly2" rel="nofollow" target="_blank">academic publications</a> 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, <a href="http://www.ssih.org/Dictionary" rel="nofollow" target="_blank">simulation terminology</a>, and predictions for the future.

Simulcast Book Review - 'Healthcare Simulation Education: Evidence Theory and Practice'

 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 debrief room, Ellen knew what she wanted to bring up, but felt her stress level rising. Reactions first, she thought, and then facts. What would be a good advocacy inquiry question? What else did they say in that debriefing course…..? …….Should she let the learners dictate the topics? And she knew that the ED consultant who was in the scenario was not a big fan of sim, and anticipated he might be difficult. His performance is probably off limits for today, she thought. Deep breath. “OK guys that was great. Well done”……..   In this episode of Simulcast we were delighted to talk with Walter Eppich (@LearnThruTalk). Walter is a paediatric emergency physician from Chicago, and Associate Professor of Pediatrics and Medical Education, Northwestern University Feinberg School of Medicine. He is Principal Faculty, Harvard Center for Medical Simulation (@MedSimulation), and a PhD Candidate, School of Health Professions Education, Maastricht University, Netherlands. He has published prolifically in the area of simulation debriefing.  Walter shared some general thoughts on debriefing, including ‘’letting go’’ of the idea that we must have a strong hand on the debrief, the importance of translating lessons to real practice, and the idea that participants also need to take responsibility for the process and success of the debrief. This last concept is embodied in his article with Adam Cheng (@DocChenger) on Learner Centered Debriefing, this month’s Simulcast Journal Club article. He made the point that many of our options/ models for debriefing are more similar than they are different, as illustrated in his own blended approach, described in his PEARLs paper.  Walter then gave us a practical step by step guide to how he would approach Ellen’s debriefing case, and included additional thoughts on previewing topics, ensuring psychologic safety (see also landmark work by Amy Edmonson here), and using a strategy like the Center for Medical Simulation ‘Basic Assumption’ to maintain that positive regard for learners. He emphasized that debriefing is a social event, and one of a number of examples of learning conversations that are his passion. This is especially relevant as more simulation educators engage in debriefing after in situ scenarios, where there is an existing relationship between participants and debriefers. Walter is also part of an exciting new simulation debriefing project with Adam Cheng and others – follow @Debrief2Learn for updates on the launch of website of same name We’ll be hearing more from Walter on those learning conversations soon, but in the meantime enjoy his practical wisdom on the podcast.  More on debriefing from the #FOAMed blogosphere https://www.aliem.com/2014/simlife-em-challenge/ http://injectableorange.com/2013/07/debriefing-careful-you-dont-just-give-carrot-a-little-stick-is-sometimes-needed/ http://stemlynsblog.org/good-to-talk-debrief-in-the-emergency-department/ http://intensivecarenetwork.com/radford-vandyke-simulation/ https://emsimcases.com/2015/06/30/debriefing-techniques-the-art-of-guided-reflection/ https://www.aliem.com/2014/improving-debriefing-skills-pathways-grid/

