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


Ben Symon covered the “Serious Games” stream at the Australasian Simulation Congress in Sydney. Serious Games “…are those designed for a primary purpose other than pure entertainment”.  

The ASC included the Serious Games Showcase & Challenge – Australasia (SGSCA), with a number of outstanding entrants

Dale Linegar convened the Games section of the ASC. He spoke to Ben about the concept and the competition, including a description of the winner - Opaque Space’s Earthlight – a VR experience of being on the international space station. 

He also interviewed Maureen Winn from HETI who developed the ‘Comprehensive Assessment’ game for the Rural Generalist Nurse online learning program. 

And finally Ben caught up with Brett Levy from Bilbie Virtual Labs, who are taking a new approach to Australian cultural heritage in the Virtual Kumay

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Victoria Brazil and Ben Symon hosted a wrap of Day 3 at the ASC. 

Our coverage starts with a session on “Hands off teaching” with Rod Peadon and David Gillespie from Coffs Harbour. 

We then covered the final health plenary on The future of healthcare simulation, involving some leading figures from the simulation community. Leonie Watterson from Sydney Clinical Skills and Simulation Centre spoke about the RQI program and a possible future of automated assessment. 

Michelle Kelly from Curtin University presented work on the integration of simulation into nursing curricula, from a collaboration that included fellow panel members Phillipa Seaton from University of Otago and Tracey Levitt-Jones from University of Technology Sydney.

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Victoria Brazil interviewed a series of industry exhibitors at the Australasian Simulation Congress in Sydney. 

The podcast featured Graeme Foulds from Laerdal Australia, one of the main meeting sponsors, Charles Henden from the Valley General Hospital Virtual Hospital, and some defence simulation from Lockheed Martin

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ASPE and Simulated Patients with Cathy Smith at ASC 2017 


Simulated Patient methodology has been featured in a number of sessions at the Australasian Simulation Congress in Sydney 

Victoria Brazil spoke with Cathy Smith, the current chair of ASPE – the Association of Standardised Patient Educators  

We discussed some hot topics in human simulation, together with the recently published Standards of Best Practice (SOBP) in Advances in Simulation.

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Day 2 at the Australasian Simulation Congress in Sydney 

Victoria Brazil and Ben Symon hosted a wrap of Day 2 at the ASC, with a focus on Serious Games and interprofessional education. 

Jeffrey Brand from Bond University gave an insight into the panel discussion and the state of the art for Serious Games in Australia. 

The Simhealth stream offered a plenary session on interprofessional education, chaired by Cathy Smith. She and John Paige spoke to us after the panel and offered some insights into best practice in IPE in 2017.  

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Victoria Brazil and Ben Symon interviewed panelists from the final plenary for Day 1 at the ASC 

We heard from Alison Michaels and Steph Barwick about their Popup simulation program in Brisbane, and Cameron Knott from Victoria about how ISS can run in hospital practice. Simon Wilson then shared his insights into GP simulation, and Dylan Campher from CSDS in Queensland gave us an idea about how simulation centres are supporting ISS and patient safety in new ways.  


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Day 1 at the Australasian Simulation Congress in Sydney

Victoria Brazil and Ben Symon hosted a wrap of Day 1 at the ASC, with a focus on teamwork and In situ Simulation. 

Keynote speaker Eduardo Salas presented the highlights of 30 years of teamwork research, and we interviewed him after the session, concentrating on some ways forward for research and practice in this area. We also captured a few delegate perspectives. 

We also spoke to ASC convenor Jessica Stokes- Parish about running simulations on stage and wat the exhibitors had in store for us. 

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In the second of our series with Advances in Simulation, we consider Ryan Brydges 2016 editorial - From simulation research to education policy: how much evidence is enough?  

In this article he considers the question - What level of evidence is required for translation of healthcare simulation research to policy? or institutional practice ? 

