“How can we push the boundaries of healthcare simulation research, leading to new insights and innovations?”

 Advances in Simulation has announced a new thematic series. Methodological Innovations in Healthcare Simulation Research is “seeking manuscripts that challenge our collective thinking about how to conceptualise, frame, study, and theorise simulation in health and social care article type, in order to help advance our thinking about simulation research.”

 In this short episode, Vic speaks with Professor Walter Eppich about the thematic series, and explores examples of methodologic innovations in simulation. A deeper dive can also be found in the accompanying editorial from Walter and Advances Editor in Chief Gabriel Reedy. We look forward to reading and discussing the submissions in this series!

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Ben and Vic offer a short discussion about the self development modules created by a global team of simulation fellows. Ben explains his motivation in leading the project, and explains how simulation practitioners can use the modules for their own professional development. Peer learning, collaboration, and more. Modules can be found here, and feedback and reflections welcome. 

Ben and Vic were back for the July Simulcast Journal Club, with four interesting articles.  

Imposters was our first topic – and the prevalence of imposter syndrome among simulation faculty. (and take the chance to look at the IJOHS while you’re on their site) We followed with a paper about anxiety and performance in pre-hospital care students undergoing simulation based assessment. 

We enjoyed talking about the nuanced challenges and strategies for debriefing interprofessional simulation, and finished with a discussion of calculating cost effectiveness for simulation-based quality improvement projects. 

As mentioned on the podcast – express your interest for our Simulation:Reconnect event in November. Registrations open in August. 

Happy listening 

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Most of us would like to improve our simulation debriefing skills, but data informed feedback on our debriefing performance is hard to find. Maybe Andrew Coggins and colleagues are helping us change all that? Maybe there are metrics and measures of our debriefing performance that can help? 

In this conversation, Vic speaks with Andrew Coggins about his recent Advances article Immediate faculty feedback using debriefing timing data and conversational diagrams. In this work, the team “explored the use of recording length of contributions during debriefings and use of conversational diagrams as a means of assessment of debriefing performance”. 

They build on work from Peter Dieckmann in 2009 who described “The art and science of debriefing in simulation: Ideal and practice” relationships in diagram form between participants, as well as a simple chess clock for the timing data. 

This is an interesting chat that might just change your debriefing practice. 

Happy listening 

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Who is @sim_brick on Twitter?  

Vic, Ben and Jess discuss the big issues on the May Simulcast Journal Club.  

We started on a more serious note – and discussed articles on working with simulated patients to assess the quality of healthcare, and using Forum Theatre to help healthcare professions manage patients who have suffered domestic abuse. We then talked about learning curves, and a systemic review looking at their use and reporting in healthcare simulation research. For another review of that article pop over to the Key Lime podcast for their take. 

We finished up with a paper highlighting the use of Lego Serious Play for training in debriefing. And that led us to wonder #whois@sim_brick … 

Happy listening! 

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Disclaimer: We discuss a commercially available product in this episode. Simulcast nor any of the team received any incentive, financial or otherwise, for hosting, recording or producing this episode and were not influenced in the questions selected.

I was thrilled to be joined by two amazing guests to explore a space in the expanding world of virtual simulation for nursing education. Welcome to Simulcast Julie Stegman Vice President of the Nursing Segment of the Health Learning, Research & Practice (HLRP) business at Wolters Kluwer, and Professor Jacqueline Semaan, Simulation and Nursing Skills Lab Coordinator and Nursing Faculty at Lake Superior School of Nursing.

We discussed the socio-political context around gaps and need in nursing education and then dived into the development and early evaluation of the vSim package, all the while drawing extensions to broader opportunities.

Enjoy the chat. Cheers, Jesse

Deception was one theme in our Simulcast Journal Club for April. We started with a conceptual paper discussing ‘positive’ deception in simulation, and considering the relationship between deception and fidelity in our simulation design. We followed with an RCT on ‘speaking up’ in anaesthesia crises which sought to explore how deception might be necessary or justified if we need ‘sociological fidelity’ (recreating hierarchies and power dynamics) in our scenarios. 

 We then discussed an article on 360 degree VR sim, the use of measures of parasympathetic stimulation, and the nuances of non-inferiority studies.  Our last paper looked at research priorities for healthcare simulation, using a Delphi methodology. 

Thanks to those who contributed this research. 

Happy listening ! 

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Simulcast Journal Club March 2022 

Ben and Vic talk through 4 papers this month; Ethical considerations when conducting active short simulations in healthcare, computer modelling simulations for COVID public health policy, professional identity formation during a neonatology boot camp (with clarification that is not a training session for babies to do push ups), and the INACSL standards of best practice in scenario design. 

Happy listening!  

Vic speaks with Eve Purdy about their recent paper in Advances in Simulation - Taking simulation out of its “safe container”—exploring the bidirectional impacts of psychological safety and simulation in an emergency department. We talk about the shared experience of many simulation educators that led to the research question – How does psychological safety in the workplace affect that experienced in the ‘sim space’ and how does that leak back in turn? Eve describes the methods and findings, and refers to the wealth of literature on psychological safety in simulation that this paper builds upon – research by Roison O’Donovan, Jenny Rudolph’s foundational ‘safe container article, Michaela Kolbe’s work on the ‘dynamic balancing act’ in simulation debriefing and more. 

The episode includes quotes and audio snippets from simulation colleagues – Ben Symon, Chris Roussin, Jenny Rudolph, Walter Eppich and Michaela Kolbe. 

For more on psychological safety in simulation and the workplace – these prior simulcast episodes on the ‘safe container’ and ‘rapport’ might be of interest, together with Eve’s recent talk to RCEM on psychological safety in emergency medicine. 

This is the latest in our Simulcast collaboration with Advances in Simulation – an open access Simulation Journal. Thanks also to the teams at Gold Coast Health Emergency Department and to the Emergency Medicine Research Foundation who provided grant funding for the study  

Calling for help by junior medical staff is frequently a focus of healthcare simulation activities, but our first paper highlights how the impact is perhaps more complex than we have previously realised, and there is real risk of harm. We then looked at a paper describing the development of the marvellous LIFE App for neonatal resuscitation in LMIC countries – including drawing upon human centred design principles and project management methodology.  Simulation Fellowships and the advantages and disadvantages of accreditation came under the spotlight in a debate article that reported on a session from the 2022 IMSH conference.  

And we finished with a fascinating look at ‘team neurosynchrony’ during laparoscopic surgical simulation – high performing teams tend to have synchronous pupillary dilatation during surgery, likely evidence of a shared understanding of the cognitive load at any moment. Yes really! 

Happy listening!