Simulcast

206 Simulcast Journal Club June 2025

Join us for the June edition of the Simulcast Journal Club, hosted by Vic Brazil and Ben Symon. In this episode: Embedded participants in simulation, publishing study protocols, improving research study enrolment through simulation, and improving sustainability in simulation (and in healthcare. (Oh and Ben has started a Taryn Taylor fan club….) 

The papers 

1. Paguio JT, Tieu M, Davies EL. Functions and roles of embedded participants in health simulation – an exploratory qualitative observational study protocol. J Healthc Simul. 2025 Apr 28. 
2. Walker S, Purdy E, Houghton H, Dace W, Brazil V. Navigating professional identities: nursing faculty as embedded simulation participants in medical student simulations. Adv Simul. 2025;10(28).
3. Fatovich DM, Carey S, Iliff J, Jowitt T, Weber DG, Vance JS. Integrating research practice into resuscitation simulation training improves recruitment into complex clinical trials. Emerg Med Australas. 2025;37:e70064.
4. Mitchell K, Canham R, Hughes K, Tallentire VR. Simulation-based education and sustainability: creating a bridge to action. Adv Simul. 2025;10(27).  

Another great month on Simulcast. 

Happy listening 

  

205 Simulcast Journal Club May 2025

Join us for the May edition of the Simulcast Journal Club, hosted by Vic Brazil and Ben Symon. In this episode: Cracking the debriefing approach for embracing complexity adaptive systems, psychological safety as gardening, ethical AI in academic writing, and medical students practising IV cannulas on each other…    

The papers 

Amorøe TN et al. Resilience-focused debriefing: addressing complexity in interprofessional simulation-based education—a design-based research study. Adv Simul. 2025; 10:25.  

Nestel D, et al. ‘Tending’ the ‘garden’ of psychological safety in simulation-based education. J Healthc Simul. 2025 Apr 21.  

Cheng A, et al. Artificial intelligence-assisted academic writing: recommendations for ethical use. Adv Simul. 2025;10:22.  

Kiernan R, et al. Medical students' preferences on practicing intravenous insertion on each other and via simulation. Simul Healthc. 2025 Apr;20(2):129–135.  

Another great month on Simulcast. 

Happy listening 

204 Advanced Performance: Simulation for designing better healthcare

Ever wondered if we should have tested the new hospital space before moving in? Thinking that new piece of equipment won’t work for your current workflow? Want to implement a new checklist but not sure if it will work? 

 

In this episode Vic and Ben speak with Andrew Petrosoniak and Christopher Hicks from Advanced Performance. Chris and Petro are both emergency physicians who have built an impressive repertoire of using simulation to explore and improve performance of team, systems and spaces in healthcare. 

 

Our conversation is wide ranging, offering perspectives on why this use of simulation is still relatively limited, as well as how the processes for this technique are evolving. 

We talked about design thinking and simulation, the use of framework analysis, the Macleamy curve, and the concepts of ROI for this work. 

 

Ben shared his favourite book on design principles. We referred to some other excellent podcasts including Paul Phrampus talking about connecting with hospital executives on One Million Lives, and our own episode of Simulcast discussing Nora Colman’s paper saving $90 million testing a hospital before it was built. 

 

Lots more on the Advanced Performance website. 

 

Happy listening  

 

203 Simulcast Journal Club April 2025

Join us for the April edition of the Simulcast Journal Club, hosted by Vic Brazil and Ben Symon, In this episode: Self-led debriefings, measuring team cognition, simulation as a basic computational mechanism in the brain, and picto-dictionaries. 

The papers 

Kumar P, Harrison NM, McAleer K, Khan I, Somerville SG. Exploring the role of self-led debriefings within simulation-based education: time to challenge the status quo?. Adv Simul. 2025;10(9). 

Evans JC, Evans MB, Lingard L. Team cognition in healthcare simulation: a framework for deliberate measurement. Adv Simul. 2025;10(12). 

Barsalou LW. Simulation, situated conceptualization, and prediction. Philos Trans R Soc Lond B Biol Sci. 2009;364(1521):1281–89. 

Kou M, Sanseau E, Kardong-Edgren S, von Hauff P, Ramachandra G, Walsh B, et al. Enhancing simulation-based healthcare education and research reporting using pictograms: does a picture paint a thousand words? Commentary from the International Distance Simulation Summit Pictogram Track. J Healthc Simul. 2025 Apr 14. 

Another great month on Simulcast. 

Happy listening 

  

202 Safer Births NEJM with Hege Ersdal and Benjamin Kamala

Welcome to Simulcast! In this special episode, Victoria Brazil is joined by Hege Ersdal and Benjamin Kamala, the joint first authors of a ground-breaking study just published in the New England Journal of Medicine. Their program aimed to reduce birth-related mortality in Tanzania, with spectacular success. The Safer Births Bundle integrated key elements: innovative simulation training, data-driven quality improvements, advanced clinical devices, and international collaboration and local empowerment. Neonatal mortality was reduced by 40 % and maternal deaths reduced by 75%. Congratulations to all involved. 

The article: 

Kamala BA, Ersdal HL, Moshiro RD, Guga G, Dalen I, Kvaløy JT, Bundala FA, Makuwani A, Kapologwe NA, Mfaume RS, Mduma ER, Mdoe P; Safer Births Bundle of Care Study Group. Outcomes of a Program to Reduce Birth-Related Mortality in Tanzania. N Engl J Med. 2025 Mar 13;392(11):1100-1110. doi: 10.1056/NEJMoa2406295. 

