Simulcast

149 Simulcast Journal Club Podcast February 2022

Calling for help by junior medical staff is frequently a focus of healthcare simulation activities, but our first paper highlights how the impact is perhaps more complex than we have previously realised, and there is real risk of harm. We then looked at a paper describing the development of the marvellous LIFE App for neonatal resuscitation in LMIC countries – including drawing upon human centred design principles and project management methodology.  Simulation Fellowships and the advantages and disadvantages of accreditation came under the spotlight in a debate article that reported on a session from the 2022 IMSH conference.  

And we finished with a fascinating look at ‘team neurosynchrony’ during laparoscopic surgical simulation – high performing teams tend to have synchronous pupillary dilatation during surgery, likely evidence of a shared understanding of the cognitive load at any moment. Yes really! 

Happy listening! 

148 Advances in Simulation: Emotions in Simulation-Based Education: Friends or Foes of Learning?

Simulation based education involves thinking, but also feeling. Emotions are pervasive and powerful, and they impact on performance and learning – in both healthcare simulation and of course in the real world. 

In this episode we talk with Vicki LeBlanc and Glenn Posner about the research on emotions, cognitive processes and learning, and their narrative overview on this topic just published in Advances in Simulation. 

We discussed the inadequacies of simplistic models like Russel’s circumflex model of emotion or the Yerkes Dodson curve that many simulation educators draw upon. We take a deeper dive into literature drawn from many contexts about how emotions impact attention, memory, motivation and learning.  

Using an example from Glenn’s practice, we consider how this applies to our simulation design, delivery and debriefing 

The article is full of references to those looking for more on the topic, and look out for more from this team! 

 

Happy listening! 

 

vb 

 

 

 

 

 

 

147 Advances in Simulation: Walking in their shoes

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 Simulation, Walking 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 

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

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.

145 Simulcast Holiday Edition 2021

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

Transformative faculty development, suspension 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 

144 Advances in Simulation: Plus-Delta Debrieifng

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 

143 Advances in Simulation: ONE-Sim in Southern India

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  

142 Safety-II and Simulation with Carl Horsley

 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: - 

• From Safety-I to Safety-II: A White Paper Professor Erik Hollnagel 

• Improving Healthcare Team Communication Building on Lessons from Aviation and Aerospace by Christopher P. Nemeth 
• Cognition in the Wild Ed Hutchins 
• Damon Centola - How Behavior Spreads: The Science of Complex Contagions (video) 
• Seeing Whole Systems | Nicky Case ( video)  

Happy listening! 

141Journal Club Podcast November 2021

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 

140 Moulage with Jess Stokes-Parish

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