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142Episodes
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

 Carl Horsley is an intensivist from Middlemore hospital in New Zealand who talks with Vic about Safety II principles and practice, and new ways that simulation can be interwoven into our work for safer outcomes. He explains that team development is a ‘long game’ and gives us practical tips for building on his work in our own institutions. 

Carl also offers some great further reading/ viewing: - 

Happy listening! 

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Is rapid cycle deliberate practice a better way to train for paediatric cardiac arrest? How can simulation and ‘institutional ethnography’ be used to explore ‘latent social threats’ in healthcare? Ben and Vic discuss these papers in our November journal club, as well as an amazing technical report on VR modelling to improve surgeons preparation for complex neurosurgical procedures, and a discussion of video assisted debriefing in healthcare simulation.  

Happy listening! 

vb 

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Jess and Vic talk about the topic of moulage - a French word meaning "to mould", but more commonly known as the use of special effects makeup techniques to replicate illness and effects. Jess talks about her PhD journey and her (shock horror!) moulage scepticism that drove her to studying the topic. We discuss some of the theories that relate to moulage use, new research and where the future of moulage might be heading (Jess might have mentioned her obsessive watching of google scholar for moulage papers...).

 

Links and resources

 

Shiner et al 2019 Radiography and moulage

https://www.sciencedirect.com/science/article/pii/S1078817418302153

 

Bauer et al 2021 T

attoos and moulage

https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-021-02763-z

 

Stokes-Parish 2020 Engagement and moulage in med students

https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-020-00142-0

 

Stokes-Parish et al 2019 Authenticity in moulage

https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-019-0103-z

 

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In this episode Vic and Jesse have a long overdue on air catch and talk through a human centred design project to improve medication safety in the Intensive Care Unit that Jesse has being working through in his day job. Vic and Jesse discuss, real world applications of Safety-II approaches, the core philosophy and practices of psychological safety and the importance of clinician led approaches to risk in practice. The episode closes with drawing parallels between this work and the skills and practices of simulation. We would love to hear your thoughts and experiences.

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Ben and Vic kicked off this episode talking about some upcoming healthcare simulation events – NYSIM Hot topics virtual symposium October 22nd (USA) , The ASPIH ‘Moving Upstream’ conference 8th – 10th November (UK), and the RCPSC 2021 Simulation Summit, November 4th and 5th (Canada) 

We gave some shout outs to friends of Simulcast who’ve joined us in Twitter conversations and more! 

We enjoyed reading Team debriefings in healthcare: aligning intention and impact from Michaela Kolbe and colleagues – a must read for those interested in translating their simulation debriefing skills to clinical debriefings. We welcomed the launch of the International Journal of Healthcare Simulation and reviewed Dogan et al. A form of mental simulation with significant enhancements enabling teamwork training. (link not yet available 

We appreciated the efforts of the Norwegian anaesthetic group in auditing their practice at a national level - Is simulation-based team training performed by personnel in accordance with the INACSL Standards of Best Practice: Simulation? - a qualitative interview study 

We often think about simulation as a strategy to achieve patient safety, but this month we reviewed a simulation-based curriculum for post graduate medical trainees aimed at teaching about quality improvement and patient safety – thank you Jacob Luty and colleagues. 

Lots of great listening and food for thought  

 

Looking forward to next month ! 

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There is a new journal on the block. The International Journal of Healthcare Simulation – Advances in Theory and Practice is led by Editor in Chief Debra Nestel AM and “provides a forum to share scholarly practice for advances in simulation across diverse applications in health and social care.” Peer viewed, and open access, IJOHS is jointly owned by the Society for Healthcare Simulation (SHS, India) and Adi Health+Wellness. 

Vic spoke with Debra about the philosophy and aims of the Journal, the diverse articles planned for the first issue, and some detail for readers and potential authors. 

We look forward to discussing papers from IJOHS on the Simulcast journal club and wish the team all the best.  

Follow @IJoHSim on Twitter for updates 

 

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Equity, diversity and inclusion in healthcare simulation – reflecting on our values, beliefs and actions 

 

Many in the simulation community are thinking about the ways we might work on equity, diversity and inclusion through healthcare simulation. We are tempted to try and ‘fix’ inequities and biases, but are also aware than if badly done – these ‘fixes’ may cause harm. 

Ben Symon hosts this episode with Vic Brazil and Eve Purdy, and discuss the EDI-SIM tool they are trialling at the Gold Coast, and the collaborative autoethnography Eve is leading to explore the impact of this strategy. 

We made reference to recent publications on Recommendations and Guidelines for the Use of Simulation to Address Structural Racism and Implicit Bias and ‘moving from safe to brave’ in Simulation in healthcare , applaud the work that many are doing in the area, and  look forward to more conversations on these issues. 

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We recorded the September Journal Club during Healthcare Simulation Week – a chance to reflect on the amazing work of the healthcare simulation community.  

Our first paper showcased the work of the STEPs (Simulation To Enhance Patient Safety) team at Fiona Stanley Hospital in Perth. Rory Trawber et al. write about Improving Simulation Accessibility in a Hospital Setting - Implementing a Simulation Consultation Service. They give us a practical guide to leveraging the impact of a small, skilled simulation delivery team through a formalised consultation service for clinical units seeking to use translational simulation for their quality and safety challenges in clinical care. Rory makes an ( audio) appearance in the podcast and describes the importance of using a quality ansafety based reporting tool, based on the work of Mel Barlow and colleagues on a documentation framework for healthcare simulation quality improvement activities. 

As a nice example of using simulation as a test bed for planned clinical process improvements, Ben-Haddout and a team from Roeun, France offer us A Cognitive Aid Improves Adherence to Guidelines for Critical Endotracheal Intubation in the Resuscitation Room. We were impressed with the opportunities afforded by the in situ simulation setting, and the interesting ways to look at cognitive aids. 

We discussed a paper on Online-synchronized clinical simulation: an efficient teaching-learning option for the COVID-19 pandemic time and: beyond. This is one of many articles currently being published that seek to tease out the benefits and drawbacks of online scenario-based activities for learning engagement and impact. 

We covered a scoping review on Healthcare Provider Stress and Virtual Reality Simulation, and concluded that - despite a small literature base at present – this is a space to watch for those seeing to improve healthcare providers ability to mange stress in the clinical workplace. A highlight was a really useful table listing various tools used to measure healthcare professionals stress – in either simulation settings or the real world. 

 

Happy Listening 

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This special episode is s joint release from Simulcast and The Emergency Mind podcast, with Vic talking with co-hosts Dan Dworkis and Andrea Austin. 

We start by discussing what Dan and Andrea mean by ‘Emergency Mind’ – “Leveraging the mental models and lessons from his own practice of emergency medicine—as well as from experts in the military, business, and athletic worlds—how to train mentally to perform at your best when you’re needed the most.” 

For more check out the book and more podcast episodes. We chat about other resources – the book On Combat, Scott Weingart on Combat Aviation Paradigms - and how simulation can shape culture.  

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In the August Journal Club episode Ben and Vic look at articles involving the clinical outcomes from simulation training, trauma team leadership and serious games. We applauded a study looking at the association of simulation training with rates of medical malpractice claims among obstetrician–gynaecologists. This segued nicely into discussion of return on Investment for QI/ educational interventions offer to us by Shah and colleagues. Team leadership was next on the agenda – with a deep dive into the development of a behavioural marker took for observation and feedback for trauma team leaders. We finished with a systematic review looking at learner engagement and learning outcomes from serious games. 

Happy listening! 

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