Simulcast

Dive into a fascinating exploration of simulation training in healthcare. Discover the complexities of assessing its impact on medical education and the unexpected outcomes that arise. Delve into a five-step guide for designing effective simulations after critical events. The challenges of implementing the TORC debriefing tool highlight the need for continuous improvement. With a light touch of humor, the hosts share insights on research methodologies and future adventures, including a Norwegian twist!

Taylor, T., Columbus, L., Banner, H. et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication in the face of medical error and professionalism lapses. Adv Simul 9, 17 (2024). https://doi.org/10.1186/s41077-024-00293-4    We know that speaking up is good for patient safety, but hard to do, and that training may not be effective in altering behaviour in the face of hierarchy and cultural barriers. In this article, Taryn Taylor and her research team suggest that indirect, subtle challenges are less well understood and may have more value than we’ve appreciated. And maybe patent presence might be an important influence on this behaviour?  Taryn Taylor is an OBGYN and simulation practitioner and researcher. She is assistant professor of Obstetrics & Gynaecology at Western University in London Ontario Canada, a graduate of the Uni Ottawa Simulation Fellowship, and has a PhD in Health Professions Education from Maastricht University. As a researcher, most recently she’s focused on using sociological fidelity in simulation to explore the complex social dynamics in healthcare teams that impact care delivery and patient outcomes.  The article is a methodological masterclass, showing us how to create ‘sociologic fidelity’ to allow research of these complex relational phenomena and how to use this ‘simulation primed elicitation approach’ to collect data.  The findings are unsettling but important! Even in the face of error and lapses in patient safety, the communication remained indirect, subtle, and sometimes non-verbal. Study subjects described quite problematic assumptions about their teams, that we must recognise to advance work in this area.  Taryn helps us get the story behind the study and we reflect on how this might translate to a broader educational agenda.  Happy listening!  vb 

Teamwork, EDI, cognitive load, stress testing the cath lab - perennial topics explored in interesting ways. Another great month on Simulcast.  The articles: -  Holgaard, R., Bruun, B., Zingenberg, F. et al. An interview study about how nurses and physicians talk about the same concepts differently. BMC Med Educ 24, 698 (2024).  Mutch, J., Golden, S., Purdy, E. et al. Equity, diversity and inclusion in simulation-based education: constructing a developmental framework for medical educators. Adv Simul 9, 20 (2024).  Wiltrakis, S., Hwu, R., Holmes, S. et al. Debriefer cognitive load during Traditional Reflective Debriefing vs. Rapid Cycle Deliberate Practice interdisciplinary team training. Adv Simul 9, 23 (2024)  Jafri FN, et al. Stress Testing the Cardiac Catheterization Laboratory: A Novel Use of In Situ Simulation to Identify and Mitigate Latent Safety Threats During Acute Airway Management. Simul Healthc. 2024 Apr 1;19(2):75-81.    Happy listening!    And… Date Claimers    The Victorian Translational SIMposium  6th September, Melbourne . Details and registration here     Simulation Reconnect is on again   Bond University, Wednesday 27th November. Registration here  

Vic and Ben reflect on their time at SESAM 2024 in Prague.   We were pleased to release this episode in conjunction with Laerdal’s One Million lives podcast   SESAM is the Society for Simulation in Europe. Their vision is “improved healthcare through simulation. Enabling safe, patient-centred care delivered by a competent and confident healthcare workforce in a well-functioning healthcare system”. The 2024 conference in Prague drew more than 1000 attendees from 63 countries.  Our highlights included   A brilliant keynote from Lisa Brogaard and Tanja Manser on their research program on nontechnical skills in maternity resuscitation teams. Example articles here and here  A research update from Gabe Reedy and Michaela Kolbe (EIC and Senior Editor at Advances in Simulation). This included a focus on the SiREN network within SESAM.  The announcement that Advances in Simulation now has an Impact Factor – its 2.8 ! More on Impact Factor here. Another excellent keynote – from Prague based journalist and science communicator Daniel Stach Exhibitors and industry updates Great short communications - including an update from Jo Park Ross and Marvin Jansen from Capetown, SA, talking about their SHARE initiative - Simulation in Healthcare for African Research and Education. ‘fostering fairness, equity and diversity in research’  http://blogs.uct.ac.za/SHARE/ Our VEMS (Visually Enhanced Mental Simulations) workshop – with Ben’s new resource for VEMS delivery here   Next year – SESAM is in Valencia Spain June 2025! 

