Simulcast

Join us for the May edition of the Simulcast Journal Club, hosted by Vic Brazil and Ben Symon. In this episode: Cracking the debriefing approach for embracing complexity adaptive systems, psychological safety as gardening, ethical AI in academic writing, and medical students practising IV cannulas on each other…     The papers  Amorøe TN et al. Resilience-focused debriefing: addressing complexity in interprofessional simulation-based education—a design-based research study. Adv Simul. 2025; 10:25.   Nestel D, et al. ‘Tending' the ‘garden' of psychological safety in simulation-based education. J Healthc Simul. 2025 Apr 21.   Cheng A, et al. Artificial intelligence-assisted academic writing: recommendations for ethical use. Adv Simul. 2025;10:22.   Kiernan R, et al. Medical students' preferences on practicing intravenous insertion on each other and via simulation. Simul Healthc. 2025 Apr;20(2):129–135.   Another great month on Simulcast.  Happy listening 

Ever wondered if we should have tested the new hospital space before moving in? Thinking that new piece of equipment won't work for your current workflow? Want to implement a new checklist but not sure if it will work?    In this episode Vic and Ben speak with Andrew Petrosoniak and Christopher Hicks from Advanced Performance. Chris and Petro are both emergency physicians who have built an impressive repertoire of using simulation to explore and improve performance of team, systems and spaces in healthcare.    Our conversation is wide ranging, offering perspectives on why this use of simulation is still relatively limited, as well as how the processes for this technique are evolving.  We talked about design thinking and simulation, the use of framework analysis, the Macleamy curve, and the concepts of ROI for this work.    Ben shared his favourite book on design principles. We referred to some other excellent podcasts including Paul Phrampus talking about connecting with hospital executives on One Million Lives, and our own episode of Simulcast discussing Nora Colman's paper saving $90 million testing a hospital before it was built.    Lots more on the Advanced Performance website.    Happy listening    

Join us for the April edition of the Simulcast Journal Club, hosted by Vic Brazil and Ben Symon, In this episode: Self-led debriefings, measuring team cognition, simulation as a basic computational mechanism in the brain, and picto-dictionaries.  The papers  Kumar P, Harrison NM, McAleer K, Khan I, Somerville SG. Exploring the role of self-led debriefings within simulation-based education: time to challenge the status quo?. Adv Simul. 2025;10(9).  Evans JC, Evans MB, Lingard L. Team cognition in healthcare simulation: a framework for deliberate measurement. Adv Simul. 2025;10(12).  Barsalou LW. Simulation, situated conceptualization, and prediction. Philos Trans R Soc Lond B Biol Sci. 2009;364(1521):1281–89.  Kou M, Sanseau E, Kardong-Edgren S, von Hauff P, Ramachandra G, Walsh B, et al. Enhancing simulation-based healthcare education and research reporting using pictograms: does a picture paint a thousand words? Commentary from the International Distance Simulation Summit Pictogram Track. J Healthc Simul. 2025 Apr 14.  Another great month on Simulcast.  Happy listening    

Welcome to Simulcast! In this special episode, Victoria Brazil is joined by Hege Ersdal and Benjamin Kamala, the joint first authors of a ground-breaking study just published in the New England Journal of Medicine. Their program aimed to reduce birth-related mortality in Tanzania, with spectacular success. The Safer Births Bundle integrated key elements: innovative simulation training, data-driven quality improvements, advanced clinical devices, and international collaboration and local empowerment. Neonatal mortality was reduced by 40 % and maternal deaths reduced by 75%. Congratulations to all involved.  The article:  Kamala BA, Ersdal HL, Moshiro RD, Guga G, Dalen I, Kvaløy JT, Bundala FA, Makuwani A, Kapologwe NA, Mfaume RS, Mduma ER, Mdoe P; Safer Births Bundle of Care Study Group. Outcomes of a Program to Reduce Birth-Related Mortality in Tanzania. N Engl J Med. 2025 Mar 13;392(11):1100-1110. doi: 10.1056/NEJMoa2406295. 

Join us for the March edition of the Simulcast Journal Club, hosted by Vic Brazil and Ben Symon, In this episode: Integrating electronic medical records into simulations, learning from reluctant participants in paediatric simulation training, using tabletop sandbox simulations to understand emergency department care coordination, and quality in simulated participant programs in Australia.  The papers  Wu, T., & Coggins, A. R. (2025). Low-cost electronic medical record interface for healthcare simulation. Journal of Healthcare Simulation SRSIS, 1, S9–S11. https://doi.org/10.54531/AGRS5189  Hybinette, K., Praetorius, G., Ekstedt, M., & Pukk Härenstam, K. (2025). Navigating the complexity of emergency department care coordination: A qualitative exploration of adaptive strategies using a tabletop sandbox simulation. Applied Ergonomics, 125, 104466. https://doi.org/10.1016/j.apergo.2025.104466  Newhouse, L., & Polwart, N. (2025). What can simulation educators learn from the reluctant participant? An exploration of the factors influencing engagement amongst adult learners participating in paediatric simulation training. Advances in Simulation, 10(4). https://doi.org/10.1186/s41077-025-00331-9  Stokes-Parish, J., Bannatyne, A., Green, P., Alsaba, N., Turner, C., Marr, K., & Gough, S. (2025). Benchmarking person-centered simulated participant programs: A Delphi consensus study in an Australian context. Clinical Simulation in Nursing, 99, 101683. https://doi.org/10.1016/j.ecns.2024.101683    Another great month on Simulcast.  Happy listening    

This is our 200th episode of Simulcast. To mark the occasion, Vic, Ben. Jess and Jesse all shared some thoughts on what we think we've achieved, the impacts that Simulcast has had on us, and ventured some highlights   We reflected on our first episode in 2016, and our review of Davis Gaba's Future vision of simulation in healthcare. Ben ventured that he thought we might end up like the Margaret and David of journal club hosts.

