Articles

Clinical debriefing during the COVID-19 pandemic: hurdles and opportunities for healthcare teams

The COVID-19 pandemic and the subsequent pressures on healthcare staff and resources have exacerbated the need for clinical teams to reflect and learn from workplace experiences. Surges in critically ill patie...

Authors: Jody L. Stafford, Esther Leon-Castelao, Albert J. Klein Ikkink, Sigrun A. Qvindesland, Munt Garcia-Font, Demian Szyld and Cristina Diaz-Navarro

Exploring transformative learning for trainee pharmacists through interprofessional simulation: a constructivist interview study

The expanding roles of UK pharmacists have prompted substantial changes to the initial pharmacy education and training, including increasing recognition of the value of learning alongside other professional gr...

Authors: Victoria R. Tallentire, Joanne Kerins, Scott McColgan-Smith, Ailsa Power, Fiona Stewart and Julie Mardon

Online-synchronized clinical simulation: an efficient teaching-learning option for the COVID-19 pandemic time and: beyond

Face-to-face clinical simulation has been a powerful methodology for teaching, learning, and research, and has positioned itself in health science education. However, due to the COVID-19 pandemic, social dista...

Authors: Diego Andrés Díaz-Guio, Elena Ríos-Barrientos, Pablo Andrés Santillán-Roldan, Santiago Mora-Martinez, Ana Sofía Díaz-Gómez, Joel Alejandro Martínez-Elizondo, Adrián Barrientos-Aguiñaga, Maria Nathalie Arroyo-Romero, Alejandra Ricardo-Zapata and Alfonso J. Rodríguez-Morales

Optimising frontline learning and engagement between consultant-led neonatal teams in the West Midlands: a survey on the utility of an augmented simulation training technique

In England, neonatal care is delivered in operational delivery networks, comprising a combination of the Neonatal Intensive Care (NICU), Local-Neonatal (LNU) or Special-Care Units (SCU), based on their ability...

Authors: Thillagavathie Pillay, Lynsey Clarke, Lee Abbott, Pinki Surana, Asha Shenvi, Sanjeev Deshpande, Joanne Cookson, Matthew Nash, Joe Fawke, Vishna Rasiah and Jonathan Cusack

‘Why didn’t they see my scars?’ Critical thematic analysis of simulated participants’ perceived tensions surrounding objective structured clinical examinations

Simulated participants (SPs) play an important role in simulated assessments of clinical encounters between medical students and patients, most notably in objective structured clinical examinations (OSCEs). SP...

Authors: Mairead Corrigan, Helen J. Reid and Pascal P. McKeown

Percutaneous transhepatic biliary puncture simulator: a cord network prototype

The aim of this study was to present a percutaneous transhepatic biliary puncture simulator that can be used without radiation exposure and that reflects the conventional anatomy of the biliary ducts and its v...

Authors: Rubén Lopez Benítez, Tomás Reyes del Castillo, David Benz, Carsten Fechner, Lorant Szabo, Levent Kara, Etienne Monnard, Michael Kostrzewa and Justus E. Roos

Developing standardized patient-based cases for communication training: lessons learned from training residents to communicate diagnostic uncertainty

Health professions education has benefitted from standardized patient (SP) programs to develop and refine communication and interpersonal skills in trainees. Effective case design is essential to ensure an SP ...

Authors: Dimitrios Papanagnou, Matthew R. Klein, Xiao Chi Zhang, Kenzie A. Cameron, Amanda Doty, Danielle M. McCarthy, Kristin L. Rising and David H. Salzman

Translation of the Debriefing Assessment for Simulation in Healthcare in Portuguese and cross-cultural adaptation for Portugal and Brazil

Debriefing Assessment for Simulation in Healthcare (DASH©) is an instrument to assist in developing and evaluating debriefing skills. The objectives of this study were to translate the DASH from English to Por...

