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Education

A podcast dedicated to the discussion of healthcare simulation. Debunking dogma, demystifying jargon and translating knowledge. Hosted by Victoria Brazil, Jesse Spurr & Ben Symon

Episodes

Ben and Vic discuss the paper of the month, including expert commentary from Stuart Rose. 

Hollingsworth, C., Wesley, C., Huckridge, J., Finn, G. and Griksaitis, M. (2017). Impact of child death on paediatric trainees. Archives of Disease in Childhood, 103(1), pp.14-18. 

 

And we talked about a few other sim papers across a range of topics and research methods 

Goldshtein D, Krensky C, Doshi S, et al In situ simulation and its effects on patient outcomes: a systematic review BMJ Simulation and Technology Enhanced Learning Published Online First: 05 April 2019. doi: 10.1136/bmjstel-2018-000387 

Petrosoniak A, Almeida R, Pozzobon LD, et al. Tracking workflow during high-stakes resuscitation: the application of a novel clinician movement tracing tool during in situ trauma simulationBMJ STEL2019;5:78–84.  (Open Access) 

Ann L. Butt, Suzan Kardong-Edgren, Anthony Ellertson. Using Game-Based Virtual Reality with Haptics for Skill Acquisition, Clinical Simulation in Nursing, Volume 16, 2018, Pages 25-32, 

 

And Ben introduced the paper for June. 

Eve Purdy, Charlotte AlexanderMelissah Caughley, Shane Bassett, Victoria BrazilIdentifying and Transmitting the Culture of Emergency Medicine Through Simulation. AEM Education and Training 2019; 3: 118– 128 (Open access) 

 

So we’ll be back at the end of June with our wrap – join the discussion at simulationpodcast.com 

 

Victoria  

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‘Non-technical skill’ is not a great term for the range of skills and behaviours we expect of our healthcare professionals. It also belies a not so subtle hierarchy of skills where ‘hard’, technical, ‘medical expertise’ are afforded primacy, sometimes to the detriment of our patient care. 

Our latest collaborative podcast with Advances in Simulation features an editorial - Words matter: towards a new lexicon for ‘nontechnical skills’ training by Paul Murphy, Debra Nestel and Gerry Gormley. 

In this podcast I was joined by Paul Murphy from Queens University Belfast, the lead author of the article, as well as Pamela Andreatta, who was part of a group who authored a similarly themed article in 2011. 

We discussed words, culture, drama, impression management and values in health professional education and simulation.  

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Another debriefing course! Who benefits? 

Kristian Krogh, Albert Chan, and Nancy McNaughton 

 

Many health professional educators attend courses on simulation debriefing, but do they actually perform better as simulation debriefers as a result?  

Writing in Advances in SimulationKristian Krogh (@DrKrogh), Albert Chan (@gaseousXchange) and Nancy McNaughton (@uto_nancy) provoke us to consider this issue in their commentary - Another debriefing course! Who benefits? 

In this next instalment in our collaboration with Advances in Simulation, I spoke with Kristian and Nancy about the article. They suggest that high quality debriefing courses are not enough, and that we need to think more transfer to our local contexts, with a community of practice for peer feedback and support 

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Ben and Vic discuss the paper of the month, including expert commentary from Jack Matulich.  

Fraser, K., Meguerdichian, M., Haws, J., Grant, V., Bajaj, K., & Cheng, A. (2019). Cognitive Load Theory for debriefing simulations: implications for faculty development. 

 

And we talked about a few other sim papers across a range of topics and research methods 

Turton, D. , Buchan, K. , HallJackson, M. and Pelletier, C. (2019), Simulation: the power of what hurts. Med Educ, 53: 326-328.  

Chancey RJ1, Sampayo EM, Lemke DS, Doughty CB. Learners' Experiences During Rapid Cycle Deliberate Practice Simulations: A Qualitative Analysis. Simul Healthc. 2019 Feb;14(1):18-28 

Chen HE1, Yovanoff MA, Pepley DF, Sonntag CC, Mirkin KA, Han DC, Moore JZ, Miller SR. Can Haptic Simulators Distinguish Expert Performance? A Case Study in Central Venous Catheterization in Surgical Education. Simul Healthc. 2019 Feb;14(1):35-42.  

 

And Ben introduced the April paper 

Hollingsworth, C., Wesley, C., Huckridge, J., Finn, G. and Griksaitis, M. (2017). Impact of child death on paediatric trainees. Archives of Disease in Childhood, 103(1), pp.14-18. 

 

So we’ll be back at the end of April with our wrap – join the discussion at simulationpodcast.com 

 

Victoria  

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Our final podcast from IMSH starts with a deep dive in to how simulation might help us ‘train’ more comprehensive leadership skills and behaviours – not just in the resus room, but rather in quality improvement and change management. @davidgrantsim , President of @SESAMSimulation , spoke to Vic on the topic.  

Ben then turned our attention to followership and interviewed Jannet Lee-Jararam and Benjamin Berg from @SIMTIKI_HI in Honolulu. 

We loved hearing from delegates at #IMSH2019 and @AmyZhengMD from @UCSDMedSchool kindly volunteered to be interviewed, and spoke about how IMSH had changed in the time she had been attending 

To wrap up – Ben and Vic reflect on their take home lessons from #IMSH2019. See you next year in California ! 