Ever felt that preparing equipment for advanced airway management in your ED is ‘messy'?  In this episode Vic interviews Dr Ava Butler, an emergency doctor and QI/ simulation practitioner from rural British Columbia. We discussed her recent article about how equipment re-design and translational simulation was used to dramatically improve preparation speed and staff level of comfort with advanced airway management.  The conversation was informative and inspiring. We talked about the liberating structures process of brainstorming ideas for improvement, the role of patient partners in improvement, the hierarchy of interventions in quality improvement, and the significance of qualitative measures and stories in improvement efforts.  We marvelled at the dramatic improvements they achieved using a color-coded airway cart and translational simulation; a 76% reduction in time taken to prepare airway equipment, and significant improvements in staff comfort and team culture. EM sim cases got an honourable mention

Ben and Vic are back for 2025, reviewing the latest healthcare simulation literature in the February episode of the journal club.   A call to honour SPs, saving $90million though simulation testing, cognitive biases in simulation debriefing and inspiring simulation-based improvement work from Tanzania.  The papers  Clark, L., et al (2024). Call to Action: Honoring Simulated Participants and Collaborating With Simulated Participant Educators. Simulation in Healthcare.   Colman, Net al. (2024). The Business Case for Simulation-Based Hospital Design Testing: $90M Saved in Costs Avoided. Pediatric Quality and Safety, 9:e775.   Meguerdichian, M. J., et al. (2024). When Common Cognitive Biases Impact Debriefing Conversations. Advances in Simulation, 9:48.   Kamala, B. A et. al. (2025). Practice, Experiences, and Facilitators of Simulation-Based Training During One Year of Implementation in 30 Hospitals in Tanzania. SAGE Open Nursing, 11, 1–13.    Another great month on Simulcast.  Happy listening 

In this episode of Simulcast, Vic Brazil is joined by Vicki LeBlanc and Glenn Posner to discuss their recent article "More Than a Feeling: Emotional Regulation Strategies for Simulation-Based Education" published in Advances in Simulation.   The conversation delves into the importance of recognizing and addressing emotions in simulation-based learning environments. Vicki and Glenn share insights on why emotions are often seen as taboo or difficult to manage in simulation, despite being a natural part of clinical practice (and everyday life!). They explain how emotions impact cognitive processes like attention, judgment and memory, and why ignoring them can hinder learning objectives.  We explore practical strategies for identifying emotional cues, assessing whether emotions are helpful or hindering, and employing implicit or explicit regulation techniques. We emphasize the need to normalize emotional responses and view them as valuable data, rather than something to be avoided.  The article aims to provide simulation educators with a comprehensive framework for understanding and responding to the emotional aspects of simulation-based learning. It challenges the notion that simulation should be a purely rational endeavour, underscoring the vital role emotions play in preparing healthcare learners for the realities of clinical practice.  Happy listening! 

Simulating ICU transports to determine lift sizes. Meta-debriefing, clinical debriefing in operating theatres, and supporting psychological safety. Another great episode on Simulcast journal club to close out 2024. We'll be back in February 2025!  And, for bonus holiday viewing… also check out Ben Symon's brilliant talk at the Victorian Simulation Alliance on the importance of algorithm design in healthcare and how simulation can help.   The articles (with links): -  Barnett SG, Stephens KM. Simulated impact of lift car sizes on transport of critical care patients: Informing the design of the New Dunedin Hospital. Anaesth Intensive Care. 2024 May;52(3):188-196.  Kumar, Prashant et al. Exploring the Meta-debrief: Developing a Toolbox for Debriefing the Debrief. Simulation in Healthcare, October 22, 2024  Phillips, Emma et al. Development and validation of the theatre team tool (TTT): A clinical debriefing tool for multidisciplinary theatre teams. Trends in Anaesthesia and Critical Care, Volume 58, 2024.  Vaughn, J. et al. Promoting psychological safety in simulation using a novel visual tool: A mixed-methods quasi-experimental study, Nurse Education Today, Volume 146, 2025,    Happy holidays and thanks for listening to Simulcast in 2024! 

Speech diarisation for simulation debriefings, simulation and root cause analysis, translational simulation implementation, and music before sim to reduce anxiety. Another great month on Simulcast.  The articles (with links): -  Brutschi, R., Wang, R., Kolbe, M. et al. Speech recognition technology for assessing team debriefing communication and interaction patterns: An algorithmic toolkit for healthcare simulation educators. Adv Simul 9, 42 (2024).  Slakey DP, et al. Using simulation to improve root cause analysis of adverse surgical outcomes. Int J Qual Health Care. 2014 Apr;26(2):144-50  Paganotti LA, Shope R, Calhoun A, McDonald PL. Barriers and Facilitators to Implementing Simulation-Based Translational Research: A Qualitative Study. Simul Healthc. 2024 Aug 1;19(4):220-227  Gosselin, Kevin et al. Efficacy of 15-minute music intervention on nursing students' anxiety, self-efficacy, and performance in simulation testing: A randomized study. Clinical Simulation In Nursing, Nov 2024 Volume 96, 101625  And… Don't forget Simulation Reconnect is on again   Bond University, Wednesday 27th November. Registration here  

In situ sim and latent safety threats, psychological safety ecosystems, reclaiming professional identity through simulation, and simulating Mt Everest expeditions. Another great month on Simulcast.  The articles (with links): -  Grace MA, O'Malley R. Using In Situ Simulation to Identify Latent Safety Threats in Emergency Medicine: A Systematic Review. Simul Healthc. 2024 Aug 1;19(4):243-253  Eller S, Vlasses F, Horsley T, Connor J. Simulation psychological safety ecosystem: using constructivist grounded theory to explore nurses' experiences with prelicensure simulation. International Journal of Healthcare Simulation. 2024  Smith, S.E., Tallentire, V.R., Doverty, J. et al. Reclaiming identities: exploring the influence of simulation on refugee doctors' workforce integration. Adv Simul 9, 37 (2024)  Dieckmann, Peter et al. Combining storytelling and a scenario re-enactment of Mt. Everest expeditions to practice cognitive and social skills. Clinical Simulation In Nursing, Volume 96, 101591  Happy listening!    And… Don't forget Simulation Reconnect is on again   Bond University, Wednesday 27th November. Registration here  