Authors: Thomaz Bittencourt Couto, Francisco Maio Matos, Paula Dias de Toledo Rodovalho, Mary Fey, Robert Simon and Sacha Muller-Botti

‘A roller coaster of emotions’: a phenomenological study on medical students lived experiences of emotions in complex simulation

Simulation-based education can induce intense learner emotions. The interplay between emotions and learning is less well understood. Gaining greater insights into learner emotions has potential to guide how be...

Authors: Claudia C. Behrens, Erik W. Driessen, Diana H. Dolmans and Gerard J. Gormley

The association of standardized patient educators (ASPE) gynecological teaching associate (GTA) and male urogenital teaching associate (MUTA) standards of best practice

Gynecological Teaching Associates (GTAs) and Male Urogenital Teaching Associates (MUTAs) instruct healthcare professional learners to perform accurate and respectful breast, speculum, bimanual vaginal, rectal,...

Authors: Holly Hopkins, Chelsea Weaks, Tim Webster and Melih Elcin

Embracing informed learner self-assessment during debriefing: the art of plus-delta

The healthcare simulation field has no shortage of debriefing options. Some demand considerable skill which serves as a barrier to more widespread implementation. The plus-delta approach to debriefing offers t...

Authors: A. Cheng, W. Eppich, C. Epps, M. Kolbe, M. Meguerdichian and V. Grant

A novel approach to explore Safety-I and Safety-II perspectives in in situ simulations—the structured what if functional resonance analysis methodology

With ever increasingly complex healthcare settings, technology enhanced simulation (TES) is well positioned to explore all perspectives to enhance patient safety and patient outcomes. Analysis from a Safety-II...

Authors: Ralph James MacKinnon, Karin Pukk-Härenstam, Christopher Kennedy, Erik Hollnagel and David Slater

Comparing traditional, immersive simulation with Rapid Cycle Deliberate Practice in postgraduate year 2 anesthesiology residents

Rapid Cycle Deliberate Practice (RCDP) is an increasingly popular simulation technique that allows learners to achieve mastery of skills through repetition, feedback, and increasing difficulty. This manuscript...

Authors: Erin E. Blanchard, Lee Ann Riesenberg, Lisa B. Bergman, Michelle R. Brown, Emma C. O’Hagan, Shivani J. Patel and Tekuila R. Carter

Implementation and utilization of gynecological teaching associate and male urogenital teaching associate programs: a scoping review

Gynecological Teaching Associates (GTAs) and Male Urogenital Teaching Associates (MUTAs) are individuals trained to instruct health professional learners with their own body to conduct accurate, patient-center...

Authors: Holly Hopkins, Chelsea Weaks and Elise Napier

Fundamental underpinnings of simulation education: describing a four-component instructional design approach to healthcare simulation fellowships

Although in 2020, there are more than 120 healthcare simulation fellowships established globally, there is a paucity of literature on how to design fellowship programs most effectively, to equip graduates with...

Authors: Michael J. Meguerdichian, Komal Bajaj and Katie Walker

Development and implementation of a novel, mandatory competency-based medical education simulation program for pediatric emergency medicine faculty

Maintaining acute care physician competence is critically important. Current maintenance of certification (MOC) programs has started to incorporate simulation-based education (SBE). However, competency expecta...

Authors: Jonathan Pirie, Jabeen Fayyaz, Mireille Gharib, Laura Simone, Carrie Glanfield and Anna Kempinska

Building impactful systems-focused simulations: integrating change and project management frameworks into the pre-work phase

Healthcare organizations strive to deliver safe, high-quality, efficient care. These complex systems frequently harbor gaps, which if unmitigated, could result in harm. Systems-focused simulation (SFS) project...

Authors: Mirette Dubé, Glenn Posner, Kimberly Stone, Marjorie White, Alyshah Kaba, Komal Bajaj, Adam Cheng, Vincent Grant, Simon Huang and Jennifer Reid

An enhanced approach to simulation-based mastery learning: optimising the educational impact of a novel, National Postgraduate Medical Boot Camp

Simulation-based mastery learning (SBML) is an effective, evidence-based methodology for procedural skill acquisition, but its application may be limited by its resource intensive nature. To address this issue...

