The dasSMACC (social medial and critical care) conference was recently held in Berlin. Simulation was a theme woven throughout the conference, and we thought a simulcast episode recapping on some of the messages and themes was timely. Smacc has arguably redefined the way we think about medical conferences – great speakers, great messages, hard core critical care in an engaging format. This year, simulation activities were embedded in main stage talks, workshops, panel discussions and the ‘ Sim H...
Jul 23, 2017•29 min•Ep. 16
Simulcast is pleased to announce a collaboration with Advances in Simulation , an open access simulation journal based in Europe. In this interview with Editor in Chief Professor Debra Nestel (@DebraNestel), we profile the content, people and philosophy of the journal. Debra is already a friend of Simulcast, and wrote the expert commentary for our September 2016 Journal Club. Our plan is to produce a bi-monthly podcast featuring an article from Advances, with an interview with the author, and ed...
Jul 19, 2017•13 min•Ep. 15
In our June journal club podcast Ben and Vic discuss the paper of the month. Cheng et al. “Coaching the Debriefer: Peer Coaching to Improve Debriefing Quality in Simulation Programs” Simulation in Healthcare : The Journal of the Society for Simulation in Healthcare. Publish Ahead of Print, POST AUTHOR CORRECTIONS, 20 May 2017 Ben summarised the blog discussion and Walter Eppich’s expert opinion. We then reviewed some recent papers Roussin CJ1, Weinstock P. SimZones: An Organizational Innovation ...
Jul 04, 2017•32 min•Ep. 14
Norma Robinson leads an interprofessional simulation program involving medical students from University of Queensland Rural Clinical School and nursing students from the University of Southern Queensland. The program is based in Toowoomba but has now been scaled up to include students from many part of rural southern and central Queensland . Interprofessional education and teamwork training at the student level has been a challenging area, although with some excellent programs, and I think simul...
Jun 17, 2017•9 min
Sara-Catrin Cook joined me for short chat about all things sim at smacc . Sara is part of a group who has put together a comprehensive simulation theme woven through the conference, including the SIMHaus – a showcase within the Tempdrom where attendees can meet and talk to other simulation enthusiasts ad experts. The SimHaus will be physically set up next to the main arena, and Sara tells us what to expect. Simulcast will be there covering the event for those who can’t make it. See you in Berlin...
Jun 13, 2017•7 min
In an effort to streamline blog posts, we are continuing a merged Journal Club Podcast and monthly wrap post. Please read our pdf summary of the May Journal Club article, the month’s discussion and our expert commentary here In our May journal club podcast Ben and Vic discuss the papers of the month – a duo on Rapid Cycle Deliberate Practice and the approach to debriefing in this format Structuring feedback and debriefing to achieve mastery learning goals Eppich WJ1, Hunt EA, Duval-Arnould JM, S...
Jun 05, 2017•28 min
This month we turned our focus to simulation delivery formats, and in particular a novel approach described recently. Sunga K, Sandefur B, Asirvatham U, et al . LIVE. DIE. REPEAT: a novel instructional method incorporating recursive objective-based gameplay in an emergency medicine simulation curriculum BMJ Simulation and Technology Enhanced Learning 2016;2:124-126. We were fortunate to be joined by 2 authors of the paper Kharmene Sunga (@Kharmene) is an emergency physician at Mayo Clinic in Roc...
May 19, 2017•29 min
In our April journal club podcast Ben and Vic discuss the paper of the month – a classic debriefing article. Jenny W. Rudolph, PhD, Robert Simon, EdD, Ronald L. Dufresne, MS, and Daniel B. Raemer, PhD There’s No Such Thing as “Nonjudgmental” Debriefing: A Theory and Method for Debriefing with Good Judgment. Simulation in Healthcare • Volume 1, Number 1, Spring 2006 We then reviewed some recent papers The Simnovate series - all FREE for now Rajesh Aggarwal. Simnovate: simulation, innovation and e...