The articles (with links): - Godmon, A., Walker, K., & Symon, B. (2024). Hijacking telehealth technology to deliver tele-simulation: outlining the tangible and unanticipated benefits. International Journal of Healthcare Simulation. Korimbocus, B., Wilson, H., McGuckin, A. et al. ‘Having skin in the game': guiding principles for incorporating moulage into OSCEs. Adv Simul 9, 34 (2024) Lorello GR, Hodwitz K, Issenberg SB, Brydges R. Relinquishing control? Supervisor co-regulation may disrupt students' self-regulated learning during simulation-based training. Adv Health Sci Educ Theory Pract. 2024 Mar;29(1):9-25. Stone KP, Rutman L, Calhoun AW, et.al. SQUIRE-SIM (Standards for Quality Improvement Reporting Excellence for SIMulation): Publication Guidelines for Simulation-Based Quality Improvement Projects. Simul Healthc. 2024 Aug 16. Happy listening!   And also mentioned on the podcast - Sarah Blissett's winning article at the AMEE Simulation Journal Club. We loved it too and reviewed on Simulcast back in March. Listen again here! And… Don't forget Simulation Reconnect is on again Bond University, Wednesday 27th November. Registration here

We welcomed Erin Carn-Bennet to the podcast for a conversation about her new venture – as coproducer of IPSS- The Podcast  Erin is a Simulation Nurse Educator for Douglas Starship Simulation Programme, Lead host Sim Nurse NZ podcast, Co-founder Sim2Lead, Content Coordinator and Writer for HealthySimulation.com, Nursing Director Med Sim Solutions  The International Paediatric Simulation Society (IPSS) is a global community of multidisciplinary paediatric focused health professionals from over 30 countries, working to improving the care of infants and children worldwide through multi-disciplinary, simulation-based education, training, and research in paediatric simulation  IPSS host a resource rich website, run events and an annual conference. Now they've decided to start a podcast! Erin is joined in that venture by Samreen Vora, Christine Bailey, and Elaine Ng.  Erin and Vic talked about the work of IPSS and the aspiration of the podcast to support that mission.  The first episode is out, and you can listen on Spotify here.  Happy listening  vb 

Training as imagined?, sim for faster stroke treatment, simulation after key events, Implementing TALK for clinical debriefing.  Another great month on Simulcast.  The articles: -  Kerins, J., Ralston, K., Stirling, S.A. et al. Training as imagined? A critical realist analysis of Scotland's internal medicine simulation programme. Adv Simul 9, 27 (2024)  Ajmi SC, Kurz M, Lindner TW, et al. Does clinical experience influence the effects of team simulation training in stroke thrombolysis? A prospective cohort study. BMJ Open 2024;14:e086413  Diaz-Navarro, C., Jones, B., Pugh, G. et al. Improving quality through simulation; developing guidance to design simulation interventions following key events in healthcare. Adv Simul 9, 30 (2024).  Diaz-Navarro C, Enjo-Perez I, Leon-Castelao E, Hadfield A, Nicolas-Arfelis JM, Castro-Rebollo P. Implementation of the TALK© clinical self-debriefing tool in operating theatres: a single-centre interventional study. Br J Anaesth. 2024 Jul 29:S0007-0912(24)00413-6.    And also mentioned on the podcast   The Self Development Module on ‘Introduction to Quality Improvement'  Happy listening!    And… Date Claimers    The Victorian Translational SIMposium  6th September, Melbourne . Details and registration here     Simulation Reconnect is on again   Bond University, Wednesday 27th November. Registration here  

Taylor, T., Columbus, L., Banner, H. et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication in the face of medical error and professionalism lapses. Adv Simul 9, 17 (2024). https://doi.org/10.1186/s41077-024-00293-4    We know that speaking up is good for patient safety, but hard to do, and that training may not be effective in altering behaviour in the face of hierarchy and cultural barriers. In this article, Taryn Taylor and her research team suggest that indirect, subtle challenges are less well understood and may have more value than we've appreciated. And maybe patent presence might be an important influence on this behaviour?  Taryn Taylor is an OBGYN and simulation practitioner and researcher. She is assistant professor of Obstetrics & Gynaecology at Western University in London Ontario Canada, a graduate of the Uni Ottawa Simulation Fellowship, and has a PhD in Health Professions Education from Maastricht University. As a researcher, most recently she's focused on using sociological fidelity in simulation to explore the complex social dynamics in healthcare teams that impact care delivery and patient outcomes.  The article is a methodological masterclass, showing us how to create ‘sociologic fidelity' to allow research of these complex relational phenomena and how to use this ‘simulation primed elicitation approach' to collect data.  The findings are unsettling but important! Even in the face of error and lapses in patient safety, the communication remained indirect, subtle, and sometimes non-verbal. Study subjects described quite problematic assumptions about their teams, that we must recognise to advance work in this area.  Taryn helps us get the story behind the study and we reflect on how this might translate to a broader educational agenda.  Happy listening!  vb 

Teamwork, EDI, cognitive load, stress testing the cath lab - perennial topics explored in interesting ways. Another great month on Simulcast.  The articles: -  Holgaard, R., Bruun, B., Zingenberg, F. et al. An interview study about how nurses and physicians talk about the same concepts differently. BMC Med Educ 24, 698 (2024).  Mutch, J., Golden, S., Purdy, E. et al. Equity, diversity and inclusion in simulation-based education: constructing a developmental framework for medical educators. Adv Simul 9, 20 (2024).  Wiltrakis, S., Hwu, R., Holmes, S. et al. Debriefer cognitive load during Traditional Reflective Debriefing vs. Rapid Cycle Deliberate Practice interdisciplinary team training. Adv Simul 9, 23 (2024)  Jafri FN, et al. Stress Testing the Cardiac Catheterization Laboratory: A Novel Use of In Situ Simulation to Identify and Mitigate Latent Safety Threats During Acute Airway Management. Simul Healthc. 2024 Apr 1;19(2):75-81.    Happy listening!    And… Date Claimers    The Victorian Translational SIMposium  6th September, Melbourne . Details and registration here     Simulation Reconnect is on again   Bond University, Wednesday 27th November. Registration here  

