In this podcast, Dr. Adam Cheng discusses the issue of faculty development for simulation programs with Dawn Taylor Peterson, Ryan Brydges and Victoria Brazil.  They explore the challenges on developing simulation educators, and also discuss strategies to build capacity for simulation researchers.¹

Author information

Victoria Brazil

Victoria Brazil is an emergency physician and the Director of Simulation at Bond University's Faculty of Health Sciences and Medicine at the Gold Coast, Australia. She is one of the voices of Simulcast.

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Team reflexivity refers to how teams reflect together about goals, processes, and strategies to improve current and future performance. While team reflection after an event–i.e. debriefing–will be well-known to listeners, Jan and Walter discuss opportunities for team reflexivity both BEFORE and DURING patient care events, especially those that are highly dynamic and evolve rapidly.  Examples would be a team huddle before a major trauma patient arrives in the ED or performing a quick recap and/or evaluation of ongoing patient care to make sure the team is on the same page and not missing anything important. Jan and Walter highlight how opportunities for team reflexivity can form the basis of ‘what to debrief’ to help teams improve in subsequent events.

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Jan Schmutz

Jan Schmutz is a researcher and lecturer at the ETH Zurich, Switzerland (Swiss Federal Institute of Technology) and holds a PhD in Work and Organizational Psychology. His research seeks to unfold the full potential of teams in extreme environments like emergency care settings, military or Antarctica.

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Lou Halamek

Dr. Halamek is a Professor in the Department of Pediatrics at Stanford University and the Founding Director of the Center for Advanced Pediatric and Perinatal Education. He was a member of the original Board of Directors of the Society for Simulation in Healthcare and the original Editorial Board of Simulation in Healthcare as well as a current member of the Board of Directors of the International Pediatric Simulation Society. He is a practicing neonatologist working in the level IV neonatal intensive care unit at Packard Children's Hospital at Stanford and a Special Consultant to the National Steering Committee of the Neonatal Resuscitation Program of the American Academy of Pediatrics.

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The post Podcast 009: NASA Debriefing Methods appeared first on Debrief2Learn.

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Vinay Nadkarni

Dr. Nadkarni is medical and research director of the Center for Simulation, Advanced Education and Innovation at The Children’s Hospital of Philadelphia. He holds the institution’s Endowed Chair in Pediatric Critical
Care Medicine and has been an international leader for development and implementation of critical care and resuscitation science in both resource-rich and resource-poor environments.

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The post Podcast 008: Data-driven clinical debriefing appeared first on Debrief2Learn.

However, there has also been emerging recognition of the true value of in-situ simulation in the training of clinical providers in their own environment, with their own teams, and in their own systems. It allows for a more formal evaluation of space, equipment, and systems, including the discovery of latent patient safety threats.

In this podcast, Dr. Glenn Posner of the University of Ottawa introduces us to their program of hospital-wide in-situ simulation, and specific debriefing considerations relating to an in-situ program.

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Glenn Posner

Dr. Glenn Posner is an Associate Professor and clinician educator in the department of Obstetrics and Gynecology at the University of Ottawa.  He is the inaugural medical director of the Simulation Patient Safety Program at The Ottawa Hospital, and the medical director of the University of Ottawa Skills and Simulation Centre.

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The post Podcast 007: In-Situ Simulation and Debriefing appeared first on Debrief2Learn.

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Brent Thoma

Director of Simulation and Program Director of the Emergency Medicine Residency Program at the University of Saskatchewan

Brent Thoma completed a fellowship in simulation at Massachusetts General Hospital and Harvard Medical School and is the Director of Simulation in the University of Saskatchewan College of Medicine. He is a co-founder of Debrief2Learn and is responsible for building and maintaining its website.

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In Situ Simulation

There is increasing use of ‘in situ’ simulation (ISS) – simulation conducted in the actual care environment – as a healthcare simulation modality. ISS supports teamwork training, process improvement, and the identification of environmental safety threats or care systems within real clinical environments.^7,8

Optimal debriefing strategies for ISS remain unclear, and current practice has not been reviewed systematically. Most published reports of ISS programs lack detail as to how debriefing is conducted. How expert and experienced in situ debriefers adapt their practice for this context has not been previously reported, nor have measures of effectiveness been developed or tested.

Identification of effective debriefing strategies to optimize the integration of care would have implications for design of in situ simulation programs, faculty development for simulation educators and could inform further research questions related to measures of debriefing effectiveness.

The in situ simulation study – We need your help!

Along with my colleagues Walter Eppich and Margaret Bearman, I am conducting a research investigation into debriefing in in-situ simulation (ISS). This study aims to review the current practice of experienced in situ simulation debriefers – their context and approach, and the basis on which debriefing approach is determined. If you are someone with experience of in situ simulation debriefing (ie in the real clinical environment, rather than skills lab), we’d like to invite you to participate in a survey based study, with an option to also participate in a subsequent interview.

If you are interested, please click the button above to provide your details for study recruitment or write an email to ISSdebreifing@gmail.com

Author information

Victoria Brazil

Victoria Brazil is an emergency physician and the Director of Simulation at Bond University's Faculty of Health Sciences and Medicine at the Gold Coast, Australia. She is one of the voices of Simulcast.

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The post Just another debrief? Recruiting for an in situ simulation study appeared first on Debrief2Learn.

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Adam Cheng

Director, Research and Development at the KidSIM-ASPIRE Simulation Research Program, University of Calgary

Adam Cheng is a Pediatric Emergency Doctor at Alberta Children’s Hospital in Calgary, Canada. As a clinician scientist in the Alberta Children’s Hospital Research Institute, Adam conducts research focusing on cardiac arrest, CPR quality and debriefing. He helped to co-found the Debrief2Learn website.

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The post Podcast 005: Clinical Debriefing appeared first on Debrief2Learn.

For step-by-step suggestions for building a psychologically safe learning environment during pre-briefing and debriefing, more content on this topic, consider reviewing the DASH Rater Handbook Elements 1 and 2. To self-assess your own pre-briefing and debriefing efforts check out the Dash Instructor-Version Instrument.

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Jenny Rudolph

Jenny Rudolph, PhD is the Executive Director of the Center for Medical Simulation and an Assistant Professor of Anaesthesia at Harvard Medical School and Massachusetts General Hospital. She publishes and lectures on debriefing, feedback, and diagnostic problem solving. She loves creating fun but edgy experiences to learn all three of these skills.

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Michaela Kolbe

Michaela Kolbe, PhD is a psychologist and the Director of the Simulation Center of the University Hospital Zurich, Switzerland. She uses simulation for training clinicians and for her research in education, psychology and organizational behavior. She publishes widely in psychological, healthcare, and simulation journals and books and is a member of several editorial boards.

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