May 01, 2017•24 min
This episode was a ‘mix tape’ of moulage and other techniques to achieve physical realism in simulations – including procedural and anatomy teaching Clare Scott offered her considerable expertise in moulage and making bespoke manikins for trauma simulations. She emphasized keeping in simple, keeping it real and doing your research – online and through networks of interested sim moulage folks (like Behind the sim curtain ). Clare offered some practical examples for making ‘Schkin’ for moulding wo...
Apr 19, 2017•33 min
Simulcast Journal Club podcast March episode In our March journal club podcast Ben and Vic discuss the paper of the month Marshall, S. D. (2017) “ Helping experts and expert teams perform under duress: an agenda for cognitive aid research .” Anaesthesia, 72: 289–295. doi:10.1111/anae.13707. We shared some highlights from the online discussion, and Ben’s pdf summary is also included here. There’s more to a good checklist thean we realise. We then reviewed 3 recent papers (links below) Greig PR, D...
Apr 02, 2017•29 min
I shifted to the other side of the mic a couple of weeks ago - as interviewee. I had spoken at a breakfast meeting of the Australasian College of Health Service Management , and was then interviewed by Anthony Frangi of @popupradioAU about Translational Simulation – my take on how we might think about using sim for quality improvement.
Mar 20, 2017•10 min
There is increasing use of ‘in situ’ simulation (ISS) – conducted in the actual care environment – as a healthcare simulation modality. This method supports teamwork training, process improvement and the identification of safety threats related to the environment or care systems within that real clinical environment.1,2 The shared reflective experience during simulation promotes transfer of lessons back to the workplace. Debriefing achieves improved operational performance across a range of fiel...
Mar 20, 2017•1 min
Learning to be an effective simulation educator is a challenge. Education theory and practice, technical aspects and leadership are just some of the knowledge and skills involved. In this episode of Simulcast we were joined by Demian Szyld , (pronounced ‘shield’…….. “like the weapon” he told me). Demian ( @demianszyld ) is the Senior Director of the Institute for Medical Simulation at CMS in Boston, where he works with previous Simulcast guests Jenny Rudolph and Walter Eppich. He is involved in ...
Mar 13, 2017•24 min
In our February journal club podcast Ben and Vic discuss the paper of the month “Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training”. We shared some highlights from the online discussion, and Ben’s pdf summary is also included here. In short, it seems there’s more to communication skills training than recipes! We then reviewed 3 recent papers (all Open Access, and links below) #FOAMsim [Symbol] Design of simulation-based medical educ...
Mar 02, 2017•26 min
Happy New Year from Simulcast We’ve really enjoyed the Journal Club at Simulcast over the last 6 months. A great array of articles, insightful comments from readers and nice perspectives from expert contributors, and brilliantly curated by Ben Symon . We hope it’s another way to bring the healthcare simulation community together, and discuss and dissect the increasing volume of published literature in our field. We want to make it even better, and in 2017 we’ll be doing a monthly podcast wrap of...
Jan 28, 2017•9 min
Day 2 of the Asia Pacific Meeting for Simulation in Healthcare (APMSH) with Lance Baily On Day 2 of APMSH I attended a fascinating workshop with Lance Baily of SimGhosts and Healthy Simulation fame. Lance works in Las Vegas and has established a global reputation in the technical aspects of conducting simulation, for maximal learning effect. Some of these skills are drawn from his previous life working in Hollywood, and our workshop was based on some of those Getting the right camera angle Using...
Dec 08, 2016•9 min•Ep. 1
Day 1 of the Asia Pacific Meeting for Simulation in Healthcare (APMSH) with Kathy Adams and Jesika Gavilanes A couple of weeks ago, I went to the Asia Pacific Meeting for Simulation in Healthcare (APMSH) in Singapore. I gave a talk on some of the in situ ‘translational’ simulation work I’ve been involved with, and it was great to see what other sim educators are doing in our region, and to network across geography and culture. In this pause and discuss episode I spoke to Kathy Adams, the Directo...
