Simulcast

Ben and Vic are joined by Eve Purdy this month to discuss the UK national strategy for simulation, how to prepare for for systems-based simulation (the ‘pre-work phase’) , cultural consideration in simulation debriefing, and how simulations in ACLS training may perpetuate gender bias in emergency medicine.  We give a shout out to ASPiH, the UK based learned sociality for healthcare simulation, and their conference in November 2021.  Ben impresses again with his tun of phrase including the ‘visual haiku’, ‘framework mashups’ and ‘paragraph of Purdy’.  Happy listening and look forward to next month! 

 In this episode Ben shares a lecture he’s given at The Prince Charles Hospital about his journey as an educator and the ways that some of simulation’s foundational concepts have influenced his practice outside of educational spaces.  Through an exploration of psychological safety, above the table negotiation and cultural compression, he invites us to reflect on the ways we generate trust in healthcare, how our words connect us to our colleagues, and how simple acts like clinical handover can impact how we see ourselves and each other.    References :   Edmondson, Amy C. Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. Jossey-Bass, 2012.   Rudolph, J., Raemer, D. and Simon, R., 2014. Establishing a Safe Container for Learning in Simulation. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 9(6), pp.339-349.  Cheng, A., Palaganas, J., Eppich, W., Rudolph, J., Robinson, T. and Grant, V., 2015. Co-debriefing for Simulation-based Education. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 10(2), pp.69-75.  Purdy, E., 2021. Simulation and Cultural Compression. [online] ICE Blog. Available at: [Accessed 22 May 2021].  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.       

Ben and Vic dive into video supported feedback of actual resuscitations in this months Simulcast Journal Club. We review 2 papers on the topic - Filming for auditing of real-life emergency teams: a systematic review - and a case study of a Canadian emergency department experience - Ethical, legal and administrative implications of the use of video and audio recording . In reading these we reflect on the use of video for simulation debriefing, and the challenge of finding good evidence to guide our practice.   We chat about 2 other articles focuses on debriefing for systems improvement and on team performance under stress.  Vic suggests we take a look at a UK document outlining a national simulation strategy that might be of interest  Happy listening and look forward to next month! 

Vic is joined by Susan Eller to review the highlights form the recent SESAM (Society for Simulation in Europe) conference. They pick our messages from the keynote speakers including Vicki LeBlanc, Patrea Andresen, Cristina Diaz-Navarro, and Doris Ostergaard. There are also some reflections on how to run a great virtual conference, and trends in using simulation for systems. Congrats to Marc Lazarovici , SESAM President, and the team 

Translational sim in Action  In this episode we consider another Advances in Simulation article - Translational simulation: from description to action  Ben talks with authors Chris Nickson, Steph Barwick and Vic Brazil, and draws out the principles and processes for translational simulation. Chris illustrates the approach describing his own work in ECMO in intensive care   

This month Ben and Vic discuss articles about engaging with children, parents and caregivers in healthcare simulation - as educators, as simulated patients and as learners in sim.  Ben shares his own experience in  partnering with consumers , and of others in developing “paediatric patient-focused and family-focused simulations”  Vic reviews a qualitative exploratory analysis of simulation educators perspectives in working with Child and adolescent simulated patients (CASPs), and the experience of the Boston Children’s hospital in their Ready, Sim Go: an adapted simulation service line for patients and care givers.    Next month – we’re talking all things video, specifically - Video Supported Feedback of Actual Resuscitations.  

n our latest episode in the collaboration with Advances in Simulation, Vic speaks with Christina Condon and Suzanne Gough, two of the authors on a recent paper on VR simulation for clinical care of patients with respiratory conditions. We talk about research process, VR modalities, systematic reviews and meta-analyses, and future direction for research in the field of VR simulation for both education and clinical practice.   Suzanne is Associate Dean Learning and Teaching and Associate Professor of Physiotherapy at Bond University, Australia, and Christina is a recent Doctor of Physiotherapy student from Bond University 

This month Ben and Vic review a landmark paper on fidelity in simulation -   Hamstra S, Brydges R, Hatala R et al. Reconsidering Fidelity in Simulation-Based Training. Academic Medicine 2014;89:387-392.  – and attempt to summarise the excellent discussion this month. Reconsidering our terminology and renewing our focus on learning tasks were recurring themes.    Our next paper continues in in the theme - Is that realistic? The development of a realism assessment questionnaire and its application in appraising three simulators for a gynaecology procedure, by Wilson et al. in Advances in Sim 2018  We then took a brief look at two other papers – considering virtual reality simulation for stress inoculation training for resuscitation team leaders, and a challenging look at adverse event analysis and psychological safety in simulation faculty development.  For March – join the discussion about partnering with consumers in developing “paediatric patient-focused and family-focused simulations”  Come and join the discussion! 

Welcome back to Simulcast Journal Club for 2021.   This month Ben and Vic review 3 papers of interest – more on COVID sim, but this time involving healthcare consumer engagement, a description of Peer assisted learning in medical student simulation , and a systematic review of simulated based team training in EM and acute case.  We also invited Eve Purdy along for some comments on the last of those.  The papers…  Christodoulides N, Duggan WP, Dalrymple KR. COVID-SIM: building testing capacity through public engagement with healthcare simulation. BMJ Simulation and Technology Enhanced Learning 2021;7:52-53.  Nunnink L, Thompson A, Alsaba N, et al. Peer-assisted learning in simulation-based medical education: a mixed-methods exploratory study. BMJ Simulation and Technology Enhanced Learning Published Online First: 16 December 2020. doi: 10.1136/bmjstel-2020-000645  Weile, J., Nebsbjerg, M.A., Ovesen, S.H. et al. Simulation-based team training in time-critical clinical presentations in emergency medicine and critical care: a review of the literature. Adv Simul 6, 3 (2021). https://doi.org/10.1186/s41077-021-00154-4  Next month  - we’re talking fidelity and functional task alignment - with a classic paper to consider. Read and join the discussion here. 

This month Ben ad Vic were joined by Steph Barwick from Mater education. We discussed  Making the invisible visible: a place for utilizing activity theory within in situ simulation to drive healthcare organizational development?  by Gerry Gormley and the team from Queens University Belfast. It’s a deep theoretical dive, but great food for thought. We weren’t sure we did the article justice, so Gerry himself kindly sent us his thoughts and they’re in the podcast as well !  We also reviewed two other papers – one looking at the link between self efficacy and observed performance in neonatal resuscitation, and another exploring the construct of psychological safety in medical education. Safe or soft?   Thanks for another great year of journal club and looking forward to next year!  Happy holidays