Simulcast 5q563

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    

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 ed by Hege Ersdal and Benjamin Kamala, the t 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. 

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. 😊 We all then had a slightly more serious thought about our future vison of healthcare simulation over the next 10 years.  Happy listening. 

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 😊, as did quality improvement initiatives that bring teams to the forefront. Ava explained just how rewarding it is to be part of a rural practitioner team who design improvements with patients at the centre.  Learn about the implementation of a color-coded airway cart and how quality improvement techniques empowered healthcare workers, increased their confidence, and enhanced patient experiences.  Happy Listening    The paper   Ava Butler, Michael Chen, Shruti Kaushik, Terra Lee, Liam Raudaschl & Audrey Giles. From “Airway scares me” to “I would say I’m pretty comfortable”: quality improvement for reducing time to obtain equipment for adult advanced airway management in a rural emergency department. Can J Emerg Med (2025). 

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 ed 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 ing 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 ed 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 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. Deg 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.