Dec 08, 2016•7 min•Ep. 10
Be open and honest with the team about the true objectives you are trying to achieve. When these are focused on doing better for the patient, people will join the ride. Case: You’ve been running fortnightly scenarios in the nearby simulation centre. These are part of the resident training program and from time to time may get a nurse or two along depending on how busy the department is. While well evaluated, you see the residents go back to the shop floor and struggle to apply any of the lessons...
Nov 22, 2016•34 min•Ep. 9
In this episode we discuss psychological safety in simulation. Harvard professor Jenny Rudolph, PhD joined us for the discussion, taking time out form her busy schedule as the Director of the Center for Medical Simulation in Boston. We considered this all too familiar case study…… You’re facilitating a sim session in your ED. The junior docs and the nurses arrive, a few straggle in late. You do a nice RTR (Round the room) but everyone seems a bit anxious and they are shifting in their seats. You...
Oct 14, 2016•35 min•Ep. 8
Day 1 – Cognitive Load theory with Michael Meguerdichia One of the highlights of attending conferences like the Australasian Simulation Congress is the opportunity to meet and learn from members of the international simulation community. Michael Meguerdichia (@mmegue01 ) is an emergency physician and is Medical Director at The Simulation Center Harlem in New York, part of the NY Health and Hospital Simulation Centers . He ran a workshop at the conference based on his recent BMJ STEL paper on cog...
Oct 08, 2016•4 min•Ep. 7
Day 3 – Debriefing and Faculty Development with Adam Cheng Adam Cheng’s (@DocChenger) work on healthcare simulation debriefing is prolific. He is Director of Research and Development, KidSIM Simulation Program at Alberta Children’s Hospital and Associate Professor, Department of Paediatrics at the University of Calgary in Calgary, Canada. We met up at the ASC where I discovered he is also a lovely and self-effacing gentleman. We talked about the PEARLs workshop he conducted at the conference and...
Oct 08, 2016•10 min•Ep. 6
Day 1 – Pause and Discuss with Jessica Stokes-Parish Jessica Stokes-Parish (@j_stokesparish) was a co-convenor for the 2016 Australasian Simulation Congress . In this short interview on Day 1 we talked about the highlights of the conference so far, and her work on women speakers at conferences and women in STEM more generally. See also @WISSummit on this topic....
Oct 08, 2016•3 min•Ep. 5
Case You’ve got your sim program up and running. The sessions are regular and you’ve managed to find a time when the doctors and nurses can both come. You’ve mastered the technical stuff well enough and you’ve run some cracker scenarios. Your debriefing is … well….. getting better…. During your performance review with your department head, she says that you really ought to be publishing some of this stuff – “it's great”, she says. “I’d like to see 1 or 2 papers from you in the next 12 months. An...
Sep 16, 2016•24 min•Ep. 4
Debriefing is a social event – wisdom from Walter Eppich Case Ellen felt anxious walking into the debrief room. The ED team had just finished an in situ simulation where the focus was on rapid sequence intubation (RSI) in head injury, and using the new intubation checklist. This was the third sim session in a series the department had agreed to run following 3 patient cases where significant desaturation occurred during intubation attempts. Ellen thought they’d done OK but had recognized a lot o...
Aug 17, 2016•27 min•Ep. 3
2 - Pause & Discuss: The Australasian Simulation Congress with Julian Van Dijk Collaboration is vital for successful sim programs, and yet we often work in isolation from fellow simulation enthusiasts. The Australasian Simulation Congress is a great opportunity for those of us in this part of the world to learn, to network, and to be inspired in our simulation work. It’s a joint effort for SimHealth (folks like us in healthcare), and Sim Tect (amazing simulation people from aviation, enginee...
Jul 25, 2016•6 min•Ep. 2
You have been asked to develop a five-year strategic plan for simulation services in your hospital. Through your literature review you recall an article by David Gaba, ‘The future vision of simulation in healthcare’. All your dreams have been answered. In 2004 Gaba mapped the dimensions of organisational applications of simulation. You are thrilled to find his projection of two possible histories viewed from 2025; one optimistic – simulation integrated into the very fabric of health care; and on...
Jul 16, 2016•30 min•Ep. 1