201 Simulcast Journal Club March 2025

Join us for the March edition of the Simulcast Journal Club, hosted by Vic Brazil and Ben Symon, In this episode: Integrating electronic medical records into simulations, learning from reluctant participants in paediatric simulation training, using tabletop sandbox simulations to understand emergency department care coordination, and quality in simulated participant programs in Australia. 

The papers 

1. Wu, T., & Coggins, A. R. (2025). Low-cost electronic medical record interface for healthcare simulation. Journal of Healthcare Simulation SRSIS, 1, S9–S11. https://doi.org/10.54531/AGRS5189 

1. Hybinette, K., Praetorius, G., Ekstedt, M., & Pukk Härenstam, K. (2025). Navigating the complexity of emergency department care coordination: A qualitative exploration of adaptive strategies using a tabletop sandbox simulation. Applied Ergonomics, 125, 104466. https://doi.org/10.1016/j.apergo.2025.104466 

1. Newhouse, L., & Polwart, N. (2025). What can simulation educators learn from the reluctant participant? An exploration of the factors influencing engagement amongst adult learners participating in paediatric simulation training. Advances in Simulation, 10(4). https://doi.org/10.1186/s41077-025-00331-9 

1. Stokes-Parish, J., Bannatyne, A., Green, P., Alsaba, N., Turner, C., Marr, K., & Gough, S. (2025). Benchmarking person-centered simulated participant programs: A Delphi consensus study in an Australian context. Clinical Simulation in Nursing, 99, 101683. https://doi.org/10.1016/j.ecns.2024.101683 

 

Another great month on Simulcast. 

Happy listening 

  

200 Simulcast 200th Episode

This is our 200th episode of Simulcast. To mark the occasion, Vic, Ben. Jess and Jesse all shared some thoughts on what we think we’ve achieved, the impacts that Simulcast has had on us, and ventured some highlights  

We reflected on our first episode in 2016, and our review of Davis Gaba’s Future vision of simulation in healthcare. Ben ventured that he thought we might end up like the Margaret and David of journal club hosts. 😊 We all then had a slightly more serious thought about our future vison of healthcare simulation over the next 10 years. 

Happy listening. 

199 Better airway management through translational simulation in a rural ED

Ever felt that preparing equipment for advanced airway management in your ED is ‘messy’? 

In this episode Vic interviews Dr Ava Butler, an emergency doctor and QI/ simulation practitioner from rural British Columbia. We discussed her recent article about how equipment re-design and translational simulation was used to dramatically improve preparation speed and staff level of comfort with advanced airway management. 

The conversation was informative and inspiring. We talked about the liberating structures process of brainstorming ideas for improvement, the role of patient partners in improvement, the hierarchy of interventions in quality improvement, and the significance of qualitative measures and stories in improvement efforts. 

We marvelled at the dramatic improvements they achieved using a color-coded airway cart and translational simulation; a 76% reduction in time taken to prepare airway equipment, and significant improvements in staff comfort and team culture. EM sim cases got an honourable mention 😊, as did quality improvement initiatives that bring teams to the forefront. Ava explained just how rewarding it is to be part of a rural practitioner team who design improvements with patients at the centre. 

Learn about the implementation of a color-coded airway cart and how quality improvement techniques empowered healthcare workers, increased their confidence, and enhanced patient experiences. 

Happy Listening 

 

The paper  

Ava Butler, Michael Chen, Shruti Kaushik, Terra Lee, Liam Raudaschl & Audrey Giles. From “Airway scares me” to “I would say I’m pretty comfortable”: quality improvement for reducing time to obtain equipment for adult advanced airway management in a rural emergency department. Can J Emerg Med (2025). 

198 Simulcast Journal Club February 2025

Ben and Vic are back for 2025, reviewing the latest healthcare simulation literature in the February episode of the journal club. 

 A call to honour SPs, saving $90million though simulation testing, cognitive biases in simulation debriefing and inspiring simulation-based improvement work from Tanzania. 

The papers 

Clark, L., et al (2024). Call to Action: Honoring Simulated Participants and Collaborating With Simulated Participant Educators. Simulation in Healthcare.  

Colman, Net al. (2024). The Business Case for Simulation-Based Hospital Design Testing: $90M Saved in Costs Avoided. Pediatric Quality and Safety, 9:e775.  

Meguerdichian, M. J., et al. (2024). When Common Cognitive Biases Impact Debriefing Conversations. Advances in Simulation, 9:48.  

Kamala, B. A et. al. (2025). Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania. SAGE Open Nursing, 11, 1–13.  

 Another great month on Simulcast. 

Happy listening 

197 Advances in Simulation: More Than a Feeling with Vicki LeBlanc & Glenn Posner

In this episode of Simulcast, Vic Brazil is joined by Vicki LeBlanc and Glenn Posner to discuss their recent article "More Than a Feeling: Emotional Regulation Strategies for Simulation-Based Education" published in Advances in Simulation.  

The conversation delves into the importance of recognizing and addressing emotions in simulation-based learning environments. Vicki and Glenn share insights on why emotions are often seen as taboo or difficult to manage in simulation, despite being a natural part of clinical practice (and everyday life!). They explain how emotions impact cognitive processes like attention, judgment and memory, and why ignoring them can hinder learning objectives. 

We explore practical strategies for identifying emotional cues, assessing whether emotions are helpful or hindering, and employing implicit or explicit regulation techniques. We emphasize the need to normalize emotional responses and view them as valuable data, rather than something to be avoided. 

The article aims to provide simulation educators with a comprehensive framework for understanding and responding to the emotional aspects of simulation-based learning. It challenges the notion that simulation should be a purely rational endeavour, underscoring the vital role emotions play in preparing healthcare learners for the realities of clinical practice. 

Happy listening!