Vic and Ben reflect on their time at SESAM 2024 in Prague.   We were pleased to release this episode in conjunction with Laerdal's One Million lives podcast   SESAM is the Society for Simulation in Europe. Their vision is “improved healthcare through simulation. Enabling safe, patient-centred care delivered by a competent and confident healthcare workforce in a well-functioning healthcare system”. The 2024 conference in Prague drew more than 1000 attendees from 63 countries.  Our highlights included   A brilliant keynote from Lisa Brogaard and Tanja Manser on their research program on nontechnical skills in maternity resuscitation teams. Example articles here and here  A research update from Gabe Reedy and Michaela Kolbe (EIC and Senior Editor at Advances in Simulation). This included a focus on the SiREN network within SESAM.  The announcement that Advances in Simulation now has an Impact Factor – its 2.8 ! More on Impact Factor here. Another excellent keynote – from Prague based journalist and science communicator Daniel Stach Exhibitors and industry updates Great short communications - including an update from Jo Park Ross and Marvin Jansen from Capetown, SA, talking about their SHARE initiative - Simulation in Healthcare for African Research and Education. ‘fostering fairness, equity and diversity in research'  http://blogs.uct.ac.za/SHARE/ Our VEMS (Visually Enhanced Mental Simulations) workshop – with Ben's new resource for VEMS delivery here   Next year – SESAM is in Valencia Spain June 2025! 

Standards and consensus statements. Sim as ‘start-up'. Faculty development for translational simulation. Another great month on Simulcast.  The articles: -  Cristina Diaz-Navarro, Colette Laws-Chapman, Michael Moneypenny, Makani Purva. The ASPiH Standards – 2023: guiding simulation-based practice in health and care. IJOHS 2024  Diaz-Navarro, C., Armstrong, R., Charnetski, M. et al. Global consensus statement on simulation-based practice in healthcare. Adv Simul 9, 19 (2024).  Szabo, R.A., Molloy, E., Allen, K.J. et al. Leaders' experiences of embedding a simulation-based education programme in a teaching hospital: an interview study informed by normalisation process theory. Adv Simul 9, 21 (2024).  Sharon Clipperton, Leah McIntosh, Sarah Janssens, Benjamin Symon. Designing a faculty development programme for systems-focused translational simulation. IJOHS 2024  Happy listening!    And… Date Claimer  Simulation Reconnect is on again   Bond University, Wednesday 27th November. Registration here  

In our latest Advances in Sim collaborative episode, we explore how translational simulation has evolved in the last 6 years.  Ben interviews the authors of “Translational simulation revisited: an evolving conceptual model for the contribution of simulation to healthcare quality and safety”, Prof Gabe Reedy and our own Prof Victoria Brazil in order to explore their new paper.  Together we discuss how the concepts of Purpose, Process and Conceptual Foundations underpin the strategic design and delivery of projects using translational sim. 

Rating and ranking debriefers and debriefing tools. Systematic reviews in simulation. Clinical debriefing. Simulation saving stroke patients. Contributions and transformation from Taiwanese SPs. Another great month on Simulcast.  The articles: -  Guimbarda, N et al. A Comparison of 2 Debriefing Rubrics to Assess Facilitator Adherence to the PEARLS Debriefing Framework. Simulation in Healthcare: April 24, 2024  Phillips EC, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Quality & Safety 2024;33:187-198.  Aljuwaiser, S. et al. Evaluating the effects of simulation training on stroke thrombolysis: a systematic review and meta-analysis. Adv Simul 9, 11 (2024).  Ho, Yun-Chi et al. Older Taiwanese Volunteers as Standardized Patients: Service Motivation, Identity Formation, and Internal Transformation. Simulation in Healthcare: November 13, 2023    Happy listening!    And… Date Claimer  Simulation Reconnect is on again   Bond University, Wednesday 27th November. Details and early registration to be released shortly. 

Psychotherapy in the debrief room, Sim to improve blood transfusion systems sand safety,  exploring simulation ‘dose' for maintenance of skills, and comparing student self-assessment with educators and SPs . Another great month on Simulcast.  The articles: -  Drake, G. Drewek, K. “I Hate Sim!”—Using Psychotherapeutic Concepts to Help Educators Attend to Challenging States of Mind During Simulation Prebriefs. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare February 27, 2024.  Dube et al. Harnessing system-focused simulation, debriefing and FMEA to inform healthcare blood transfusion safety and policy. International Journal of Healthcare Simulation. July 2022  Haynes, J.  Rettedal, S. Ushakova, A. Perlman, J. Ersdal, H. How Much Training Is Enough? Low-Dose, High-Frequency Simulation Training and Maintenance of Competence in Neonatal Resuscitation. Simulation in Healthcare: March 6, 2024  Sullivan, C.C., O'Leary, D.M., Boland, F.M. et al. A comparative analysis of student, educator, and simulated parent ratings of video-recorded medical student consultations in pediatrics. Adv Simul 9, 10 (2024).  And…  Don't forget to register for SESAM. Program and speakers released now. Will be an awesome few days in Prague in June 19th – 21st.    Happy listening    vb 

Demystifying simulators, replacing live tissue training for surgery, exploring uncertainty through simulation, and writing conference abstracts. Another great month on Simulcast.  The articles: -  Goodwin B, Nestel D. Demystifying simulators in healthcare. International Journal of Healthcare Simulation 2024.  Swain C, et al. Trauma surgical simulation: discussing the replacement of live animals used as human patient simulators. Advances in Simulation 2024.  Blissett S, et al. How do residents respond to uncertainty with peers and supervisors in multidisciplinary teams? Insights from simulations with epistemic fidelity. Advances in Simulation 2024.  Sa-Couto C, et al. Writing a research abstract for a conference: 12 tips to excel in your work. International Journal of Healthcare Simulation. 2024  Happy listening    vb 