Authors: Emma L. Scahill, Nathan G. Oliver, Victoria R. Tallentire, Simon Edgar and James F. Tiernan

The assessment of a manikin-based low-dose, high-frequency cardiac resuscitation quality improvement program in early UK adopter hospitals

Adult and paediatric basic life support (BLS) training are often conducted via group training with an accredited instructor every 24 months. Multiple studies have demonstrated a decline in the quality of cardi...

Authors: Katherine Kuyt, Montana Mullen, Catherine Fullwood, Todd P. Chang, James Fenwick, Victoria Withey, Rod McIntosh, Naomi Herz and Ralph James MacKinnon

Correction to: COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada

An amendment to this paper has been published and can be accessed via the original article.

Authors: Mirette Dubé, Alyshah Kaba, Theresa Cronin, Sue Barnes, Tara Fuselli and Vincent Grant

A custom virtual reality training solution for ophthalmologic surgical clinical trials

We present a summary of the development and clinical use of two custom designed high-fidelity virtual-reality simulator training platforms. This simulator development program began in 2016 to support the phase...

Authors: Felix Heimann, Giulio Barteselli, André Brand, Andreas Dingeldey, Laszlo Godard, Hendrik Hochstetter, Michael Schneider, Alexander Rothkegel, Clemens Wagner, Joshua Horvath and Shrirang Ranade

The use of virtual reality and augmented reality to enhance cardio-pulmonary resuscitation: a scoping review

Virtual reality (VR) and augmented reality (AR) have been proposed as novel methods to enhance cardio-pulmonary resuscitation (CPR) performance and increase engagement with CPR training. A scoping review was c...

Authors: Katherine Kuyt, Sang-Hee Park, Todd P. Chang, Timothy Jung and Ralph MacKinnon

Selected Abstracts from the 26th Annual Meeting of the Society in Europe for Simulation Applied to Medicine

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2021 Simulation Summit Webinar Series

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Debrief it all: a tool for inclusion of Safety-II

Safety science in healthcare has historically focused primarily on reducing risk and minimizing harm by learning everything possible from when things go wrong (Safety-I). Safety-II encourages the study of all ...

Authors: Suzanne K. Bentley, Shannon McNamara, Michael Meguerdichian, Katie Walker, Mary Patterson and Komal Bajaj

“A debriefer must be neutral” and other debriefing myths: a systemic inquiry-based qualitative study of taken-for-granted beliefs about clinical post-event debriefing

The goal of this study was to identify taken-for-granted beliefs and assumptions about use, costs, and facilitation of post-event debriefing. These myths prevent the ubiquitous uptake of post-event debriefing ...

Authors: Julia Carolin Seelandt, Katie Walker and Michaela Kolbe

Translational simulation: from description to action

This article describes an operational framework for implementing translational simulation in everyday practice. The framework, based on an input-process-output model, is developed from a critical review of the...

Authors: Christopher Peter Nickson, Andrew Petrosoniak, Stephanie Barwick and Victoria Brazil

Simulated learning in rural community environment: pushing the boundary

Experiential learning through simulation can play a very significant role, not only in hospital settings but also in community contexts (Lubbers and Rossman, Nurse Educ. Today 48:140-144; Wheeler and McNelis, ...

Authors: Burhanuddin Ali Akber, Mehak Ismail Rajani, Farah Khalid and Charles Docherty

Eye tracking metrics and leader’s behavioral performance during a post-partum hemorrhage high-fidelity simulated scenario

The use of eye tracking in the simulated setting can help improve our understanding of what sources of information clinicians are using as they deliver routine patient care.

