Simulcast

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.

Ep. 12 - Rapport with Jenny Rudolph

Ep. 12  Rapport with Jenny Rudolph. 

 

So we all need to get along in simulation debriefing, right? 

So easy to say, and yet rapport building can be difficult in any group, let alone one that has just been confronted with their own performance 

Jenny Rudolph from the Center for Medical Simulation was our guest in discussing this concept, prompted by a recent article and editorial in Simulation in Healthcare. 

In our discussion, we step through the ‘rapport framework’ - face sensitivities, sociality rights, interactional goals - and how it might apply to our debriefing conversations. We reflected on many of the concepts discussed in our first interview with Jenny on psychological safety.  http://simulationpodcast.com/2016/10/14/ep-4-safe-container-simulation/ 

Jenny offered theoretical insights from Carl Rogers and Milton Erickson, as well discussion of as a more contemporary take from Kim Scott in Radical Candor. 

We discussed how voice and body language contribute enormously to rapport, and finish with conjecture about who to mange cultural differences in debriefing conversations. We touched on Peter Dieckmann’s work in this area as highlighted on Simulcast Journal club - http://simulationpodcast.com/2017/10/03/simulcast-journal-club-podcast-8-september-wrap/  

And more recently as published here 

 

References 

Auerbach, Marc Cheng, Adam Rudolph, Jenny W. Rapport Management: Opening the Door for Effective Debriefing. Simulation in Healthcare: February 2018 - Volume 13 - Issue 1 - p 1–2 

https://journals.lww.com/simulationinhealthcare/Fulltext/2018/02000/Rapport_Management__Opening_the_Door_for_Effective.1.aspx 

Loo ME, Krishnasamy C, Lim WS. Considering face, rights and goals: a critical review of rapport management in facilitator-guided simulation debriefing approaches. Simul Healthc 2018;13(1):53–61. 

https://www.ncbi.nlm.nih.gov/pubmed/29076968 

 

 

 

 

 

 

 

 

 

Simulcast Journal Club Podcast 13

Ben and Vic discuss the paper of the month. 

Kumar A, Sturrock S, Wallace EM, et al. Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study. BMJ Open 2018;8:e017451. doi:10.1136/bmjopen-2017-017451 

 

And a few other sim papers across a range of topics and research methods, all in the theme of ‘measurement’. 

Jiang, Bailin; Ju, Hui; Zhao, Ying; Yao, Lan; Feng, Yi. Comparison of the Efficacy and Efficiency of the Use of Virtual Reality Simulation with High-Fidelity Mannequins for Simulation-Based Training of Fiberoptic Bronchoscope Manipulation. Simulation in Healthcare: April 2018 - Volume 13 - Issue 2 - p 83–87. doi: 10.1097/SIH.0000000000000299 

Seelandt JC, Grande B, Kriech S, et al DE-CODE: a coding scheme for assessing debriefing interactions BMJ Simulation and Technology Enhanced Learning Published Online First: 08 November 2017. doi: 10.1136/bmjstel-2017-000233 

Pawar S, Jacques T, Deshpande K, et al. Evaluation of cognitive load and emotional states during multidisciplinary critical care simulation sessions. BMJ Simulation and Technology Enhanced Learning Published Online First: 07 December 2017. doi:10.1136/bmjstel-2017-000225 

 

Next month Ben is off on a holiday…..  

So we’ll be back with journal club in June, when we’ll also be coming to you from Bilbao Spain for SESAM conference! 

Vic 

 

Simulcast Journal Club Podcast 12

Ben and Vic discuss the paper of the month. 

Eppich, W. and Cheng, A. (2015). Promoting Excellence and Reflective Learning in Simulation (PEARLS). Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, 10(2), pp.106-115. 

 

And a few other sim papers across a range of topics and research methods. 

1. 1. Snelgrove H, Fernando A Practising forethought: the role of mental simulation BMJ Simulation and Technology Enhanced Learning Published Online First: 29 January 2018. doi: 10.1136/bmjstel-2017-000281
2. Lorello, G., Hicks, C., Ahmed, S., Unger, Z., Chandra, D., & Hayter, M. (2016). Mental practice: A simple tool to enhance team-based trauma resuscitation. CJEM, 18(2), 136-142. doi:10.1017/cem.2015.4

 

3. McNaughten B, Hart C, Gallagher S, et al. Clinician’s gaze behaviour in simulated paediatric emergencies. Archives of Disease in Childhood Published Online First: 07 March 2018. doi: 10.1136/archdischild-2017-314119

 

4. Greenwood K, Ewell S. Faculty development through simulation-based education in physical therapist education. Advances in Simulation 2018 3:1 https://doi.org/10.1186/s41077-017-0060-3

 

Note – for a better discussion of phenomenology than I provide on the podcast….. https://icenetblog.royalcollege.ca/2018/02/13/appliedmededmethods101-phenomenography-to-understand-how-something-can-be-understood/ 

 

Next month Ben Invites us to join the April discussion of an evaluation paper  

Kumar A, Sturrock S, Wallace EM, et al. Evaluation of learning from Practical Obstetric Multi-Professional Training and its impact on patient outcomes in Australia using Kirkpatrick’s framework: a mixed methods study. BMJ Open 2018;8:e017451. doi:10.1136/bmjopen-2017-017451 

 

Looking forward to another great discussion  

Vic