Mental practice, designing and testing clinical pathways/ cognitive aids and supporting communities of practice in healthcare. Another great month on Simulcast.  The articles: -  Riggs, J., McGowan, M. & Hicks, C. Dream one, do one, teach one: a mental practice script for bougie assisted cricothyrotomy. Can J Emerg Med (2023).   Marshall SD, Sanderson P, McIntosh CA, Kolawole H. The effect of two cognitive aid designs on team functioning during intra-operative anaphylaxis emergencies: a multi-centre simulation study. Anaesthesia. 2016 Apr;71(4):389-404.   Woodward M, Dixon-Woods M, Randall W, et al. How to co-design a prototype of a clinical practice tool: a framework with practical guidance and a case study. BMJ Quality & Safety Published Online First: 12 December 2023  Symon B. and Walker K. Learning in healthcare virtual communities of practice; let's rethink how we connect and grow. 2023. International Journal of Healthcare Simulation.    Happy listening    vb 

Simulcast and Bond University hosted the Simulation Reconnect symposium at the end of November. last year. A great day of talks, networking and sharing our healthcare simulation experience. For those who could not be there (and for those looking for a little reminder of key points) – Jess and Vic offer you our Sim Reconnect FOMO episode.   Some highlights   Vicki LeBlanc talked about emotions and simulation. More from Vicki on Simulcast here.  Katie Walker and Ben Symon talked about ROI and demonstrating value and impact from our sim work.   Ellen Davies gave us the Art and Science of designing recommendations for an organisation-wide simulation program. Our recent podcast with her here  Zach Buxton helped us demystify 3 D printing for simulation educators.   Ian Summers shared his “Confessions of a manikin addict”   Another nice summary of the day in IJOHS – thanks Liam McCollow  And finally …We are on again in 2024  Wednesday 27th November. Sim Reconnect 2024. Mark your diaries!  In the meantime, if you're interested in writing…. An academic, educator or clinician who just wants to ‘write better'… Consider our Writers festival at Bond University Monday 18th March. More information and registrations here   

Welcome to another “Advances in Simulation Edition”   In this episode, Jesse is (finally) back behind the mic to interview Ellie Davies and Victoria Brazil about their work and recent publication in Advances in Simulation.   Davies, E., Montagu, A. & Brazil, V. Recommendations for embedding simulation in health services. Adv Simul 8, 23 (2023). https://doi.org/10.1186/s41077-023-00262-3   We explore the background to this work and look to understand:   The concept of sim being embedded - why/ what contexts?   What do good 'embedded' sim services do?   The recommendations. The recommendation domains are: (1) governance and leadership; (2) human resources; (3) principles and planning; (4) operationalise and evaluate and (5) look to the future. For more detail listen to the episode or head to Advances in Simulation in Healthcare to read the article. You can find Ellie, Adam and Victoria on LinkedIn and also contact Ellie as the corresponding author of the article on Advances.

Teams and teamwork were the themes for our November Journal Club. In this special episode, Ben and Vic were joined by Eve Purdy to review four articles that took us on a deep dive into team science, team training using simulation and researching teamwork.   This is the first of a series on teamwork that we will be releasing over the next 12 months at Simulcast. Our motivation is to give simulation practitioners a deeper understanding of teamwork and to enable more nuanced conversations about team performance and improvement in the debriefing room and beyond. We want to go beyond simple concepts and buzzwords about teamwork.   Relax though, if you are not a teamwork nerd……in 2024 our Simulcast Journal Club will run every month with our usual eclectic mix of literature, and our teamwork thread episodes will be additional.  So, this month we embarked on the journey with some classics:  Rosenman et al. Changing Systems Through Effective Teams: A Role for Simulation. Academic Emergency Medicine 2017  Hicks and Petrosoniak. The Human Factor Optimizing Trauma Team Performance in Dynamic Clinical Environments. Emerg Clin N America 2018  Bolton et al. Revisiting Relational Coordination: A Systematic Review. Journal of Applied Behavioural Science 2021  Anderson et al. Understanding adaptive teamwork in health care: Progress and future directions. Journal of Health Services Research and Policy 2021  We also reflected on some great offerings from Eve and Ben with their talks on Relational Coordination and transactive memory systems at DFTB22.    Also – don't forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open now!     Happy listening    vb 

AI and Chat GPT in simulation and in publishing, helping babies breathe (and live) through simulation training and another take n the ‘safe not soft' discussion - four more excellent articles for Ben and Vic to discuss this month.   Links here.  Rodgers, David  et al. Artificial Intelligence and the Simulationists. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, September 21, 2023.  Scerbo, Mark Can Artificial Intelligence Be My Coauthor?. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare 18(4): p 215-218, August 2023.  Vadla, May Sissel et al.. Increase in Newborns Ventilated Within the First Minute of Life and Reduced Mortality After Clinical Data-Guided Simulation Training. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare, July 18, 2023.  Pai, Dinker Ramananda MS, FRCS (Edin), CHSE, FSSH. Recovering From Adversity: Do We Need to Protect Our Learners?. Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare 18(5):p 349-350, October 2023.  Also – don't forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open now!     Happy listening 

Death of the simulator, co-regulated learning, simulation-enabled building redesign, and writing better (or not) with Chat GPT - four more excellent articles for Ben and Vic to discuss this month.   Links here.  Rajendran G, et al. (August 10, 2023) The Effect of Simulated Patient Death on Learner's Stress and Knowledge Retention: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Cureus 15(8): e43278  Lorello GR, et al. Relinquishing control? Supervisor co-regulation may disrupt students' self-regulated learning during simulation-based training. Adv Health Sci Educ Theory Pract. 2023 May 28.  Smith-Millman M,et al. Hazard Assessment and Remediation Tool for Simulation-Based Healthcare Facility Design Testing. HERD. 2023 Aug 7  Lingard L. Writing with ChatGPT: An Illustration of its Capacity, Limitations & Implications for Academic Writers. Perspect Med Educ. 2023 Jun 29;12(1):261-270.  Plus Ben referred to this interesting Revisionist History episode – on answering new moral dilemmas through the Jesuit practice of casuistry. (We listen to podcasts as well you see)      Also – don't forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open now!     Happy listening 

Virtual and older SPs, transformative simulation, and psychological safety - four more excellent articles for Ben and Vic to discuss this month.   Links here.  Weldon et al. Transformative forms of simulation in health care – the seven simulation-based ‘I's: a concept taxonomy review of the literature  Smith et al. Older adults as simulated participants: a scoping review  Bond et al. The Use of Virtual Standardized Patients for Practice in High Value Care  Klenke-Borgmann et al. Role Clarity and Interprofessional Colleagues in Psychological Safety: A Faculty Reflection    Also – don't forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open now!  

