Simulcast

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! 

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! 

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  

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.  

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.

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.   Preiksaitis CM, Lee MO, Schertzer K. Creating a Safe Space for Simulation: Is it Time to Stop Calling Them Confederates? Simul Healthc. 2022 Nov 28.   Paul O’Connor, Emily O’Dowd, Sinéad Lydon, Dara Byrne . International Journal of Healthcare Simulation: Developing a strategic plan for a healthcare simulation facility.  Mallory LA, Doughty CB, Davis KI, Cheng A, Calhoun AW, Auerbach MA, Duff JP, Kessler DO. A Decade Later-Progress and Next Steps for Pediatric Simulation Research. Simul Healthc. 2022 Dec 1;17(6):366-376.   Minors AM, Yusaf TC, Bentley SK, Grueso D, Campbell-Taylor K, Harford M, Mehri S, Williams LJ, Bajaj K. Enhancing Safety of a System-Wide In Situ Simulation Program Using No-Go Considerations. Simul Healthc. 2023 Jan 10.   Happy listening! 

Healthcare debriefings have been primarily informed by theories and expert opinions but in this episode Ben explores with Michaela Kolbe how her team took on the remarkable endeavour to code over 18,000 debriefing micro-events from 50 simulation debriefings to uncover the quantitative mysteries inside ‘the black box of debriefing’.  Join us as we explore the evolving evidence on what ‘Advocacy and Inquiry’ actually leads to in a debrief, as well as the surprising impact of praise, paraphrasing and guess what I’m thinking questions.  The paper  Kolbe M, Grande B, Lehmann-Willenbrock N, et al  Helping healthcare teams to debrief effectively: associations of debriefers’ actions and participants’ reflections during team debriefings  BMJ Quality & Safety Published Online First: 28 July 2022. doi: 10.1136/bmjqs-2021-014393 

Ben and Vic round out the Simulcast Journal club year with 4 articles. Listed here with links to the full text versions.   Vadla, M.S., Moshiro, R., Mdoe, P. et al. Newborn resuscitation simulation training and changes in clinical performance and perinatal outcomes: a clinical observational study of 10,481 births. Adv Simul 7, 38 (2022).  Høllesli, L. J., Ajmi, S. C., Kurz, M. W., et al. (2022). Simulation-based team-training in acute stroke: Is it safe to speed up? Brain and Behavior, 12, e2814.  Moore N, Ahmadpour N, Brown M, Poronnik P et al. (1, Supplement SRSIS 1). Designing virtual reality experiences to supplement clinician Code Black education. International Journal of Healthcare Simulation 2022  Alyshah Kaba, Theresa Cronin, Walter Tavares, Tanya Horsley, Vincent J Grant, Mirette Dube. Improving team effectiveness using a program evaluation logic model: case study of the largest provincial simulation program in Canada. International Journal of Healthcare Simulation. 2022;:1-8.    Thank you to all our listeners, and to the authors, reviewers and editors of the articles we’re reviewed.  Happy holidays and see you in 2023 ! 

Hierarchy is pervasive in healthcare, and current strategies to train providers to ‘speak up’ are not enough to overcome the intense challenges that hierarchy creates. In this episode, Vic talks with Taryn Taylor and Adam Garber about their recent articles in Advances in Simulation. Both studies explore the experience of practitioners working in teams managing obstetric emergences. Their studies use clever scenario design and delivery to re-create hierarchy and power gradients, as an example of ‘sociological fidelity’.  Their insights are comprehensive, confronting but deeply resonant for healthcare professionals. We discuss their methods, their findings and what this might mean for simulation being part of the solution to addressing harms caused by hierarchy.  The papers  Pack, R., Columbus, L., Duncliffe, T.H. et al. “Maybe I’m not that approachable”: using simulation to elicit team leaders’ perceptions of their role in facilitating speaking up behaviors. Adv Simul 7, 31 (2022).  Garber, A.B., Posner, G., Roebotham, T. et al. Facing hierarchy: a qualitative study of residents’ experiences in an obstetrical simulation scenario. Adv Simul 7, 34 (2022).