Simulcast

Simulation-based research in emergency medicine in Canada  For this ‘pause and discuss’ episode, I was joined by Dr. Tim Chaplin - an ‘emerg doc’ (as they say in Canada) and Assistant Professor at Queen’s University, Kingston, Canada.   Tim is also the Simulation Lead for the Department of Emergency Medicine. His research interests are in simulation-based education and resuscitation medicine. He has developed a simulation-based trauma education program for resident Trauma Team Captains as well as the Nightmares Course for junior residents covering in-patient call.  I wanted to interview Tim after seeing him at a poster presentation on Boston recently, and was impressed by how he’d managed to bring together a large and geographically diverse group, to undertake a national snapshot of simulation-based research in Canada.  We mention a range of topics including the outcomes of the 2017 SAEM Academic Emergency Medicine Consensus Conference: Catalyzing System Change Through Healthcare Simulation: Systems, Competency, and Outcomes  We look forward to hearing more from Tim and his team in the future. 

Simulcast Journal Club podcast July 2018 episode    Ben and Vic discuss the paper of the month, including expert commentary from Steph Barwick (@InSituSteph)  J. Grant, T. Robinson, H. Catena, W. Eppich & A. Cheng (2018) Difficult Debriefing Situations : A toolbox for simulation educators” Medical Teacher, DOI: 10.1080/0142159X.2018.1468558   And we talked about a few other sim papers across a range of topics and research methods,   Bajaj K, Minors A, Walker K, Meguerdichian M, Patterson M. "No-Go Considerations" for In Situ Simulation Safety. Simul Healthc. 2018 Jun;13(3):221-224.     Walsh, Chloe, MSc; Lydon, Sinéad, PhD; Byrne, Dara, MMEd Ed; Madden, Caoimhe, MSc; Fox, Susan, PhD; O'Connor, Paul, PhD The 100 Most Cited Articles on Healthcare Simulation: A Bibliometric Review. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: June 2018 - Volume 13 - Issue 3 - p 211–220  (#FOAMsim)    Verkuyl, M., Lapum, J. L., Hughes, M., McCulloch, T., Liu, L., Mastrilli, P., Romaniuk, D., & Betts, L. (2018, July). Virtual gaming simulation: Exploring self-debriefing, virtual debriefing, and in-person debriefing. Clinical Simulation in Nursing, 20, 7-14. (#FOAMsim)      So we’ll be back at the end of August with our wrap – join the discussion at simulationpodcast.com    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. & Cheng, A. (2018). “Charge nurse facilitated clinical debriefing in the emergency department.” CJEM, 1-5. doi:10.1017/cem.2018.369.   And we talked about a few other sim papers across a range of topics and research methods, including simulation educators’ qualifications and transformative experiences, and sim for improving telephone conversations in healthcare   Gardner, Aimee K. et al. Entrustable Professional Activities (EPAs) for Simulation Leaders: The Time Has Come. Journal of Surgical Education, 2018 Dieckmann, M. Birkvad Rasmussen, S. B. Issenberg, E. Søreide, D. Østergaard & C. Ringsted (2018): Long-term experiences of being a simulation-educator: A multinational interview study, Medical Teacher, DOI: 10.1080/0142159X.2018.1471204 Walter J. Eppich, Jan-Joost Rethans, Timothy Dornan & Pim W. Teunissen. (2018): Learning how 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

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 

Sim OPS 2018  July 26-28, 2018, Portland, Oregon  SimOps is a healthcare simulation training and education event for operations and technical professionals. The conference attracts 200+ professionals to participate in workshops, hand-on sessions, leadership discussions and networking events.  In this ‘pause and discuss’ I am joined by David Biffar, Assistant Director, Operations, from the Arizona Simulation Technology & Education Center (ASTEC), University of Arizona, College of Medicine   He told us about the conference and what to expect -  the theme this year is professional development through both available courses and the networking opportunities that inherent in a conference designed specifically for the simulation operations specialist (SOS).  Registration and information here - http://www.ssih.org/Events/SimOps-2018 

In this episode of our continuing collaboration with Advances in Simulation, Jesse takes the helm as we put Victoria in the guest seat with Glenn Posner, to discuss their recent publications in Advances.   The articles for discussion were both published in the second half of 2017. ‘Simulation in the clinical setting: towards a standard lexicon’. by Glenn Posner, Marcia Clark and Vincent Grant. https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-017-0050-5   ‘Translational Simulation: not ‘where?’ but ‘why?’ A functional view of in situ simulation. By Victoria Brazil. https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-017-0052-3   We traverse the subject of how terminology sets expectation and the importance of being precise when establishing the goals and expected outcomes and matching the right modality to achieve success. Enjoy.