We talk a lot about sim for education or quality improvement, but less about how it can connect us as people.  In this episode Ben and Eve talk to Drs Sam Smith and Vicky Tallentire, the lead authors of a new essay in IJOHS entitled “Simulation for Social Integration”.  Together we explore how Sam and Vicky's article introduces this concept of simulation for social integration, what that means, and then what that looks like through a series of case studies from sim teams around Scotland.  In doing so we unpack some deeper theories from the social sciences about the seeds of discord and how we can blossom them into something more productive.  Many thanks to Sam, Eve and Vicky for their time.  Reference:   Samantha Eve Smith, Victoria Ruth Tallentire. Simulation for social integration, International Journal of Healthcare Simulation,  . 10.54531/tdzn8875. https://www.ijohs.com/article/doi/10.54531/tdzn8875   

Four more excellent articles for Ben and Vic to discuss this month. Speaking up (or listening down?), transformational debriefing, is deliberate practice really better than self guided practice, and the perils of ‘god-terms'.  Links here.  Barlow et al. Understanding observed receiver strategies in the healthcare speaking up context.   Petrosoniak et al. Are we talking about practice? A randomized study comparing simulation‑based deliberate practice and mastery learning to self‑guided practice  Varpio & Sherbino. Demonstrating causality, bestowing honours, and contributing to the arms race: Threats to the sustainability of HPE research  Kainth & Reedy. Transforming Professional Identity in Simulation Debriefing: A Systematic Metaethnographic Synthesis of the Simulation Literature    Also – don't forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open now!     Happy listening 

What do we really mean by ‘IPE'? And how can we design and deliver simulations for IPE outcomes?  In this episode, Vic speaks with Dr Karen Dickinson about her work in IPE at the University of Arkansas for Medical Sciences in Little Rock, AR., where she is an Assistant Professor of Surgery and the Director of IPE Simulation and Clinical Skills Training.  Karen gave us an overview of work in the area of IPE – “learning about, from, and with other professions”. Groups such as the Interprofessional Education Collaborative (IPEC) offer resources such as this scoping review of IPE and patient care and this Institutional Assessment Instrument (readers can evaluate their IPE efforts locally)  We spoke about the differences and similarities between ‘IPE' and ‘team training' in sim and the barriers and enablers of this kind of work.   Karen cited some examples, including interprofessional trauma simulations, and the mock trial involving health professions and law students,  (previously discussed on Simulcast!)  A cross-cutting theme was that success requires a thoughtful change management strategy, including institutional alignment, deep engagement with stakeholders, and using evidence-informed approaches.  Thanks to Dr Karen Dickinson for her insights  

Ben and Vic talk about four articles from the healthcare simulation literature, on diverse topics: psychological safety, cognitive load measurement, roles for maternity emergencies, and reflective pauses to optimise learning  Links here   Bahr, N., Ivankovic, J., Meckler, G. et al. Measuring cognitively demanding activities in pediatric out-of-hospital cardiac arrest. Adv Simul 8, 15 (2023).  Janssens, Sarah & Kikkawa, Yoriko & Mavin, Timothy. (2023). How do maternity teams perform in and perceive a role-based approach to teamwork in maternity emergencies? A qualitative study in simulation. International Journal of Healthcare Simulation. 10.54531/wywv6555.  Lee JY, Donkers J, Jarodzka H, Sellenraad G, Faber TJE, van Merriënboer JJG. The Effects of Reflective Pauses on Performance in Simulation Training. Simul Healthc. 2023 May 3.  Somerville SG, Harrison NM, Lewis SA. Twelve tips for the pre-brief to promote psychological safety in simulation-based education. Med Teach. 2023 May 21:1-8.  Also – don't forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open now! 

In this joint episode with The Emergency Mind podcast, Vic Brazil and Dan Dworkis talk about ‘stress exposure' simulation/ training, and how we prepare ourselves and our teams to perform under pressure. We started with a general discussion about the need for this kind of training and how others have approached it. There are some fantastic resources on this topic, including this one from First10EM.   The main conversation was our recent article - Exploring participant experience to optimize the design and delivery of stress exposure simulations in emergency medicine.   In our conversation we also talked about adaptive expertise, the book ‘Teams that Work', and Dan's application of mental rehearsal and principles from martial arts.  Happy listening! 

Ben and Vic talk about four articles from the healthcare simulation literature. Practical lessons mixed with some theoretical deep dives!  Links here   Vemuri, Sidharth. Et al.

Training to listen effectively is a powerful skill that can transform our conversations in healthcare simulation, clinical work and even our home lives.   In this episode Vic interviews Rebecca Minehart, Ben Symon and Laura Rock on their Harvard Business Review article “What's your Listening Style” in order to deepen our understanding of what listening is, how it can be classified and how we can use this knowledge to shape the ways we connect with the humans around us.  If you'd like to explore what your listening style is, you can check out the quiz in Bodie's 2013 paper here.  The paper  Minehart, R., Symon, B. and Rock, L. (2022) What's your listening style?, Harvard Business Review. Available at: https://hbr.org/2022/05/whats-your-listening-style  

Ben and Vic talk about four articles from the healthcare simulation literature. This month we had a focus on simulation debriefing and on simulation design and delivery to optimise transfer to practice.  Links here (all open access)  Kaba et al. Entrustable Professional Activities for simulation faculty?! A novel approach to standardizing mentorship and faculty development for healthcare simulation programs. International Journal of Healthcare Simulation. 2023;:1-10.  Baliga, K., Halamek, L.P., Warburton, S. et al. The Debriefing Assessment in Real Time (DART) tool for simulation-based medical education. Adv Simul 8, 9 (2023).  Shariff et al. Learning After the Simulation Is Over: The Role of Simulation in Supporting Ongoing Self-Regulated Learning in Practice. Academic Medicine 95(4):p 523-526, April 2020  Frerejean, J. et al. Critical design choices in healthcare simulation education: a 4C/ID perspective on design that leads to transfer. Adv Simul 8, 5 (2023)    Also – don't forget – Simulation Reconnect is on again.   Wednesday November 15th at Bond University. Registrations open in May.  

