Simulcast

62 - Healthcare Consumers and In Situ Simulation

In situ simulation is increasingly popular for all the right reasons – highly realistic training with opportunities for team and systems testing. We’ve recognized there are risks, especially disruption of service and physical safety. But what about those patient and families ‘exposed’ to ISS? What do they think about it? What are their risks? And what should we do about it? Are there opportunities we haven’t yet realized? 

I spoke with Stephanie Barwick (@InSituSteph) and Damian Roland (@Damian_Roland) about this topic – how they got interested, what kind of research are they doing, and what recommendations do they have for our practice. 

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61 - Simulcast Journal Club Podcast September 2018

Welcome to the Simulcast Journal Club Podcast and monthly wrap post.

Please read our pdf summary of the Journal Club article, the month’s discussion and our expert commentary here.

Ben and Vic discuss the paper of the month, including expert commentary from Dr Gabriel Reedy (@gabereedy). 

Cheng, A., Palaganas, J., Eppich, W., Rudolph, J., Robinson, T. and Grant, V. (2015) Co-Debriefing for Simulation Based Education” Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 10(2), pp.69-75. 

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

Yogarajah A, Verma MM, Claro B, et al Construction of a reusable, high-fidelity model for simulation of extracorporeal cardiopulmonary resuscitation. BMJ Stel August 2018 doi:10.1136/bmjstel-2018-000389 

Wilbanks, Bryan A., PhD, DNP; Watts, Penni I., PhD; Epps, Chad A., MD Electronic Health Records in Simulation Education: Literature Review and Synthesis. Simulation in Healthcare: August 2018 - Volume 13 - Issue 4 - p 261–267 

Serag-Bolos ES, Shaeer KM, Gelot SR, et al Assessing pharmacy students’ preferences with implementing electronic medical records into the pharmacy curriculum. BMJ Simulation and Technology Enhanced Learning Published Online First: 22 August 2018. doi: 10.1136/bmjstel-2018-000383 

 

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

 

Victoria 

60 - CMS & Simulcast Translational Sim

Jenny Rudolph interviews Victoria Brazil: Translational Simulation

Since the start of the modern simulation era, many in the healthcare simulation community have taken a “Field of Dreams” approach to our simulation efforts, believing, like the character Ray Kinsella in the movie of the same name, that we “If we build it, they will come.” Often however, “buy-in” to simulation programs is just as difficult as getting real people to come to a baseball diamond in the middle of an Iowa cornfield. Simulation increasingly competes with a variety of other healthcare education, quality, and safety efforts for resources.

In this podcast, Jenny Rudolph talks with Victoria Brazil talk about Victoria’s alternate approach to positioning simulation in healthcare. Rather than creating simulation programs and then hoping people will come, instead, she argues, we need to solve real clinical problems, using goals co-created with the colleagues we aim to serve. This work focuses on clinical impact and culture change via what she calls “translational simulation. Translational simulation focuses our attention on identifying and addressing high yield problems at the “coal face” of clinical care. The focus is on simulation interventions that stretch outcomes beyond clinical and teamwork skills to improving clinical benchmarks, clinical outcomes and the patient journey.

Is this the same age-old exhortation to focus on patient quality and safety or something different?

Join the Center for Medical Simulation and Simulcast as we explore Victoria’s most recent publication on translational simulation and links to work by Bill McGaghie, and other exemplary work in the field.

Victoria Brazil is an emergency physician and host of Simulcast, director of the Gold Coast Simulation Service in Queensland Australia, and Professor at Bond University Medical School.  

Jenny Rudolph is an organizational behavior scholar, executive director of the Center for Medical Simulation in Boston, and an Assistant Professor of Anaesthesia at Harvard Medical School and Massachusetts General Hospital.

 

PODCAST LINK

The links and articles below provide detail on a number of the studies and processes Jenny and Victoria discuss in the podcast.

Translational simulation: not “where?” but “why?” A functional view of in situ simulation.

Brazil, V. Advances in Simulation (2017).

https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-017-0052-3

For more information on the theory and measurement of “relational coordination” which Brazil, Purdy and team will be using to study the impact of translational simulation take a look at the work of Jody Hoffer Gittell and team at the Relational Coordination Research Collaborative website:

https://rcrc.brandeis.edu/

Bill McGaghie’s seminal article on “Medical Education Research As Translational Science” is a must read for educators designing or redesigning simulation for clinical impact.