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Ben and Vic discuss the paper of the month, including expert commentary from Ann Mullen (@keepsimsafe) 

Schroeder J, O'Neal C, Jagneaux T. “Practically Saline”. Investig Med High Impact Case Rep. 2015;3(4):2324709615618980 PMID 26663812. 

And we talked about a few other sim papers across a range of topics and research methods 

Bearman, M. , Greenhill, J. and Nestel, D. (2019), The power of simulation: a largescale narrative analysis of learners experiences. Med Educ. doi:10.1111/medu.13747 

Gardner AK, Abdelfattah K Getting better all the time? Facilitating accurate team self-assessments through simulation BMJ Simulation and Technology Enhanced Learning Published Online First: 12 January 2019. doi: 10.1136/bmjstel-2018-000411 

O’Shea CI, Schnieke-Kind C, Pugh D, et al The Meta-Debrief Club: an effective method for debriefing your debrief BMJ Simulation and Technology Enhanced Learning Published Online First: 02 February 2019. doi: 10.1136/bmjstel-2018-000419 

(and check them out at @MetaDebriefClub) 

 

And Ben introduced the March paper 

Fraser, K., Meguerdichian, M., Haws, J., Grant, V., Bajaj, K., & Cheng, A. (2019). Cognitive Load Theory for debriefing simulations: implications for faculty development. 

So we’ll be back at the end of March with our wrap – join the discussion at simulationpodcast.com 

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Our third podcast from IMSH starts with a focus on disruptive innovation, big data and artificial intelligence, based on the opening plenary by Joel Selanikio (@jselanikio) who also gave a TeD talk on the topic. Vic had a fan girl moment speaking to Ron Harden, living legend of medical education and General secretary of AMEE, abut his reactions to the talk.  

We also spoke to Yue Dong (@dongyue), one of the conference organisers, for his reflections. 

Ben finished the day with a chat with Suzie Kardong-Edgren (@SuzieEdgren) about Tag Team Patient Safety Simulation

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Our second podcast from #IMSH2019 features a deep dive on Rapid Cycle Deliberate Practice with Bram Welch-Horan (@DrBramPedsER ), and some reflections on the topic from Belinda Lowe (@Belinda_J_Lowe ), Bond University Simulation Fellow. 

We then shifted focus to research and publishing in simulation with Michelle Kelly (@KellyKelmich )   summarising the session on ‘Articles of Influence’, and Sharon Muret-Wagstaff , one of the associate editors of Simulation in Healthcare, giving us some tips on how to be a peer reviewer. 

Ben and Vic reflect on other parts of Day 2, especially the morning plenary by Sir Ken Robinson, who inspired us to think about creativity and learning. Join the 56 million people who have watched his TeD talk on the topic here. Play more!  

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In this special edition of Simulcast, we feature three articles on simulation applied to point of care ultrasound (POCUS).  Vic visited the team at Thomas Jefferson University Hospital Ultrasound Division (@jeff_sono) in Philadelphia, led by Dr Resa E. Lewiss (@ultrasoundREL)   

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Resa chose 3 articles for us to review, each focused on different aspects of using simulation for POCUS education. These have obvious relevance for those who use ultrasound at the bedside, but anyone using simulation for clinical skills training will find our discussion interesting. 

The papers:- 

  1. Mackay FD, Zhou F, Lewis D, Fraser J, Atkinson PR. Can You Teach Yourself Point-of-care Ultrasound to a Level of Clinical Competency? Evaluation of a Self-directed Simulation-based Training Program. Cureus. 2018;10(9):e3320. Published 2018 Sep 17. doi:10.7759/cureus.3320 
  1. Chetioui, A., Masia, T., Claret, P.-G., Markarian, T., Muller, L., Lefrant, J. Y., … Bobbia, X. (2018). Pocket-sized ultrasound device for internal jugular puncture: A randomized study of performance on a simulation model. The Journal of Vascular Access. https://doi.org/10.1177/1129729818812733 
  1. Fikri M. Abu-Zidan and Arif Alper Cevik. Kunafa knife and play dough is an efficient and cheap simulator to teach diagnostic Point-of-Care Ultrasound (POCUS). World Journal of Emergency Surgery 2019. 14:1 

On the podcast I am joined by Resa Lewiss, Zack Risler (@zrisler), Kelly Goodsell (@k_goodsell), Dan MIrsch (@DanMirsch), Mark Magee (@markamagee), Arthur Au (@arthurkau), and Rishi Kalwani (@RishiKalw) 

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Ben and Vic at IMSH – podcast one 

 

The International Meeting for Simulation in Healthcare (IMSH) is the biggest sim conference in the world. This year it was held in San Antonio, Texas, USA and Simulcast was a podcast partner for the meeting. Over the next few weeks, we’ll release five podcasts of conference highlights. 

Ben and Vic interview speakers, attendees, organisers, researchers, tech gurus and educators, and bring you some of our perspectives on what are useful lessons for our simulation practice. 

I this first instalment, we hear from the incoming president of the Society for Simulation in Healthcare (SSH), KT Waxman (@KTWaxman). Ben interviewed an enthusiastic Komal Bajaj (@KomalBajajMD) about the Women in Leadership pre-conference activity, and James Leung (@drjscleung)  from the Impacts group on paediatric simulation research. 

We heard more from our friend Stuart Rose (@INFOdebriefing) on clinical debriefing, and reflected on the opening plenary.  

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