In our latest Advances in Sim collaborative episode, we talk about how to establish and sustain in situ simulation (ISS) programs on health services. Ben and Vic were joined by Susan Eller who is lead author on an important article on this topic: Leading change in practice: how “longitudinal prebriefing” nurtures and sustains in situ simulation programs.  Susan is Associate Dean for Immersive Learning and Learning Spaces at the Center for Immersive and simulation Based learning at Stanford, and a long time friend of Simulcast. Her co-authors for this article are Jenny Rudolph, Stephanie Barwick, Sarah Janssens, and Komal Bajaj.  In the episode we discuss the challenges for ISS: space, time, people, resources, safety; but also the opportunities: exploring work environments and the people in them, and probing systems and processes. The authors recognised the need for patient, systematic engagement with staff across healthcare institutions, and take us through their journeys in three separate ISS programs. They call their implementation approach ‘longitudinal prebriefing'. This great work is a reminder of how we need to play the ‘long game' as simulation faculty, and to embrace ISS implementation as an organisational change challenge.

More interesting work from the healthcare simulation community this month.   Christensen, M.D., Østergaard, D., Stagelund, S. et al. Embracing multiple stakeholders' perspectives in defining competent simulation facilitators' characteristics and educational behaviours: a qualitative study from Denmark, Korea, and Australia. Adv Simul 8, 1 (2023).  Cassidy, D.J., Jogerst, K., Coe, T. et al. Simulation versus reality: what can interprofessional simulation teach us about team dynamics in the trauma bay?. Global Surg Educ 1, 56 (2022).  Swerdlow, Barry et al. What is the Best Method to Teach Screen-Based Simulation in Anesthesia Distance Education? Clinical Simulation In Nursing, Volume 74, 49 - 56  Karen J Dickinson, Wendy L Ward, Robert Minarcin, Christopher Trudeau, Kathryn K Neill . International Journal of Healthcare Simulation: An interprofessional medical malpractice mock trial: event evolution and assessment of efficacy. 10.54531/zxmk6987. Adi Health + Wellness.     Happy listening! 

More interesting work from the healthcare simulation community this month.   Preiksaitis CM, Lee MO, Schertzer K. Creating a Safe Space for Simulation: Is it Time to Stop Calling Them Confederates? Simul Healthc. 2022 Nov 28.   Paul O'Connor, Emily O'Dowd, Sinéad Lydon, Dara Byrne . International Journal of Healthcare Simulation: Developing a strategic plan for a healthcare simulation facility.  Mallory LA, Doughty CB, Davis KI, Cheng A, Calhoun AW, Auerbach MA, Duff JP, Kessler DO. A Decade Later-Progress and Next Steps for Pediatric Simulation Research. Simul Healthc. 2022 Dec 1;17(6):366-376.   Minors AM, Yusaf TC, Bentley SK, Grueso D, Campbell-Taylor K, Harford M, Mehri S, Williams LJ, Bajaj K. Enhancing Safety of a System-Wide In Situ Simulation Program Using No-Go Considerations. Simul Healthc. 2023 Jan 10.   Happy listening! 

Healthcare debriefings have been primarily informed by theories and expert opinions but in this episode Ben explores with Michaela Kolbe how her team took on the remarkable endeavour to code over 18,000 debriefing micro-events from 50 simulation debriefings to uncover the quantitative mysteries inside ‘the black box of debriefing'.  Join us as we explore the evolving evidence on what ‘Advocacy and Inquiry' actually leads to in a debrief, as well as the surprising impact of praise, paraphrasing and guess what I'm thinking questions.  The paper  Kolbe M, Grande B, Lehmann-Willenbrock N, et al  Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings  BMJ Quality & Safety Published Online First: 28 July 2022. doi: 10.1136/bmjqs-2021-014393 

Ben and Vic round out the Simulcast Journal club year with 4 articles. Listed here with links to the full text versions.   Vadla, M.S., Moshiro, R., Mdoe, P. et al. Newborn resuscitation simulation training and changes in clinical performance and perinatal outcomes: a clinical observational study of 10,481 births. Adv Simul 7, 38 (2022).  Høllesli, L. J., Ajmi, S. C., Kurz, M. W., et al. (2022). Simulation-based team-training in acute stroke: Is it safe to speed up? Brain and Behavior, 12, e2814.  Moore N, Ahmadpour N, Brown M, Poronnik P et al. (1, Supplement SRSIS 1). Designing virtual reality experiences to supplement clinician Code Black education. International Journal of Healthcare Simulation 2022  Alyshah Kaba, Theresa Cronin, Walter Tavares, Tanya Horsley, Vincent J Grant, Mirette Dube. Improving team effectiveness using a program evaluation logic model: case study of the largest provincial simulation program in Canada. International Journal of Healthcare Simulation. 2022;:1-8.    Thank you to all our listeners, and to the authors, reviewers and editors of the articles we're reviewed.  Happy holidays and see you in 2023 ! 