Authors: Emanuele Capogna, Giorgio Capogna, Denise Raccis, Francesco Salvi, Matteo Velardo and Angelica Del Vecchio

Simulation-based team training in time-critical clinical presentations in emergency medicine and critical care: a review of the literature

The use of simulation-based team training has increased over the past decades. Simulation-based team training within emergency medicine and critical care contexts is best known for its use by trauma teams and ...

Authors: Jesper Weile, Mette Amalie Nebsbjerg, Stig Holm Ovesen, Charlotte Paltved and Mads Lind Ingeman

Virtual reality simulation—the future of orthopaedic training? A systematic review and narrative analysis

Virtual reality (VR) simulation provides users with an immersive, 3D experience that can be used to allow surgical trainees to practice skills and operations in a safe yet realistic environment. The field of o...

Authors: Elinor Clarke

Implementing the transvaginal ultrasound simulation training (TRUSST) programme for obstetric registrars

Transvaginal ultrasound (TVUS) training opportunities are limited due to its intimate nature; however, TVUS is an important component of early pregnancy assessment. Simulation can bridge this learning gap.

Authors: Sally Byford, Sarah Janssens and Rachel Cook

A systematic review and meta-analysis of the effectiveness of virtual reality as an exercise intervention for individuals with a respiratory condition

Respiratory diseases impose an immense health burden worldwide and affect millions of people on a global scale. Reduction of exercise tolerance poses a huge health issue affecting patients with a respiratory c...

Authors: Christina Condon, Wing Tung Lam, Chiara Mosley and Suzanne Gough

Development and implementation of an end-of-shift clinical debriefing method for emergency departments during COVID-19

Multiple guidelines recommend debriefing after clinical events in the emergency department (ED) to improve performance, but their implementation has been limited. We aimed to start a clinical debriefing progra...

Authors: Jean-Christophe Servotte, T. Bram Welch-Horan, Paul Mullan, Justine Piazza, Alexandre Ghuysen and Demian Szyld

TIDES: examining the influence of temporal individual differences on multitasking in educational simulation

The majority of tasks nurses complete in acute care settings are time-sensitive. Due to complex patient needs, nurses’ multitasking behavior is of growing importance. Situations involving multitasking behavior...

Authors: Ashley E. Franklin, Laura Thielke, Gregory E. Gilbert and Mary Waller

Human reliability analysis of bronchoscope-assisted percutaneous dilatational tracheostomy: implications for simulation-based education

Teaching and assessing clinical procedures requires a clear delineation of the individual steps required to successfully complete the procedure. For decades, human reliability analysis (HRA) has been used to i...

Authors: Aoife Lavelle, Mary White, Mark J.D. Griffiths, Dara Byrne and Paul O’Connor

Making the invisible visible: a place for utilizing activity theory within in situ simulation to drive healthcare organizational development?

The healthcare needs of our societies are continual changing and evolving. In order to meet these needs, healthcare provision has to be dynamic and reactive to provide the highest standards of safe care. There...

Authors: Gerard J. Gormley, Anu Kajamaa, Richard L. Conn and Sarah O’Hare

Midwifery students better approximate their self-efficacy in clinical lactation after reflecting in and on their performance in the LactSim OSCE

Midwives are expected to support women with lactation initiation and maintenance. Midwifery students engaged in a simulation-based exercise (LactSim OSCE) where they role-played the clinician and the breastfee...

Authors: Aria Grabowski, Olivia S. Anderson, Ruth Zielinski, Melisa Scott, Lisa Hammer, Muriel Bassil, Samantha A. Chuisano and Anna Sadovnikova

An analysis of movement patterns in mass casualty incident simulations

Mass casualty incidents (MCI) such as train or bus crashes, explosions, collapses of buildings, or terrorist attacks result in rescue teams facing many victims and in huge challenges for hospitals. Simulations...

Authors: Boris Tolg and Juergen Lorenz

The sim must go on: adapting resident education to the COVID-19 pandemic using telesimulation

The COVID-19 pandemic and social distancing rules necessitated the suspension of all in-person learning activities at our institution. Consequently, distance learning became essential. We adapted a high-fideli...

