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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

Simulation can provide an opportunity to experience life/ experiences other than our own, and this can include experience of ill health – diseases, conditions and treatments. Hot off the press from Advances in SimulationWalking in the shoes of our patients is a scoping review in which the authors sought to understand the ways that simulation can allow healthcare professionals or students to experience ill health, and what impact that has on their empathy .. 

In this episode Vic was joined by first author Milda Karvelyte – a Bachelor of Science in Human Biology graduate from Queen’s University Belfast and current medical student at the University of Aberdeen – and by senior author (and long-time friend of Simulcast) Gerry Gormley - a practicing GP and Professor in Simulation at Queen’s University Belfast. Gerry is a socio-cultural researcher and has an interest in broadening the reach of simulation across health and social care professions. 

We spoke about the challenges of experiencing and demonstrating empathy, about the process of the scoping review, the findings and what this means for simulation educators and researchers. 

We reflected on the unintended consequences of this type of simulation activity and – as usual – encourage thoughtful application to practice. 

 

Happy listening! 

 

vb 

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Simulcast Journal Club New Year’s Edition 2022 Vic & Jesse

Jesse was unable to join the rest of the Simulcast Team Christmas Edition so this is the consolation prize ep!! In this podcast Vic and Jesse discuss 2 publications from 2021.

 

Paper 1. recommended by Tim Mason

“Advancing Team Cohesion: Using an Escape Room as a novel approach”

Cohen and colleagues

Journal of Patient Safety and Risk Management 2021

 

Core premise – exploring the utility of an escape room in improving perception of cohesion within health care teams. Link to patient safety is some association between improved safety and quality of care outcomes in higher team cohesion settings.

 

 

Paper 2. Recommended by Sarah Janssens

“Cardiac Arrest Nurse Leadership (CANLEAD) trial: a simulation-based randomised controlled trial implementation of a new cardiac arrest role to facilitate cognitive offload for medical team leaders”

Pallas and colleagues

Emergency Medicine Journal 2021

 

Core Premise - This simulation-based study explored whether the introduction of a dedicated ’nursing team leader’ is an effective way of cognitively offloading medical team leaders of cardiac arrest teams. It was hypothesised that reduced cognitive load may allow medical team leaders to focus on high-level tasks resulting in improved team performance.

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Ben, Vic and Jess offer a bumper holiday episode for your healthcare simulation listening enjoyment. 

Transformative faculty developmentsuspension of disbelief in simulation, emotional activation for observers and participants, SPs or SPs – what’s in a name?, a taxonomy of non-technical skills, and lessons from the Fat Duck ……. 

Thanks to those who nominated articles for our discussion. Always welcome. 

Happy listening and happy holidays to our Simulcast community 

 

Vic, Ben, Jesse and Jess 

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Ben talks about ‘Plus Delta’ debriefing with lead authors of 2 recent papers on the topic both published in Advances in Simulation. Adam Cheng starts the conversation talking about Embracing informed learner self-assessment during debriefing: the art of plus-delta, and giving us plenty of reasons to ensure this technique is on our repertoire as simulation educators. Ben goes on to talk with Raj Kainth about his team’s experience of training faculty for clinical debriefing in the Nghtingale facility during the pandemic - Dynamic Plus-Delta: an agile debriefing approach centred around variable participant, faculty and contextual factors 

The conversation emphasises the importance of agility and adaptability in our learning conversations, and underscore the need for ongoing scholarly conversation on the topic. 

Happy Listening 

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Atul Malhotra and Arunaz Kumar joined Vic to speak about their work delivering obstetric and neonatal simulation workshops in India, and their recent article in Advances in Simulation. We talked about ONE-Sim – Obstetric Neonatal Emergency Simulation - workshops conducted in LMIC, Australia, and online. Atul and Arunaz have reflected on the process and outcomes in the paper, and we talked about the interplay of generic principles in simulation delivery, with context adaptation.  

Impressive work, and great listening  

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 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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