Hierarchy is pervasive in healthcare, and current strategies to train providers to ‘speak up' are not enough to overcome the intense challenges that hierarchy creates. In this episode, Vic talks with Taryn Taylor and Adam Garber about their recent articles in Advances in Simulation. Both studies explore the experience of practitioners working in teams managing obstetric emergences. Their studies use clever scenario design and delivery to re-create hierarchy and power gradients, as an example of ‘sociological fidelity'.  Their insights are comprehensive, confronting but deeply resonant for healthcare professionals. We discuss their methods, their findings and what this might mean for simulation being part of the solution to addressing harms caused by hierarchy.  The papers  Pack, R., Columbus, L., Duncliffe, T.H. et al. “Maybe I'm not that approachable”: using simulation to elicit team leaders' perceptions of their role in facilitating speaking up behaviors. Adv Simul 7, 31 (2022).  Garber, A.B., Posner, G., Roebotham, T. et al. Facing hierarchy: a qualitative study of residents' experiences in an obstetrical simulation scenario. Adv Simul 7, 34 (2022). 

More interesting work in healthcare simulation this month, including some from our friends and colleagues.  Before that… A final reminder to register for Sim Reconnect ! – a 1 day seminar at Bond University on the Gold Coast.  And – if you're working in translational or systems focused simulation – consider enrolling in the Bond subject Translational Simulation in healthcare, stand alone or as part of a Masters of Healthcare Innovations.  Now – the papers!  Rao et al. Daily team introductions and simulation education to improve team performance. Great paper from our friends at Logan Hospital, including Sonia Twigg  Roze des Ordons et al. Guiding, Intermediating, Facilitating, and Teaching (GIFT): A Conceptual Framework for Simulation Educator Roles in Healthcare Debriefing. From a team of thought leaders in simulation debriefing   Tsang et al. Electronic Decision Support in the Delivery Room Using Augmented Reality to Improve Newborn Life Support Guideline Adherence. A Randomized Controlled Pilot Study. New frontiers in tech enabled clinical decision support from a group n the Netherlands  Rochlen et al. Sequential Behavioral Analysis: A Novel Approach to Help Understand Clinical Decision-Making Patterns in Extended Reality Simulated Scenarios. More on the intersection of XR and our brains.  Happy listening! 

Great articles this month, including some from our friends and colleagues.  Before that… A reminder to register for Sim Reconnect ! – a 1 day seminar at Bond University on the Gold Coast.  And – if you're working in translational or systems focused simulation – consider enrolling in the Bond subject Translational Simulation in healthcare, stand alone or as part of a Masters of Healthcare Innovations.  Now – the papers!  Sarah Janssens et al. Coleadership in Maternity Teams, a Randomized, Counterbalanced, Crossover Trial in Simulation.  Kara Allen et al. Eight years of CRASH: A bi-national initiative helping critical care doctors return to work.   Sandra Abbleglen et al. Debriefing interaction patterns and learning outcomes in simulation: an observational mixed-methods network study  Pete Snelling et al. PRE-scripted debriefing for Paediatric simulation Associated with Resuscitation EDucation (PREPARED): A multicentre, cluster randomised controlled trial  Díaz-Agea, José et al. To Clap or Not to Clap: Relevance of “Applause” in Simulation-Based Learning Sessions  Happy listening 

The August Journal Club is here, with Ben and Vic talking about 4 papers relevant to our simulation practice.  How do simulation fellows learn some ‘tech skills'? Ahmed et all help us out with Development of a simulation technical competence curriculum for medical simulation fellows, with lessons about learning tech and about how to develop a curriculum. Then we consider ‘arts based pedagogy ‘ in Patrea Andersen's A Nursing Simulation Pilot Study Comparing Art-Enhanced Debriefing and Traditional Debriefing. A fascinating way to try and enrich debriefing conversations using art cards. Translation of learning to practice is the subject of Jye Gard's phenomenological study on Simulation translation differences between craft groups. We finish the episode with a review of the delightful editorial from IJoHS from Paul Murphy and Debra Nestel on Healthcare simulation terms: promoting critical reflection  Happy listening!   

“How can we push the boundaries of healthcare simulation research, leading to new insights and innovations?”  Advances in Simulation has announced a new thematic series. Methodological Innovations in Healthcare Simulation Research is “seeking manuscripts that challenge our collective thinking about how to conceptualise, frame, study, and theorise simulation in health and social care article type, in order to help advance our thinking about simulation research.”  In this short episode, Vic speaks with Professor Walter Eppich about the thematic series, and explores examples of methodologic innovations in simulation. A deeper dive can also be found in the accompanying editorial from Walter and Advances Editor in Chief Gabriel Reedy. We look forward to reading and discussing the submissions in this series! vb

Ben and Vic offer a short discussion about the self development modules created by a global team of simulation fellows. Ben explains his motivation in leading the project, and explains how simulation practitioners can use the modules for their own professional development. Peer learning, collaboration, and more. Modules can be found here, and feedback and reflections welcome. 

Ben and Vic were back for the July Simulcast Journal Club, with four interesting articles.   Imposters was our first topic – and the prevalence of imposter syndrome among simulation faculty. (and take the chance to look at the IJOHS while you're on their site) We followed with a paper about anxiety and performance in pre-hospital care students undergoing simulation based assessment.  We enjoyed talking about the nuanced challenges and strategies for debriefing interprofessional simulation, and finished with a discussion of calculating cost effectiveness for simulation-based quality improvement projects.  As mentioned on the podcast – express your interest for our Simulation:Reconnect event in November. Registrations open in August.  Happy listening    vb  

Most of us would like to improve our simulation debriefing skills, but data informed feedback on our debriefing performance is hard to find. Maybe Andrew Coggins and colleagues are helping us change all that? Maybe there are metrics and measures of our debriefing performance that can help?  In this conversation, Vic speaks with Andrew Coggins about his recent Advances article Immediate faculty feedback using debriefing timing data and conversational diagrams. In this work, the team “explored the use of recording length of contributions during debriefings and use of conversational diagrams as a means of assessment of debriefing performance”.  They build on work from Peter Dieckmann in 2009 who described “The art and science of debriefing in simulation: Ideal and practice” relationships in diagram form between participants, as well as a simple chess clock for the timing data.  This is an interesting chat that might just change your debriefing practice.  Happy listening    vb