Ep. 12  Rapport with Jenny Rudolph.    So we all need to get along in simulation debriefing, right?  So easy to say, and yet rapport building can be difficult in any group, let alone one that has just been confronted with their own performance  Jenny Rudolph from the Center for Medical Simulation was our guest in discussing this concept, prompted by a recent article and editorial in Simulation in Healthcare.  In our discussion, we step through the ‘rapport framework’ - face sensitivities, sociality rights, interactional goals - and how it might apply to our debriefing conversations. We reflected on many of the concepts discussed in our first interview with Jenny on psychological safety.  http://simulationpodcast.com/2016/10/14/ep-4-safe-container-simulation/  Jenny offered theoretical insights from Carl Rogers and Milton Erickson, as well discussion of as a more contemporary take from Kim Scott in Radical Candor.  We discussed how voice and body language contribute enormously to rapport, and finish with conjecture about who to mange cultural differences in debriefing conversations. We touched on Peter Dieckmann’s work in this area as highlighted on Simulcast Journal club - http://simulationpodcast.com/2017/10/03/simulcast-journal-club-podcast-8-september-wrap/   And more recently as published here    References  Auerbach, Marc Cheng, Adam Rudolph, Jenny W. Rapport Management: Opening the Door for Effective Debriefing. Simulation in Healthcare: February 2018 - Volume 13 - Issue 1 - p 1–2  https://journals.lww.com/simulationinhealthcare/Fulltext/2018/02000/Rapport_Management__Opening_the_Door_for_Effective.1.aspx  Loo ME, Krishnasamy C, Lim WS. Considering face, rights and goals: a critical review of rapport management in facilitator-guided simulation debriefing approaches. Simul Healthc 2018;13(1):53–61.  https://www.ncbi.nlm.nih.gov/pubmed/29076968                   

Ben and Vic discuss the paper of the month.  Kumar A, Sturrock S, Wallace EM, et al. Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study. BMJ Open 2018;8:e017451. doi:10.1136/bmjopen-2017-017451    And a few other sim papers across a range of topics and research methods, all in the theme of ‘measurement’.  Jiang, Bailin; Ju, Hui; Zhao, Ying; Yao, Lan; Feng, Yi. Comparison of the Efficacy and Efficiency of the Use of Virtual Reality Simulation with High-Fidelity Mannequins for Simulation-Based Training of Fiberoptic Bronchoscope Manipulation. Simulation in Healthcare: April 2018 - Volume 13 - Issue 2 - p 83–87. doi: 10.1097/SIH.0000000000000299  Seelandt JC, Grande B, Kriech S, et al DE-CODE: a coding scheme for assessing debriefing interactions BMJ Simulation and Technology Enhanced Learning Published Online First: 08 November 2017. doi: 10.1136/bmjstel-2017-000233  Pawar S, Jacques T, Deshpande K, et al. Evaluation of cognitive load and emotional states during multidisciplinary critical care simulation sessions. BMJ Simulation and Technology Enhanced Learning Published Online First: 07 December 2017. doi:10.1136/bmjstel-2017-000225    Next month Ben is off on a holiday…..   So we’ll be back with journal club in June, when we’ll also be coming to you from Bilbao Spain for SESAM conference!  Vic   

Ben and Vic discuss the paper of the month.  Eppich, W. and Cheng, A. (2015). Promoting Excellence and Reflective Learning in Simulation (PEARLS). Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 10(2), pp.106-115.    And a few other sim papers across a range of topics and research methods.  1. Snelgrove H, Fernando A Practising forethought: the role of mental simulation BMJ Simulation and Technology Enhanced Learning Published Online First: 29 January 2018. doi: 10.1136/bmjstel-2017-000281 Lorello, G., Hicks, C., Ahmed, S., Unger, Z., Chandra, D., & Hayter, M. (2016). Mental practice: A simple tool to enhance team-based trauma resuscitation. CJEM, 18(2), 136-142. doi:10.1017/cem.2015.4   McNaughten B, Hart C, Gallagher S, et al. Clinician’s gaze behaviour in simulated paediatric emergencies. Archives of Disease in Childhood Published Online First: 07 March 2018. doi: 10.1136/archdischild-2017-314119   Greenwood K, Ewell S. Faculty development through simulation-based education in physical therapist education. Advances in Simulation 2018 3:1 https://doi.org/10.1186/s41077-017-0060-3   Note – for a better discussion of phenomenology than I provide on the podcast….. https://icenetblog.royalcollege.ca/2018/02/13/appliedmededmethods101-phenomenography-to-understand-how-something-can-be-understood/    Next month Ben Invites us to join the April discussion of an evaluation paper   Kumar A, Sturrock S, Wallace EM, et al. Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study. BMJ Open 2018;8:e017451. doi:10.1136/bmjopen-2017-017451    Looking forward to another great discussion   Vic 

Ben and Vic discuss the paper of the month.  Hicks, C. and Petrosoniak, A.   “The Human Factor : Optimising Trauma Team Performance in Dynamic Clinical Environments ”  Emergency Medicine Clinics of North America, 36(1), pp.1-17    And a few other sim papers across a range of topics and research methods.  Jessica B. Stokes-Parisha,Robbert Duvivier, Brian Jolly. Investigating the impact of moulage on simulation engagement — A systematic review. Nurse Education Today 64 (2018) 49 - 55https://doi.org/10.1016/j.nedt.2018.01.003    McGrath BA,Doherty C, Moore JA, et al. The role of high-fidelity simulation in designing emergency airway management algorithms: the experience of the UK National Tracheostomy safety project, BMJ STEL Published Online First 2017 doi:10.1136/bmjstel-2017-000267    Katie A.Haerling. Cost-Utility Analysis of Virtual and Mannequin-Based Simulation. Sim Healthcare 13:34–41, 2018    Dennis T.Hsieh ,  Wendy C. Coates. Poverty Simulation: An Experiential Learning Tool for Teaching Social Determinants of Health. AEM Education and Training 2018;2:51–54.    Next month Ben Invites us to join the March discussion of a classic paper   Eppich, W. and Cheng, A. (2015). Promoting Excellence and Reflective Learning in Simulation (PEARLS). Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 10(2), pp.106-115.     Looking forward to another great discussion   Vic