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 debrief room, Ellen knew what she wanted to bring up, but felt her stress level rising. Reactions first, she thought, and then facts. What would be a good advocacy inquiry question? What else did they say in that debriefing course…..? …….Should she let the learners dictate the topics? And she knew that the ED consultant who was in the scenario was not a big fan of sim, and anticipated he might be difficult. His performance is probably off limits for today, she thought. Deep breath. “OK guys that was great. Well done”…….. In this episode of Simulcast we were delighted to talk with Walter Eppich <a href="https://twitter.com/LearnThruTalk" rel="nofollow" target="_blank">(@LearnThruTalk)</a>. Walter is a paediatric emergency physician from Chicago, and Associate Professor of Pediatrics and Medical Education, Northwestern University Feinberg School of Medicine. He is Principal Faculty, <a href="https://harvardmedsim.org/" rel="nofollow" target="_blank">Harvard Center for Medical Simulation</a> <a href="https://twitter.com/MedSimulation" rel="nofollow" target="_blank">(@MedSimulation</a>), and a PhD Candidate, School of Health Professions Education, Maastricht University, Netherlands. He has published prolifically in the area of simulation debriefing. Walter shared some general thoughts on debriefing, including ‘’letting go’’ of the idea that we must have a strong hand on the debrief, the importance of translating lessons to real practice, and the idea that participants also need to take responsibility for the process and success of the debrief. This last concept is embodied in his article with Adam Cheng (@DocChenger) on <a href="http://www.ncbi.nlm.nih.gov/pubmed/26836466" rel="nofollow" target="_blank">Learner Centered Debriefing</a>, this month’s Simulcast Journal Club article. He made the point that many of our options/ models for debriefing are more similar than they are different, as illustrated in his own blended approach, described in his <a href="http://www.ncbi.nlm.nih.gov/pubmed/25710312" rel="nofollow" target="_blank">PEARLs</a> paper. Walter then gave us a practical step by step guide to how he would approach Ellen’s debriefing case, and included additional thoughts on previewing topics, ensuring <a href="http://www.ncbi.nlm.nih.gov/pubmed/25188485" rel="nofollow" target="_blank">psychologic safety</a> (see also landmark work by Amy Edmonson <a href="http://www.iacmr.org/v2/Conferences/WS2011/Submission_XM/Participant/Readings/Lecture9B_Jing/Edmondson,%20ASQ%201999.pdf" rel="nofollow" target="_blank">here</a>), and using a strategy like the Center for Medical Simulation ‘Basic Assumption’ to maintain that positive regard for learners. He emphasized that debriefing is a social event, and one of a number of examples of <a href="https://www.researchgate.net/publication/303031620_Learning_to_Work_Together_Through_Talk_Continuing_Professional_Development_in_Medicine" rel="nofollow" target="_blank">learning conversations</a> that are his passion. This is especially relevant as more simulation educators engage in debriefing after in situ scenarios, where there is an existing relationship between participants and debriefers. Walter is also part of an exciting new simulation debriefing project with Adam Cheng and others – follow <a href="https://twitter.com/Debrief2Learn" rel="nofollow" target="_blank">@Debrief2Learn</a> for updates on the launch of website of same name We’ll be hearing more from Walter on those learning conversations soon, but in the meantime enjoy his practical wisdom on the podcast. More on debriefing from the #FOAMed blogosphere <a href="https://www.aliem.com/2014/simlife-em-challenge/" rel="nofollow" target="_blank">https://www.aliem.com/2014/simlife-em-challenge/</a> <a href="https://www.aliem.com/2014/simlife-em-challenge/" rel="nofollow" target="_blank">http://injectableorange.com/2013/07/debriefing-careful-you-dont-just-give-carrot-a-little-stick-is-sometimes-needed/</a> <a href="https://www.aliem.com/2014/simlife-em-challenge/" rel="nofollow" target="_blank">http://stemlynsblog.org/good-to-talk-debrief-in-the-emergency-department/</a> <a href="https://www.aliem.com/2014/simlife-em-challenge/" rel="nofollow" target="_blank">http://intensivecarenetwork.com/radford-vandyke-simulation/</a> <a href="https://www.aliem.com/2014/simlife-em-challenge/" rel="nofollow" target="_blank">https://emsimcases.com/2015/06/30/debriefing-techniques-the-art-of-guided-reflection/</a> <a href="https://www.aliem.com/2014/simlife-em-challenge/" rel="nofollow" target="_blank">https://www.aliem.com/2014/improving-debriefing-skills-pathways-grid/</a>

3 - Eppich Debriefing

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

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 <a href="https://www.matereducation.qld.edu.au/About-Us/Faculty/Stephanie-Barwick" rel="nofollow" target="_blank">Stephanie Barwick</a> (<a href="https://twitter.com/InSituSteph" rel="nofollow" target="_blank">@InSituSteph</a>) and <a href="https://www2.le.ac.uk/departments/cardiovascular-sciences/people/dr-damian-roland" rel="nofollow" target="_blank">Damian Roland</a> (<a href="https://twitter.com/Damian_Roland" rel="nofollow" target="_blank">@Damian_Roland</a>) about this topic – how they got interested, what kind of research are they doing, and what recommendations do they have for our practice.  vb

