Simulcast

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 

Simulcast Journal Club Podcast 11

Ben and Vic discuss the paper of the month. 

Hicks, C. and Petrosoniak, A.   “The Human Factor : Optimising Trauma Team Performance in Dynamic Clinical Environments ”  Emergency Medicine Clinics of North America, 36(1), pp.1-17 

 

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

1. Jessica B. Stokes-Parisha,Robbert Duvivier, Brian Jolly. Investigating the impact of moulage on simulation engagement — A systematic review. Nurse Education Today 64 (2018) 49 - 55https://doi.org/10.1016/j.nedt.2018.01.003 

 

2. McGrath BA,Doherty C, Moore JA, et al. The role of high-fidelity simulation in designing emergency airway management algorithms: the experience of the UK National Tracheostomy safety project, BMJ STEL Published Online First 2017 doi:10.1136/bmjstel-2017-000267 

 

3. Katie A.Haerling. Cost-Utility Analysis of Virtual and Mannequin-Based Simulation. Sim Healthcare 13:34–41, 2018 

 

4. Dennis T.Hsieh ,  Wendy C. Coates. Poverty Simulation: An Experiential Learning Tool for Teaching Social Determinants of Health. AEM Education and Training 2018;2:51–54. 

 

Next month Ben Invites us to join the March discussion of a classic paper  

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. 

  

Looking forward to another great discussion  

Vic 

Advances in Simulation - SESAM

Our next joint podcast with Advances in Simulation focused on the SESAM Conference. 

SESAM is the Society in Europe for Simulation Applied to Medicine, and hosts an annual conference. 

This podcast was inspired by a blog post by Gabe Reedy highlighting the ‘best of’ work presented at SESAM 2017 in Paris, and highlighted as a supplement in Advances in Simulation journal . We also took the opportunity to look ahead to SESAM 2018 which will be in Bilbao, Spain June 27 – 29th, with the theme Translational simulation.  

My guests were Gabe Reedy (@gabereedy) , author of the blog post and educational leader at SAiL Centres in London, as well as Carla Sa Couto, chair of SESAM scientific committee this year. 

Simulcast will be bringing you highlights form the conference in June. 

Advances in Simulation - Learning From Success

In the next of our series with Advances in Simulation, we consider Dieckmann et al.  Variation and adaptation: learning from success in patient safety-oriented simulation training 

In their own words “we describe the learning from success (LFS) approach to simulation and debriefing. Drawing on several theoretical frameworks, we suggest supplementing the widespread deficit-oriented, corrective approach to simulation with an approach that focusses on systematically understanding how good performance is produced in frequent (mundane) simulation scenarios.” 

Peter Dieckmann and Mary Patterson joined us for the podcast, and we took a deep dive into Safety 2.0 and some theory underpinning this approach. 

Appreciative inquiry, “positive deviance” and “exnovation” are new ideas for most simulation debriefers, but ideas which we need in our toolbox for making the most of our simulation. 

We offer some practical examples for what this might mean for our scenario design, delivery and debriefing 

Thanks to our guests and to Advances for another great collaborative effort 

 

Victoria 

Simulcast Journal Club Podcast 10

In our November journal club podcast Ben and Vic discuss the paper of the month – a classic debriefing article.  

Rudolph, J., Raemer, D. and Simon, R. (2014).  “Establishing a Safe Container for Learning in Simulation” Simulation in Healthcare: Journal of the Society for Simulation in Healthcare, 9(6), pp.339-349. 

We tried to summarise a fantastic, multifaceted discussion and admired the wonderful expert article commentary from Chris Nickson.  

 

We then reviewed some recent papers 

1. Cecilia Escheret al.  Method matters: impact of in-scenario instruction on simulation-based teamwork training Advances in Simulation 2017 2:25 

 - how should we provide ‘extra scenario information’ to close the gap between the simulator appearance and real life.? 

2. Coffey F, Tsuchiya K, Timmons S, et alAnalysing voice quality and pitch in interactions of emergency care simulation BMJ Simulation and Technology Enhanced Learning Published Online First: 06 September 2017.  

- interesting question, using sim as a ‘test bed’ 

3. Bean DM, Taylor P, Dobson RJBA patient flow simulator for healthcare management education BMJ Simulation and Technology Enhanced Learning Published Online First: 07 October 2017 

- learn about the factors affecting efficient patient flow through hospitals using computer simulation, but don’t go looking for an online game… 

4. Christopher Hicks, AndrewPetrosoniak, The Human Factor: Optimizing Trauma Team Performance in Dynamic Clinical Environments, In Emergency Medicine Clinics of North America, Volume 36, Issue 1, 2018, Pages 1-17, 

- a MUST READ landmark paper 

 

We’re taking a break now til February when we’ll be back with more great Simulcast Journal Club 

Vic 

ALiEM MEDiC X-over Wrap: The Case of the Difficult Debrief

In early November the Simulcast Team combined forces with the team behind the ALiEM MEdIC Series for a joint case discussion around “The Case of the Difficult Debrief”.  After a fantastic online discussion involving a number of simulation superstars, a summary of the case and the discussions were uploaded at the ALiEM Website here. 

For those who aren’t aware, the Academic Life in Emergency Medicine “Medical Education in Cases” series puts difficult medical education cases under a microscope through facilitating an online discussion about hypothetical educational dilemmas.  Their cases and expert responses were the original inspiration for the Simulcast Journal Club and their website is a tour de force of FOAMed role modelling that is well worth spending a lot of time in. 

In our inaugural crossover podcast, Ben Symon talks to Dr Brent Thoma (@Brent_Thoma) who is Emergency Medicine Research Director at the University of Saskatchewan and an Associate Editor of ALiEM, and expert commenter Dr Andrew Hall (@AKHallMD) who is an Assistant Professor in the Department of Emergency Medicine at Queen's University). 

Join us as we discuss what differences exist between the skills involved in clinical teaching and simulation debriefing, how to gain the trust of your learners, using “The Cheng Approach” to find a more learner centered structure to your debriefs, and wait in peril to see just what mysterious Canadian rodents are stalking Dr Hall in the air vents above his laptop. 

 

Debrief 2 Learn X-over: Faculty Development

 

Faculty development – joint release podcast with debrief2learn 

 

A highlight of my recent trip to Canada was meeting many simulation experts and enthusiasts.  

Adam Cheng (@DocChenger) suggested we record a podcast on faculty development in simulation programs, as we also had Dawn Taylor Petersen from the University of Alabama and Ryan Brydges (@rbrydges) from the Wilson Centre at University of Toronto visiting. 

We’re very pleased to release this podcast jointly with debrief2learn – an amazing group of people and a rich online resource for all things simulation debriefing. 

Thanks again to Adam for his hospitality and generosity. 

 

vb 

Ep. 11 - Designing Better Sim Cases

Scenario design 

Kyla Caners (@drcaners) from emsimcases.com was our guest on this Simulcast episode on scenario design. She and Jesse shared tips on knowing what you’re trying to achieve, planning the scenario, using templates, finding ‘supporting objects and ‘road testing’ and peer review for sim cases. 

Design requires a lot of attention to detail and really sets up the educational event for success or otherwise.  There was a strong theme to keep it simple and not overburden participants with difficult diagnostic cases if simulator cues are relatively poor, which might add to cognitive load without effective educational effect. 

We also profiled Kyla’s EM simcases blog – a #FOAMed resource with pre-written cases, templates and more. Check out this resource and Kyla also encouraged listeners to send simulation scenario cases for peer review if interested.