Ryan uses the specific example of recent changes to nursing training in the USA as a result of a large simulation study. The editorial considers issues of methodology and ‘tipping points’, and comes from the perspective of a researcher who has authored a number of large scale systematic reviews in healthcare simulation  

The study discussed is the NCSBN National Simulation Study: a longitudinal, randomized, controlled study replacing clinical hours with simulation in prelicensure nursing education. By Hayden JK, Smiley RA, Alexander M, Kardong-Edgren S, Jeffries PR in the Journal of Nursing Regulation. 2014;5(2):S3–S40. 

In a short period of time this study has led to large scale changes in nursing education whereby up to 50 % of clinical hours in undergraduate nursing training can be replaced by simulation. Note this has also brought with it some clarity in standards around simulation within those programs

Simulcast was fortunate to have Ryan as our guest author of the editorial, together with Suzan Kardong Edgren, one of the authors of the nursing simulation study, as well as Mary Fey fromm Center for Medical Simulation in Boston as a discussant. 

Ryan Brydges (@rbrydges) is a health professions educator from Toronto Canada, and Senior Editor at Advances. 

He’s the professor in technology enabled education at St Michaels’s hospital/ University of Toronto, and the research directors at the simulation centre there. He’s been involved in systematic reviews and meta-analysis on large landmark studies in sim and technology enabled learning – research gate profile 

Mary Fey is the Associate Director of the Simulation Educator Training program (IMS) within the Centre for Medical Simulation in Boston. She has a nursing and academic background, with a PhD University of Maryland in Baltimore.  

Suzan "Suzie" Kardong-Edgren is a professor and director of the RISE Center at the School of Nursing and Health Sciences at Robert Morris University.  

The podcast offers a deep dive into the impact of simulation research and the politics of policy and change. We discussed contemporary influences on education more broadly, such as the Carnegie Foundation, and other educational policy changes such as the Competency by Design initiative in Canadian medical training. 

However the winner on the day was the discussion itself – a wonderful example of how those with different perspectives – clinical, research, practice and education – can have robust and respectful conversations.  

Thanks to our guests and to Advances for another great collaborative effort 



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Resa Lewiss (@ultrasoundREL) joined Simulcast for this month’s journal club – reviewing a paper focused on the use of simulation for assessment of point of care ultrasound (POCUS) skills. 

Resa is an emergency physician, self described ‘global soul’, and experienced educator and thought leader in POCUS. 

The paper discussed was Collecting Validity Evidence for Simulation-Based Assessment of Point-of-Care Ultrasound Skills by Jensen et al in J Ultrasound Med 2017 

The paper concludes that the simulation based assessment process they examined was a valid tool for POCUS skills assessment, promising significant savings where human assessors can be replaced to some extent by the machine. 

Resa helped us understand the specific context of POCUS and the background to how these skills have been traditionally assessed. Her review of the use of simulation in ultrasound can be found here. 

The process described in the article is instructive for thinking about how to establish validity for other simulation based assessment processes. We conclude that there is much more ‘automated assessment’ to come – with significant opportunities but with a caution to rigorously ‘test the tests’. 


Victoria Brazil  

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Michelle Kelly (@KellyKelmich) was our guest on Simulcast for the inaugural Book Review, discussing Healthcare Simulation Education: Evidence Theory and Practice – a recently published textbook for the simulation practitioner.  

Editors Debral Nestel, Michelle Kelly, Brian Jolly and Marcus Watson have drawn together a diverse range of authors to produce a comprehensive, but disciplined, review of current theory and practice in healthcare simulation.  

Michelle is a simulation academic and practitioner from Curtin University in Perth and past chair of the Australian Society for Simulation in Healthcare (ASSH). Her academic publications and extensive sim experience have made her well placed to edit the book, and to discuss some ‘big picture’ issues in healthcare sim. 

In the podcast we discuss highlights from the book, the writing process, simulation terminology, and predictions for the future.  

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