62 - Healthcare Consumers and In Situ Simulation

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. Simulation in Healthcare: June 2019 - Volume 14 - Issue 3 - p 175–181  Endacott R, Gale T, O’Connor A, et al Frameworks and quality measures used for debriefing in team-based simulation: a systematic review BMJ Simulation and Technology Enhanced Learning 2019;5:61-72.  MacKinnon et al Defining and measuring quality in acute paediatric trauma stabilisation: a phenomenographic study. Advances in Simulation 20194:4    And Ben introduced the paper for July.  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.  Additional Reading &amp; Podcast for those interested in a deep dive :   Eppich, W. and Schmutz, J. (2019). From ‘them’ to ‘us’: bridging group boundaries through team inclusiveness. Medical Education.  http://revisionisthistory.com/episodes/26-the-hug-heard-round-the-world  So we’ll be back at the end of July with our wrap – join the discussion at www.simulationpodcast.com 

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. <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/aet2.10325" rel="nofollow" target="_blank">Identifying and Transmitting the Culture of Emergency Medicine Through Simulation.</a> AEM Education and Training 2019; 3: 118– 128 (Open access)  <a href="https://icenetblog.royalcollege.ca/2019/03/19/simulation-and-cultural-compression/" rel="nofollow" target="_blank">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].</a> <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/aet2.10325" rel="nofollow" target="_blank">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.</a> We also discussed 3 other papers covering a theme of ‘measurement’.  Diederich, Emily, MD et al. <a href="https://journals.lww.com/simulationinhealthcare/Abstract/2019/06000/Balancing_Deliberate_Practice_and_Reflection__A.7.aspx" rel="nofollow" target="_blank">Balancing Deliberate Practice and Reflection. A Randomized Comparison Trial of Instructional Designs for Simulation-Based Training in Cardiopulmonary Resuscitation Skills.</a> Simulation in Healthcare: June 2019 - Volume 14 - Issue 3 - p 175–181 Endacott R, Gale T, O’Connor A, et al <a href="https://stel.bmj.com/content/5/2/61" rel="nofollow" target="_blank">Frameworks and quality measures used for debriefing in team-based simulation: a systematic review</a> BMJ Simulation and Technology Enhanced Learning 2019;5:61-72. MacKinnon et al <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-019-0091-z" rel="nofollow" target="_blank">Defining and measuring quality in acute paediatric trauma stabilisation: a phenomenographic study</a>. Advances in Simulation 20194:4  And Ben introduced the paper for July.  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.  Additional Reading &amp; Podcast for those interested in a deep dive : Eppich, W. and Schmutz, J. (2019). From ‘them’ to ‘us’: bridging group boundaries through team inclusiveness. Medical Education. <a href="http://revisionisthistory.com/episodes/26-the-hug-heard-round-the-world" rel="nofollow" target="_blank">http://revisionisthistory.com/episodes/26-the-hug-heard-round-the-world</a> So we’ll be back at the end of July with our wrap – join the discussion at <a href="http://www.simulationpodcast.com/" rel="nofollow" target="_blank">www.simulationpodcast.com</a>

79 - Journal Club Podcast Monthly Wrap June 2019

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 delivered or simply failing to live up to promise in many contexts.  To kick off our first episode of Simulcast, Jesse and I decided to tack a step back and look at the ‘state of the art’ of healthcare simulation in 2016. We used David Gaba’s landmark paper - The future vison of simulation in health care from 2004 - as a starting point.   David Gaba is one of the grandfathers of healthcare simulation. Trained as a biomedical engineer, a pilot and then as an anaesthesiologist, he brought a unique vision to how to train better for the work we do in healthcare.   When he wrote this paper in 2004, healthcare simulation was in its infancy, and mostly delivered around expensive mannequins in dedicated simulation centres. I had just done my first Crisis Resource Management (CRM) course as a participant at Monash simulation that same year, and was an immediate convert to the possibilities.  In the podcast we look at the clarity Gaba offered us in that paper - how to think about the dimensions for healthcare simulation delivery – the technology used, the participants, the learning objectives, the environment of delivery.  But he also offered us two future visions of simulation for 2025. One is optimistic – in which healthcare sim is embedded and integrated with care, training and quality improvement. The alternate vision is one in which simulation never really ‘made it’.   We bring our own biases and hopes to the discussion…..  

