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Table 7 Recommendations for other simulation centers wanting to implement telesimulation at a large scale

From: A practical guide for translating in-person simulation curriculum to telesimulation

Category Recommendations
From a technical point of view — Zoom operators • Zoom operators need to be familiarized with simulation-based training
• Try to keep the plan as simple as possible
• Adapt to the ongoing changes (e.g., instructors need more time to finish the session) and adjust the timing in a faster manner
• Keep good communication with the team at all times. For instance, communicate with the team via the Teams channel when the time for the different sections has been adjusted based on technical or other difficulties
From a simulation instructor point of view • Have a good knowledge of the activity (content and logistics)
• Standardize briefing and debriefing points among instructors
• Keep your role as facilitator and avoid solving technical problems
•Promote learner’s participation (attribution of roles ahead of time; call students by their names)
• In case of technical problems, communicate with the Zoom operators using the chat in the Teams group. This allows all team members to know the difficulties
• Know the alternative plan in case of connection difficulties and/or absences and adapt rapidly
• Be mindful of time and follow the protocol described in the flowchart
From a pedagogical point of view • Revise and adapt the learning objectives to the virtual format.
• Keep all learners active at all times. Assign specific aspects to observe to the observer students
From an SPs point of view • Choose SPs with expertise in simulation and who feel comfortable using technology
• Standardize the performance of the SPs (define the corporal and the intensity of the emotional reactions that need to be privileged and emphasized/minimized in a virtual environment)