Simulcast

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 

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 

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. 

 

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 

 

 

 

 

 

 

 

 

 

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 

 

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 

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 

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. 

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 

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