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 delivered or simply failing to live up to promise in many contexts.  To kick off our first episode of Simulcast, Jesse and I decided to tack a step back and look at the ‘state of the art’ of healthcare simulation in 2016. We used David Gaba’s landmark paper - <a href="http://qualitysafety.bmj.com/content/13/suppl_1/i2.long" rel="nofollow" target="_blank">The future vison of simulation in health care</a> from 2004 - as a starting point.   <a href="https://med.stanford.edu/profiles/david-gaba?tab=bio" rel="nofollow" target="_blank">David Gaba</a> is one of the grandfathers of healthcare simulation. Trained as a biomedical engineer, a pilot and then as an anaesthesiologist, he brought a unique vision to how to train better for the work we do in healthcare.   When he wrote this paper in 2004, healthcare simulation was in its infancy, and mostly delivered around expensive mannequins in dedicated simulation centres. I had just done my first <a href="http://lifeinthefastlane.com/ccc/crisis-resource-management-crm/" rel="nofollow" target="_blank">Crisis Resource Management (CRM)</a> course as a participant at <a href="http://www.monashsimulation.com.au/" rel="nofollow" target="_blank">Monash simulation</a> that same year, and was an immediate convert to the possibilities.  In the podcast we look at the clarity Gaba offered us in that paper - how to think about the dimensions for healthcare simulation delivery – the technology used, the participants, the learning objectives, the environment of delivery.  But he also offered us two future visions of simulation for 2025. One is optimistic – in which healthcare sim is embedded and integrated with care, training and quality improvement. The alternate vision is one in which simulation never really ‘made it’.   We bring our own biases and hopes to the discussion…..

1 - The future vision of simulation in health care. Are we there yet?

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://emcrit.org/emcrit/complexity-of-simple/    And finally – local work from the team at Mater hospital, including @ErinlW_ and @SJanssensSimOG  in Brisbane that adds to our understanding of realism, especially in procedural simulation.  Wilson E, Hewett DG2, Jolly BC, Janssens S, Beckmann MM. Is that realistic? The development of a realism assessment questionnaire and its application in appraising three simulators for a gynaecology procedure. Adv Simul 2018 Nov 8;3:21     Thanks again to our listeners and contributors for a great year in 2018    Vic, Ben and Jesse 

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). <a href="https://www.clinicalkey.com.au/" rel="nofollow" target="_blank">Hospitals with more-active participation in conducting standardized in-situ mock codes have improved survival after in-hospital cardiopulmonary arrest</a>. 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.  <ul><li>Launer J. <a href="https://pmj.bmj.com/content/94/1116/611.info" rel="nofollow" target="_blank">Complexity made simple</a>. Postgrad Med J 2018;94:611–612 </li> <li>Gormley, Gerard and Tara J. Fenwick. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4908042/" rel="nofollow" target="_blank">Learning to manage complexity through simulation: students’ challenges and possible strategies</a>. Perspectives on medical education (2016). </li> </ul> On this topic, Jesse reminded us of this great post from Chris Hicks (<a href="https://twitter.com/HumanFact0rz" rel="nofollow" target="_blank">@HumanFactOrz</a>) <a href="https://emcrit.org/emcrit/complexity-of-simple/" rel="nofollow" target="_blank">https://emcrit.org/emcrit/complexity-of-simple/</a> And finally – local work from the team at Mater hospital, including <a href="https://twitter.com/ErinIW_" rel="nofollow" target="_blank">@ErinlW_</a> and <a href="https://twitter.com/SJanssensSimOG" rel="nofollow" target="_blank">@SJanssensSimOG</a>  in Brisbane that adds to our understanding of realism, especially in procedural simulation.  <ul><li>Wilson E, Hewett DG2, Jolly BC, Janssens S, Beckmann MM. <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-018-0080-7" rel="nofollow" target="_blank">Is that realistic? The development of a realism assessment questionnaire and its application in appraising three simulators for a gynaecology procedure.</a> Adv Simul 2018 Nov 8;3:21 </li> </ul> Thanks again to our listeners and contributors for a great year in 2018  Vic, Ben and Jesse

