Simulcast

152 Simulcast Journal Club Podcast April 2022

Deception was one theme in our Simulcast Journal Club for April. We started with a conceptual paper discussing ‘positive’ deception in simulation, and considering the relationship between deception and fidelity in our simulation design. We followed with an RCT on ‘speaking up’ in anaesthesia crises which sought to explore how deception might be necessary or justified if we need ‘sociological fidelity’ (recreating hierarchies and power dynamics) in our scenarios. 

 We then discussed an article on 360 degree VR sim, the use of measures of parasympathetic stimulation, and the nuances of non-inferiority studies.  Our last paper looked at research priorities for healthcare simulation, using a Delphi methodology. 

Thanks to those who contributed this research. 

Happy listening ! 

 

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151 Simulcast Journal Club Podcast March 2022

Simulcast Journal Club March 2022 

 

Ben and Vic talk through 4 papers this month; Ethical considerations when conducting active short simulations in healthcare, computer modelling simulations for COVID public health policy, professional identity formation during a neonatology boot camp (with clarification that is not a training session for babies to do push ups), and the INACSL standards of best practice in scenario design. 

Happy listening!  

150 Advances in Simulation: Lifting the lid on the ‘safe container’ of healthcare simulation

Vic speaks with Eve Purdy about their recent paper in Advances in Simulation - Taking simulation out of its “safe container”—exploring the bidirectional impacts of psychological safety and simulation in an emergency department. We talk about the shared experience of many simulation educators that led to the research question – How does psychological safety in the workplace affect that experienced in the ‘sim space’ and how does that leak back in turn? Eve describes the methods and findings, and refers to the wealth of literature on psychological safety in simulation that this paper builds upon – research by Roison O’Donovan, Jenny Rudolph’s foundational ‘safe container article, Michaela Kolbe’s work on the ‘dynamic balancing act’ in simulation debriefing and more. 

 

The episode includes quotes and audio snippets from simulation colleagues – Ben Symon, Chris Roussin, Jenny Rudolph, Walter Eppich and Michaela Kolbe. 

 

For more on psychological safety in simulation and the workplace – these prior simulcast episodes on the ‘safe container’ and ‘rapport’ might be of interest, together with Eve’s recent talk to RCEM on psychological safety in emergency medicine. 

 

This is the latest in our Simulcast collaboration with Advances in Simulation – an open access Simulation Journal. Thanks also to the teams at Gold Coast Health Emergency Department and to the Emergency Medicine Research Foundation who provided grant funding for the study  

 

 

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! 

 

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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! 

 

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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