Simulcast

This is a mini episode update on how we at Simulcast would love to celebrate healthcare simulation week 2019.

Ben and Vic discuss the paper of the month,   Bochatay, N., Bajwa, N., Blondon, K., Junod Perron, N., Cullati, S. and Nendaz, M. (2019). Exploring group boundaries and conflicts: a social identity theory perspective. Medical Education.    We also discussed 3 other papers covering a theme of ‘non-technical skills’.  Hamilton AL, Kerins J, MacCrossan MA, et al Medical Students’ Non-Technical Skills (Medi-StuNTS): preliminary work developing a behavioural marker system for the non-technical skills of medical students in acute care BMJ Simulation and Technology Enhanced Learning 2019;5:130-139.  Johnson AP, Aggarwal R Assessment of non-technical skills: why aren’t we there yet? BMJ Quality & Safety 2019;28:606-608.  Hughes PG, Ahmed RA Blindfolded trauma team resuscitation: a strategy for improved leadership and communication BMJ Simulation and Technology Enhanced Learning 2019;5:174-175.  And Ben introduced the paper for August  Stokes-Parish, J., Duvivier, R. and Jolly, B. (2019). Expert opinions on the authenticity of moulage in simulation: a Delphi study. Advances in Simulation, 4(1).      So we’ll be back at the beginning of September with our wrap – recorded live at the Australasian Simulation Congress .  Join the discussion at www.simulationpodcast.com    Victoria  

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 & 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 

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/

Ben and Vic discuss the paper of the month, including expert commentary from Stuart Rose.  Hollingsworth, C., Wesley, C., Huckridge, J., Finn, G. and Griksaitis, M. (2017). Impact of child death on paediatric trainees. Archives of Disease in Childhood, 103(1), pp.14-18.    And we talked about a few other sim papers across a range of topics and research methods,   Goldshtein D, Krensky C, Doshi S, et al In situ simulation and its effects on patient outcomes: a systematic review BMJ Simulation and Technology Enhanced Learning Published Online First: 05 April 2019. doi: 10.1136/bmjstel-2018-000387  Petrosoniak A, Almeida R, Pozzobon LD, et al. Tracking workflow during high-stakes resuscitation: the application of a novel clinician movement tracing tool during in situ trauma simulation. BMJ STEL. 2019;5:78–84.  (Open Access)  Ann L. Butt, Suzan Kardong-Edgren, Anthony Ellertson. Using Game-Based Virtual Reality with Haptics for Skill Acquisition, Clinical Simulation in Nursing, Volume 16, 2018, Pages 25-32,    And Ben introduced the paper for June.  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)    So we’ll be back at the end of June with our wrap – join the discussion at simulationpodcast.com    Victoria  

‘Non-technical skill’ is not a great term for the range of skills and behaviours we expect of our healthcare professionals. It also belies a not so subtle hierarchy of skills where ‘hard’, technical, ‘medical expertise’ are afforded primacy, sometimes to the detriment of our patient care.  Our latest collaborative podcast with Advances in Simulation features an editorial - Words matter: towards a new lexicon for ‘nontechnical skills’ training by Paul Murphy, Debra Nestel and Gerry Gormley.  In this podcast I was joined by Paul Murphy from Queens University Belfast, the lead author of the article, as well as Pamela Andreatta, who was part of a group who authored a similarly themed article in 2011.  We discussed words, culture, drama, impression management and values in health professional education and simulation.   vb 

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 

Ben and Vic discuss the paper of the month, including expert commentary from Jack Matulich.   Fraser, K., Meguerdichian, M., Haws, J., Grant, V., Bajaj, K., & Cheng, A. (2019). Cognitive Load Theory for debriefing simulations: implications for faculty development.    And we talked about a few other sim papers across a range of topics and research methods,   Turton, D. , Buchan, K. , Hall‐Jackson, M. and Pelletier, C. (2019), Simulation: the power of what hurts. Med Educ, 53: 326-328.   Chancey RJ1, Sampayo EM, Lemke DS, Doughty CB. Learners' Experiences During Rapid Cycle Deliberate Practice Simulations: A Qualitative Analysis. Simul Healthc. 2019 Feb;14(1):18-28  Chen HE1, Yovanoff MA, Pepley DF, Sonntag CC, Mirkin KA, Han DC, Moore JZ, Miller SR. Can Haptic Simulators Distinguish Expert Performance? A Case Study in Central Venous Catheterization in Surgical Education. Simul Healthc. 2019 Feb;14(1):35-42.     And Ben introduced the April paper  Hollingsworth, C., Wesley, C., Huckridge, J., Finn, G. and Griksaitis, M. (2017). Impact of child death on paediatric trainees. Archives of Disease in Childhood, 103(1), pp.14-18.    So we’ll be back at the end of April with our wrap – join the discussion at simulationpodcast.com    Victoria  

Our final podcast from IMSH starts with a deep dive in to how simulation might help us ‘train’ more comprehensive leadership skills and behaviours – not just in the resus room, but rather in quality improvement and change management. @davidgrantsim , President of @SESAMSimulation , spoke to Vic on the topic.   Ben then turned our attention to followership and interviewed Jannet Lee-Jararam and Benjamin Berg from @SIMTIKI_HI in Honolulu.  We loved hearing from delegates at #IMSH2019 and @AmyZhengMD from @UCSDMedSchool kindly volunteered to be interviewed, and spoke about how IMSH had changed in the time she had been attending.   To wrap up – Ben and Vic reflect on their take home lessons from #IMSH2019. See you next year in California ! 

Ben and Vic discuss the paper of the month, including expert commentary from Ann Mullen (@keepsimsafe)  Schroeder J, O'Neal C, Jagneaux T. “Practically Saline”. J Investig Med High Impact Case Rep. 2015;3(4):2324709615618980 PMID 26663812.  And we talked about a few other sim papers across a range of topics and research methods,   Bearman, M. , Greenhill, J. and Nestel, D. (2019), The power of simulation: a large‐scale narrative analysis of learners’ experiences. Med Educ. doi:10.1111/medu.13747  Gardner AK, Abdelfattah K Getting better all the time? Facilitating accurate team self-assessments through simulation BMJ Simulation and Technology Enhanced Learning Published Online First: 12 January 2019. doi: 10.1136/bmjstel-2018-000411  O’Shea CI, Schnieke-Kind C, Pugh D, et al The Meta-Debrief Club: an effective method for debriefing your debrief BMJ Simulation and Technology Enhanced Learning Published Online First: 02 February 2019. doi: 10.1136/bmjstel-2018-000419  (and check them out at @MetaDebriefClub)    And Ben introduced the March paper  Fraser, K., Meguerdichian, M., Haws, J., Grant, V., Bajaj, K., & Cheng, A. (2019). Cognitive Load Theory for debriefing simulations: implications for faculty development.  So we’ll be back at the end of March with our wrap – join the discussion at simulationpodcast.com