67 - Simulcast Journal Club Podcast Nov/Dec 2018

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. https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-019-0100-2   Purdy, E., C. Alexander, M. Caughley, S. Bassett and V. Brazil (2019). "Identifying and Transmitting the Culture of Emergency Medicine Through Simulation." AEM Education and Training 3(2): 118-128. https://onlinelibrary.wiley.com/doi/full/10.1002/aet2.10325   Eve refers to a pivotal moment back in 2014, being in the audience for this talk by Victoria.   https://smacc.net.au/2014/06/brazil-timing-tribes-and-stemis/

In this, another joint feature with Advances in Simulation journal, we explore three main ideas: <ol><li>Why does simulation have such a symbiosis with culture?</li> <li>How to we understand more about this relationship? ie. there is nothing so practical as a good theory.</li> <li>What does can this teach us about targeting culture as a translational objective in a sim program?</li> </ol> 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. <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-019-0100-2" rel="nofollow" target="_blank">https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-019-0100-2</a> Purdy, E., C. Alexander, M. Caughley, S. Bassett and V. Brazil (2019). "Identifying and Transmitting the Culture of Emergency Medicine Through Simulation." AEM Education and Training 3(2): 118-128. <a href="https://onlinelibrary.wiley.com/doi/full/10.1002/aet2.10325" rel="nofollow" target="_blank">https://onlinelibrary.wiley.com/doi/full/10.1002/aet2.10325</a> Eve refers to a pivotal moment back in 2014, being in the audience for this talk by Victoria. <a href="https://smacc.net.au/2014/06/brazil-timing-tribes-and-stemis/" rel="nofollow" target="_blank">https://smacc.net.au/2014/06/brazil-timing-tribes-and-stemis/</a>

78 - Advances in Simulation: Transmitting Culture Through Simulation

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. 

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.

Ep. 10 - Housekeeping and Team Huddle

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 SimulationRaemer, 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 HealthcareRaemer, 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 anesthesiology department for his entire working life.  Dan was the Chair of the Founding Board of Overseers for the Society for Simulation in Healthcare and was it’s first President.  Now in partial retirement, Dan, along with a nurse educator, Ann Mullen, and a renowned anesthesiologist, Alex Hannenberg, all from Boston, USA have started an education-oriented foundation to promote simulation safety. We are also lucky to have Kara Allen along to discuss. Kara is an anaesthetist who in involved with inter professional simulation, including education and systems testing. She developed the CRASH and STAR courses which now run across Australia and New Zealand, helping critical care specialists navigate career transitions and return to work after leave. This has led her to work in a number of simulation settings, from stand-alone centres to simulation facilities embedded in clinical settings.  Victoria, Dan and Kara, traverse the unintended harms from simulation and discuss the equal harms of not using simulation as a translational tool.   If this sound familiar to Simulcast listeners, it is because Vic interviewed Ann Mullen (one of the authors of this article) back in October 2017 about hers and Dan's project, Foundations for Healthcare Simulation Safety. So read the article, think about your simulation safety and take the pledge to improve. The Podcast Related Articleshttps://icenetblog.royalcollege.ca/2017/12/15/simulation-and-patient-safety-a-complex-relationship/ https://healthcaresimulationsafety.org/ https://soundcloud.com/medicalsimulation/episode-007-dans-journey-to-the-dark-side