Standards and consensus statements. Sim as ‘start-up’. Faculty development for translational simulation. Another great month on Simulcast.  The articles: -  Cristina Diaz-Navarro, Colette Laws-Chapman, Michael Moneypenny, Makani Purva. The ASPiH Standards – 2023: guiding simulation-based practice in health and care. IJOHS 2024  Diaz-Navarro, C., Armstrong, R., Charnetski, M. et al. Global consensus statement on simulation-based practice in healthcare. Adv Simul 9, 19 (2024).  Szabo, R.A., Molloy, E., Allen, K.J. et al. Leaders’ experiences of embedding a simulation-based education programme in a teaching hospital: an interview study informed by normalisation process theory. Adv Simul 9, 21 (2024).  Sharon Clipperton, Leah McIntosh, Sarah Janssens, Benjamin Symon. Designing a faculty development programme for systems-focused translational simulation. IJOHS 2024  Happy listening!    And… Date Claimer  Simulation Reconnect is on again   Bond University, Wednesday 27th November. Registration here  

In our latest Advances in Sim collaborative episode, we explore how translational simulation has evolved in the last 6 years.  Ben interviews the authors of “Translational simulation revisited: an evolving conceptual model for the contribution of simulation to healthcare quality and safety”, Prof Gabe Reedy and our own Prof Victoria Brazil in order to explore their new paper.  Together we discuss how the concepts of Purpose, Process and Conceptual Foundations underpin the strategic design and delivery of projects using translational sim. 

Rating and ranking debriefers and debriefing tools. Systematic reviews in simulation. Clinical debriefing. Simulation saving stroke patients. Contributions and transformation from Taiwanese SPs. Another great month on Simulcast.  The articles: -  Guimbarda, N et al. A Comparison of 2 Debriefing Rubrics to Assess Facilitator Adherence to the PEARLS Debriefing Framework. Simulation in Healthcare: April 24, 2024  Phillips EC, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Quality & Safety 2024;33:187-198.  Aljuwaiser, S. et al. Evaluating the effects of simulation training on stroke thrombolysis: a systematic review and meta-analysis. Adv Simul 9, 11 (2024).  Ho, Yun-Chi et al. Older Taiwanese Volunteers as Standardized Patients: Service Motivation, Identity Formation, and Internal Transformation. Simulation in Healthcare: November 13, 2023    Happy listening!    And… Date Claimer  Simulation Reconnect is on again   Bond University, Wednesday 27th November. Details and early registration to be released shortly. 

Psychotherapy in the debrief room, Sim to improve blood transfusion systems sand safety,  exploring simulation ‘dose’ for maintenance of skills, and comparing student self-assessment with educators and SPs . Another great month on Simulcast.  The articles: -  Drake, G. Drewek, K. “I Hate Sim!”—Using Psychotherapeutic Concepts to Help Educators Attend to Challenging States of Mind During Simulation Prebriefs. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare February 27, 2024.  Dube et al. Harnessing system-focused simulation, debriefing and FMEA to inform healthcare blood transfusion safety and policy. International Journal of Healthcare Simulation. July 2022  Haynes, J.  Rettedal, S. Ushakova, A. Perlman, J. Ersdal, H. How Much Training Is Enough? Low-Dose, High-Frequency Simulation Training and Maintenance of Competence in Neonatal Resuscitation. Simulation in Healthcare: March 6, 2024  Sullivan, C.C., O’Leary, D.M., Boland, F.M. et al. A comparative analysis of student, educator, and simulated parent ratings of video-recorded medical student consultations in pediatrics. Adv Simul 9, 10 (2024).  And…  Don’t forget to register for SESAM. Program and speakers released now. Will be an awesome few days in Prague in June 19th – 21st.    Happy listening    vb 

Demystifying simulators, replacing live tissue training for surgery, exploring uncertainty through simulation, and writing conference abstracts. Another great month on Simulcast.  The articles: -  Goodwin B, Nestel D. Demystifying simulators in healthcare. International Journal of Healthcare Simulation 2024.  Swain C, et al. Trauma surgical simulation: discussing the replacement of live animals used as human patient simulators. Advances in Simulation 2024.  Blissett S, et al. How do residents respond to uncertainty with peers and supervisors in multidisciplinary teams? Insights from simulations with epistemic fidelity. Advances in Simulation 2024.  Sa-Couto C, et al. Writing a research abstract for a conference: 12 tips to excel in your work. International Journal of Healthcare Simulation. 2024  Happy listening    vb 

Mental practice, designing and testing clinical pathways/ cognitive aids and supporting communities of practice in healthcare. Another great month on Simulcast.  The articles: -  Riggs, J., McGowan, M. & Hicks, C. Dream one, do one, teach one: a mental practice script for bougie assisted cricothyrotomy. Can J Emerg Med (2023).   Marshall SD, Sanderson P, McIntosh CA, Kolawole H. The effect of two cognitive aid designs on team functioning during intra-operative anaphylaxis emergencies: a multi-centre simulation study. Anaesthesia. 2016 Apr;71(4):389-404.   Woodward M, Dixon-Woods M, Randall W, et al. How to co-design a prototype of a clinical practice tool: a framework with practical guidance and a case study. BMJ Quality & Safety Published Online First: 12 December 2023  Symon B. and Walker K. Learning in healthcare virtual communities of practice; let’s rethink how we connect and grow. 2023. International Journal of Healthcare Simulation.    Happy listening    vb