McGaghie, W. (2010)

http://stm.sciencemag.org/content/2/19/19cm8

Some of the issues regarding translational simulation might be terminology - as discussed here

 ( http://simulationpodcast.com/53-2/ )

 

Examples of translational simulation in action

To keep women from dying in childbirth, look to California

Montagne, R. NPR (2018)

https://www.npr.org/2018/07/29/632702896/to-keep-women-from-dying-in-childbirth-look-to-california

The California Maternal Quality Care Collaborative

https://www.cmqcc.org

When every second counts: How a simulation dramatically improved blood delivery times for trauma patients

Daugherty, A. (2018)

http://www.stmichaelshospital.com/media/detail.php?source=hospital_news/2018/0813

 

59 - Simulcast Journal Club August 2018

Welcome to the Simulcast Journal Club Podcast and monthly wrap post.

Please read our pdf summary of the Journal Club article, the month’s discussion and our expert commentary here.

This month's journal club podcast was a special live recording from on stage at Don't Forget the Bubbles conference in Melbourne. Ben, Victoria and Jesse were handed a whole concurrent session to deliver a Simulcast Presents Play School session. One of these sessions saw Jesse join Vic and Ben for the August Journal Club Live - excuse the few ums and ahs, crowd coughs and babies babbling (yep DFTB lead the way in being a parent and baby friendly conference. We broke through the high cognitive load to hopefully deliver the normal JC gold.

We discussed Intellectual Streaking in depth. Listen in for Ben's most risqué JC commentary yet. 

Intellectual streaking: The value of teachers exposing minds (and hearts)

Bearman, M. and Molloy, E. (2017).

Medical Teacher, 39(12), pp.1284-1285.

Victoria then brought us the Sim Cup article to discuss.

A novel simulation competition format as an effective instructional tool in post-graduate medical education by Ingrassia et al. Advances in Simulation 2018.

https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-018-0075-4 

We then previewed the September Journal club, another classic debriefing paper so make sure to tune in.

Cheers,

Jesse

58 - Pause & Discuss Simulation Research in EM in Canada

Simulation-based research in emergency medicine in Canada 

For this ‘pause and discuss’ episode, I was joined by Dr. Tim Chaplin - an ‘emerg doc’ (as they say in Canada) and Assistant Professor at Queen’s University, Kingston, Canada.  

Tim is also the Simulation Lead for the Department of Emergency Medicine. His research interests are in simulation-based education and resuscitation medicine. He has developed a simulation-based trauma education program for resident Trauma Team Captains as well as the Nightmares Course for junior residents covering in-patient call. 

I wanted to interview Tim after seeing him at a poster presentation on Boston recently, and was impressed by how he’d managed to bring together a large and geographically diverse group, to undertake a national snapshot of simulation-based research in Canada. 

We mention a range of topics including the outcomes of the 2017 SAEM Academic Emergency Medicine Consensus Conference: Catalyzing System Change Through Healthcare Simulation: Systems, Competency, and Outcomes 

We look forward to hearing more from Tim and his team in the future. 

57 - Simulcast Journal Club July 2018

Simulcast Journal Club podcast July 2018 episode 

 

Ben and Vic discuss the paper of the month, including expert commentary from Steph Barwick (@InSituSteph) 

10. J. Grant, T. Robinson, H. Catena, W. Eppich & A. Cheng (2018) Difficult Debriefing Situations : A toolbox for simulation educators” Medical Teacher, DOI: 10.1080/0142159X.2018.1468558

 

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

Bajaj K, Minors A, Walker K, Meguerdichian M, Patterson M. "No-Go Considerations" for In Situ Simulation Safety. Simul Healthc. 2018 Jun;13(3):221-224.  