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 <a href="https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-018-0084-3" rel="nofollow" target="_blank">Raemer, D., A. Hannenberg and A. Mullen (2018). "Simulation safety first: an imperative." Advances in Simulation 3(1): 25.</a>Journal of the Society for Simulation in Healthcare <a href="https://journals.lww.com/simulationinhealthcare/Fulltext/2018/12000/Simulation_Safety_First__An_Imperative.1.aspx" rel="nofollow" target="_blank">Raemer, D., A. Hannenberg and A. Mullen (2018). "Simulation Safety First: An Imperative." Simulation in Healthcare 13(6).</a>Journal of Surgical Simulation  <a href="http://www.journalsurgicalsimulation.com/contents/volume-5/JSS180011/pdf/" rel="nofollow" target="_blank">Raemer, D., A. Hannenberg and A. Mullen (2018). "Simulation Safety First: An Imperative." Journal of Surgical Simulation(5).</a> <a href="https://healthcaresimulationsafety.org/" rel="nofollow" target="_blank"></a> 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 anesthesiology department for his entire working life.  Dan was the Chair of the Founding Board of Overseers for the Society for Simulation in Healthcare and was it’s first President.  Now in partial retirement, Dan, along with a nurse educator, Ann Mullen, and a renowned anesthesiologist, Alex Hannenberg, all from Boston, USA have started an education-oriented foundation to promote simulation safety. We are also lucky to have Kara Allen along to discuss. Kara is an anaesthetist who in involved with inter professional simulation, including education and systems testing. She developed the CRASH and STAR courses which now run across Australia and New Zealand, helping critical care specialists navigate career transitions and return to work after leave. This has led her to work in a number of simulation settings, from stand-alone centres to simulation facilities embedded in clinical settings.  Victoria, Dan and Kara, traverse the unintended harms from simulation and discuss the equal harms of not using simulation as a translational tool.  <a href="https://healthcaresimulationsafety.org/" rel="nofollow" target="_blank"></a> If this sound familiar to Simulcast listeners, it is because Vic interviewed Ann Mullen (one of the authors of this article) <a href="http://simulationpodcast.com/pause-discuss-harms-involved-improving-patient-safety/" rel="nofollow" target="_blank">back in October 2017</a> about hers and Dan's project, Foundations for Healthcare Simulation Safety. So read the article, think about your simulation safety and<a href="https://healthcaresimulationsafety.org/simulation-pledge/" rel="nofollow" target="_blank"> take the pledge </a>to improve.  The Podcast   Related Articles <a href="https://icenetblog.royalcollege.ca/2017/12/15/simulation-and-patient-safety-a-complex-relationship/" rel="nofollow" target="_blank">https://icenetblog.royalcollege.ca/2017/12/15/simulation-and-patient-safety-a-complex-relationship/</a> <a href="https://healthcaresimulationsafety.org/" rel="nofollow" target="_blank">https://healthcaresimulationsafety.org/</a> <a href="https://soundcloud.com/medicalsimulation/episode-007-dans-journey-to-the-dark-side" rel="nofollow" target="_blank">https://soundcloud.com/medicalsimulation/episode-007-dans-journey-to-the-dark-side</a>

66 - Advances in Simulation: Simulation Safety First

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

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 <a href="https://bcsimulation.ca/" rel="nofollow" target="_blank">https://bcsimulation.ca/</a> (you can also get there via <a href="https://simulation.vchlearn.ca/" rel="nofollow" target="_blank">https://simulation.vchlearn.ca/</a> )  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.  <a href="https://twitter.com/BCSimNet" rel="nofollow" target="_blank">@BCSimNet </a> on Twitter

83 - FOAMsim and Online Learning with VCHlearn

The best podcast episodes of the most interesting stories and things. From skyping someone while they're in space, to tracking down and meeting a telephone scammer in person, to the story of a Galapagos. These episodes will keep you and all your friends entertained and captivated for hours. Learn something new in every episode! Add episodes you're interested into your queue below!

Best Episodes: Interesting Stories & Things

The best podcasts about ourselves as well as the world through the lense of Science. Specific topics include things about our brain, emotions to biology, physics and more!