Simulcast

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

 

139 Safety-II, Drugs and Design Sprints in Intensive Care

In this episode Vic and Jesse have a long overdue on air catch and talk through a human centred design project to improve medication safety in the Intensive Care Unit that Jesse has being working through in his day job. Vic and Jesse discuss, real world applications of Safety-II approaches, the core philosophy and practices of psychological safety and the importance of clinician led approaches to risk in practice. The episode closes with drawing parallels between this work and the skills and practices of simulation. We would love to hear your thoughts and experiences.

138 Journal Club Podcast October 2021

Ben and Vic kicked off this episode talking about some upcoming healthcare simulation events – NYSIM Hot topics virtual symposium October 22nd (USA) , The ASPIH ‘Moving Upstream’ conference 8th – 10th November (UK), and the RCPSC 2021 Simulation Summit, November 4th and 5th (Canada) 

We gave some shout outs to friends of Simulcast who’ve joined us in Twitter conversations and more! 

We enjoyed reading Team debriefings in healthcare: aligning intention and impact from Michaela Kolbe and colleagues – a must read for those interested in translating their simulation debriefing skills to clinical debriefings. We welcomed the launch of the International Journal of Healthcare Simulation and reviewed Dogan et al. A form of mental simulation with significant enhancements enabling teamwork training. (link not yet available)  

We appreciated the efforts of the Norwegian anaesthetic group in auditing their practice at a national level - Is simulation-based team training performed by personnel in accordance with the INACSL Standards of Best Practice: Simulation? - a qualitative interview study 

We often think about simulation as a strategy to achieve patient safety, but this month we reviewed a simulation-based curriculum for post graduate medical trainees aimed at teaching about quality improvement and patient safety – thank you Jacob Luty and colleagues. 

Lots of great listening and food for thought  

 

Looking forward to next month ! 

137 New Journal - International Journal of Healthcare Simulation

There is a new journal on the block. The International Journal of Healthcare Simulation – Advances in Theory and Practice is led by Editor in Chief Debra Nestel AM and “provides a forum to share scholarly practice for advances in simulation across diverse applications in health and social care.” Peer viewed, and open access, IJOHS is jointly owned by the Society for Healthcare Simulation (SHS, India) and Adi Health+Wellness. 

Vic spoke with Debra about the philosophy and aims of the Journal, the diverse articles planned for the first issue, and some detail for readers and potential authors. 

We look forward to discussing papers from IJOHS on the Simulcast journal club and wish the team all the best.  

Follow @IJoHSim on Twitter for updates 

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136 Equity, Diversity & Inclusion in Simulation

Equity, diversity and inclusion in healthcare simulation – reflecting on our values, beliefs and actions 

 

Many in the simulation community are thinking about the ways we might work on equity, diversity and inclusion through healthcare simulation. We are tempted to try and ‘fix’ inequities and biases, but are also aware than if badly done – these ‘fixes’ may cause harm. 

Ben Symon hosts this episode with Vic Brazil and Eve Purdy, and discuss the EDI-SIM tool they are trialling at the Gold Coast, and the collaborative autoethnography Eve is leading to explore the impact of this strategy. 

We made reference to recent publications on Recommendations and Guidelines for the Use of Simulation to Address Structural Racism and Implicit Bias and ‘moving from safe to brave’ in Simulation in healthcare , applaud the work that many are doing in the area, and  look forward to more conversations on these issues.