 

Walsh, Chloe, MSc; Lydon, Sinéad, PhD; Byrne, Dara, MMEd Ed; Madden, Caoimhe, MSc; Fox, Susan, PhD; O'Connor, Paul, PhD The 100 Most Cited Articles on Healthcare Simulation: A Bibliometric Review. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare: June 2018 - Volume 13 - Issue 3 - p 211–220  (#FOAMsim) 

 

Verkuyl, M., Lapum, J. L., Hughes, M., McCulloch, T., Liu, L., Mastrilli, P., Romaniuk, D., & Betts, L. (2018, July). Virtual gaming simulation: Exploring self-debriefing, virtual debriefing, and in-person debriefing. Clinical Simulation in Nursing, 20, 7-14. (#FOAMsim) 

 

 

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

 

Victoria  

56 - Simulcast Journal Club June 2018

Ben and Vic discuss the paper of the month, which provoked controversy about the interplay of feeling and facts in clinical debriefing.

Rose, S. & Cheng, A. (2018). “Charge nurse facilitated clinical debriefing in the emergency department.” CJEM, 1-5. doi:10.1017/cem.2018.369.

 

And we talked about a few other sim papers across a range of topics and research methods, including simulation educators’ qualifications and transformative experiences, and sim for improving telephone conversations in healthcare

 

Gardner, Aimee K. et al. Entrustable Professional Activities (EPAs) for Simulation Leaders: The Time Has Come. Journal of Surgical Education, 2018

10. Dieckmann, M. Birkvad Rasmussen, S. B. Issenberg, E. Søreide, D. Østergaard & C. Ringsted (2018): Long-term experiences of being a simulation-educator: A multinational interview study, Medical Teacher, DOI: 10.1080/0142159X.2018.1471204

Walter J. Eppich, Jan-Joost Rethans, Timothy Dornan & Pim W. Teunissen. (2018): Learning how to learn using simulation: Unpacking disguised feedback using a qualitative analysis of doctors’ telephone talk, Medical Teacher, DOI: 10.1080/0142159X.2018.1465183

 

So we’ll be back with journal club in July – join the discussion

 

Victoria

55 - AR/VR in health care simulation

I was joined by Jack Pottle, co-founder of Oxford Medical Simulation, a VR simulation company to discussed augmented (aR) and virtual reality (VR) in healthcare simulation.  Jack started his career as a psychologist, and has now been a doctor in acute medicine for the last 7 years. He got involved in medical education through a FOAMed site he set up called Oxford Medical Education and over the last five years has been involved with simulation – first as a physical sim instructor, now in his role as co-founder and medical director of Oxford Medical simulation  

Jack took us on a deep dive – explaining exactly what is meant by the terms AR and VR, and helped us distinguish the hype around this technology from the true potential to improve training. 

 

We geeked out a little on how it works, but then talked about AR/VR is in healthcare simulation in 2018, ad where it’s going – and its certainly likely to be in a sim program near you very soon, if not already. Anatomy and procedural skills and obvious early applications, but communication skills and teamwork via multiplayer ‘games’ are on the horizon. 

 

Jack will be leading a panel on this topic at SEAM in Spain next week, and we look forward to more from him, and in this interesting field 

54 - SSIH Sim Ops Pause & Discuss

Sim OPS 2018 

July 26-28, 2018, Portland, Oregon 

SimOps is a healthcare simulation training and education event for operations and technical professionals. The conference attracts 200+ professionals to participate in workshops, hand-on sessions, leadership discussions and networking events. 

In this ‘pause and discuss’ I am joined by David Biffar, Assistant Director, Operations, from the Arizona Simulation Technology & Education Center (ASTEC), University of Arizona, College of Medicine  

He told us about the conference and what to expect -  the theme this year is professional development through both available courses and the networking opportunities that inherent in a conference designed specifically for the simulation operations specialist (SOS). 

Registration and information here - http://www.ssih.org/Events/SimOps-2018 

53 - Advances in Simulation: What's in a Name?

In this episode of our continuing collaboration with Advances in Simulation, Jesse takes the helm as we put Victoria in the guest seat with Glenn Posner, to discuss their recent publications in Advances.

 

The articles for discussion were both published in the second half of 2017.

‘Simulation in the clinical setting: towards a standard lexicon’. by Glenn Posner, Marcia Clark and Vincent Grant.

https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-017-0050-5

 

‘Translational Simulation: not ‘where?’ but ‘why?’ A functional view of in situ simulation. By Victoria Brazil.

https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-017-0052-3

 

We traverse the subject of how terminology sets expectation and the importance of being precise when establishing the goals and expected outcomes and matching the right modality to achieve success.

Enjoy.