Authors: Shivani M. Patel, Christina R. Miller, Adam Schiavi, Serkan Toy and Deborah A. Schwengel

A novel in situ simulation framework for introduction of a new technology: the 3-Act-3-Debrief model

New technologies for clinical staff are typically introduced via an “in-service” that focuses on knowledge and technical skill. Successful adoption of new healthcare technologies is influenced by multiple othe...

Authors: Lisa T. Barker, William F. Bond, Andrew L. Vincent, Kimberly L. Cooley, Jeremy S. McGarvey, John A. Vozenilek and Emilie S. Powell

Simulation as a pedagogical learning method for critical paediatric nursing in Bachelor of Nursing programmes: a qualitative study

In the national education plan for Bachelor of Nursing in Norway, it is emphasized that focus areas for practical studies must include experience related to paediatric nursing. However, given the paucity of ch...

Authors: Iben Akselbo, Heidi Killingberg and Ingvild Aune

How does moulage contribute to medical students’ perceived engagement in simulation? A mixed-methods pilot study

Moulage is used frequently in simulation, with emerging evidence for its use in fields such as paramedicine, radiography and dermatology. It is argued that moulage adds to realism in simulation, although recen...

Authors: Jessica B. Stokes-Parish, Robbert Duvivier and Brian Jolly

COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada

Healthcare resources have been strained to previously unforeseeable limits as a result of the COVID-19 pandemic of 2020. This has prompted the emergence of critical just-in-time COVID-19 education, including r...

Authors: Mirette Dubé, Alyshah Kaba, Theresa Cronin, Sue Barnes, Tara Fuselli and Vincent Grant

Simulation-based education to promote confidence in managing clinical aggression at a paediatric hospital

An increasing number of incidents involving aggressive behaviour in acute care hospitals are being witnessed worldwide. Acute care hospital staff are often not trained or confident in managing aggression. Comp...

Authors: Marijke Mitchell, Fiona Newall, Jennifer Sokol, Melissa Heywood and Katrina Williams

A qualitative study using hybrid simulation to explore the impacts of human factors e-learning on behaviour change

There is an international drive to increase human factors training in undergraduate medical curricula through various educational platforms. E-learning can be effective at teaching technical skills but there i...

Authors: Harry Carter, Sally Hanks and Thomas Gale

Simulation-based training for early procedural skills acquisition in new anesthesia trainees: a prospective observational study

In a setting in which learning of basic procedural skills commences upon graduation from medical school, and as a first step towards integration of simulation-based learning into the anesthesiology training pr...

Authors: Delfina Sanchez Novas, Gonzalo Domenech, Natalia Giselda Belitzky, Maria Mercedes Errecart, Sergio Adrian Terrasa and Gustavo Garcia Fornari

A practical guide to virtual debriefings: communities of inquiry perspective

Many simulation programs have recently shifted towards providing remote simulations with virtual debriefings. Virtual debriefings involve educators facilitating conversations through web-based videoconferencin...

Authors: Adam Cheng, Michaela Kolbe, Vincent Grant, Susan Eller, Roberta Hales, Benjamin Symon, Sharon Griswold and Walter Eppich

Effects of live and video simulation on clinical reasoning performance and reflection

In recent years, researchers have recognized the need to examine the relative effectiveness of different simulation approaches and the experiences of physicians operating within such environments. The current ...

Authors: Timothy J. Cleary, Alexis Battista, Abigail Konopasky, Divya Ramani, Steven J. Durning and Anthony R. Artino Jr

Design of an interface for teaching cardiovascular physiology to anesthesia clinicians with a patient simulator connected to a minimally invasive cardiac output monitor (LiDCO rapid®)

Cardiovascular physiology can be simulated in patient simulators but is limited to the simulator monitor curves and parameters, missing some important data that today is known as essential to fluid management ...

Authors: Daniela Chaló, Joana Marques, Henrique Mendes and Consuelo Sancho