INACSL Research Advisor Seeks Support for Facilitator Competency Rubric

rubric for simulation facilitators

Kim Leighton PhD, MSN, Assistant Dean, Research and Simulation Faculty Development DeVry Medical International and Research Advisor for the International Nursing Association for Clinical Simulation and Learning is looking for some assistance with upcoming research:

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As many of you are aware, we have been working to develop a Facilitator Competency Rubric for simulation facilitators. Even before the NCSBN study results, we knew that we needed to have competent facilitators but have had no way to measure that competency! The tool has been developed over the past two years with a lot of input from audiences at simulation conferences and we are now collecting data for the psychometric analysis. We are hoping to finish this part of the study over the summer but find that we need more data collection sites. Does your school have simulation learning opportunities for undergraduate nursing students over the summer? Would you be interested in participating? If so, please contact me at for additional information! Our IRB only covers US schools for this study; however, if you are located outside the US and are interested, please let me know as that will be the next study!

Contact information: Kim Leighton; 402-617-1401; Look forward to hearing from you!

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SimGHOSTS 2015 USA Early-Bird Registration Ends Today!



The 5th annual healthcare simulation technology hands-on training event SimGHOSTS is being hosted by the Cedars-Sinai Women’s Guild Simulation Center this August 4th-7th in sunny Los Angeles California.

Early-bird registration ends today so sign up now for a big discount!

SimGHOSTS provides educational support for simulation technicians or clinical educators responsible for operating healthcare simulation technology. The courses offered range from beginner to advanced in all categories, including:

  • Manikin programming and repair
  • Audio/visual system design, integration and consolidation
  • IT networking and debugging
  • Trauma moulage makeup
  • Video production and editing
  • Team communication and technical leadership
  • Medical pharmacology for non-healthcare staff
  • Professional development workshops
  • And much more…

Receive training and explore the latest technologies from 20 leading simulation vendors including Level 3 Healthcare, Laerdal Medical, CAE Healthcare, Gaumard Scientific, Pocket Nurse, B-Line Medical, EMS and many more!

Fun Event with Serious Value

“Everyone involved in operating simulation needs to be at SimGHOSTS!” -North Central Texas College Health Sciences Sim Coordinator Amy Wise. Watch what other champs have to say.

There are only a handful of $425.00 early-bird registrations left so sign up now to guarantee the best passes and hotel rates. Use discount code “FIFTHTIME” for early bird rate which ends today! Registration includes complimentary annual subscription to our global community website valued at $135.00 USD.

Learn more at!

Dr. Kenneth Gilpin Shares Why Sometimes We Can Do More Harm Than Good Through Medical Simulation

negative feedback in medical simulation

Last week at SimGHOSTS Australia 2015, CAE Healthcare sponsored the plenary session by Dr. Kenneth Gilpin BSc MB ChB FRCA FANZCA, Senior Lecturer University of New England, Australia – who spoke on “Negative Learning in Healthcare Simulation”. During the talk he argued that negative learning is a problem in our community and proposed that physiological modeling some tools to reduce negative learning. Dr. Gilpin demonstrated how the aviation industry regularly examines simulation training for negative learning — which means that learners build unintended habits during the simulation exercise which they carry over to real life engagements. In aviation, examples come from pilots first learning how to deal with stalls on one type of aircraft unwittingly crashing when actually flying on a different type of aircraft. highlights how the problem became identified and corrected in commercial aviation:

“The training standards before 2012 unwittingly led to stall recovery success in terms of lost altitude rather than the need to reduce angle of attack and aerodynamic load on the wing by immediately pushing the elevator control forward—the universally accepted solution to stalls that had been ignored in training.

To succeed, pilots would begin the maneuver at a medium altitude, slow down and hand-fly the aircraft, with the elevator trim set so it would not cause pitch-up problems when full power was brought in on the first warning of a stall. The net result was a programmed reaction to give power more priority than pitch, a fatal mistake in many accidents. Actual stalls were not required nor were they allowed in the simulators because the aerodynamic models driving the systems did not accurately reflect the non-linear behavior of an aircraft in the stall and post-stall regime.

It is unclear how long it will take pilots to undo years of ingrained training. “There are so many professionals on the line that have habit patterns they are not going to give up,” says Clarke McNeace, a former Southwest Airlines pilot who is now vice president of flight training and standards at Aviation Performance Solutions (APS) in Amsterdam. “We have an entire industry of simulator instructors and line pilots who have the traditional stall recovery method ingrained. It’s going to be a long way down the road.” McNeace, who teaches upset prevention and recovery training (UPRT) at APS, says he is nonetheless encouraged that professional pilots coming for training in the past two years have told him they have “stopped doing it the old way” in their training departments.

Creating scenarios that produce the physiological response of surprise or startle in a pilot, while not introducing negative training in the recovery of the aircraft, will be key to effective next-generation flight training.” Read the full article on

Dr. Gilpin reminded us that the following areas in medical simulation can cause negative feedback:

  • Simulation scenarios being “accelerated in time” to demonstrate the effects of medications.
  • Simulator plastics requiring physical actions of learners that will not translate in real life (ie intubation techniques)
  • Simulations can generalize archetypal disease symptoms in medicine, manifesting “classical presentations” which are not always realistic.

He then recommended that we explore our scenario templates and consider all the possible negative training outcomes inherent in our simulations in-order to make these notes known to learners. Even mentioning the known limitations of our simulation scenarios can mean the difference between success and failure with patient outcomes.

The presentation was recorded and will be made available shortly thanks to CAE Healthcare on

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Dr. Carolyn Yucha Shares Why Staffing Sim Techs is #1 Priority for Healthcare Educational Administrators

medsim staff technical training

Last week at SimGHOSTS 2015 Australia held at the Clinical Skills Development Service in Brisbane, Laerdal Sponsored Keynote speaker Dr. Carolyn Yucha, Dean of the Nursing & Allied Health Programs at the University of Nevada Las Vegas, shared why healthcare educational administrators need to understand that hiring and keeping simulation technology staff is their #1 priority.

Highlighting a national survey on of educational administrators, the Top 10 IT Issues of 2015 included these top four points:

  1. Hiring and retaining qualified staff, and updating the knowledge and skills of existing technology staff
  2. Optimizing the use of technology in teaching and learning in collaboration with academic leadership, including understanding the appropriate level of technology to use
  3. Developing IT funding models that sustain core service, support innovation, and facilitate growth
  4. Improving student outcomes through an institutional approach that strategically leverages technology

Read the full Educause 2015 survey results report here.

Having been the lead champion of the development of the Clinical Simulation Center of Las Vegas, which began with an idea in 2006, Dean Yucha is one of only a few healthcare administrators around the world that have built and maintained collaborative successful simulation programs across institutions and disciplines. Dr. Yucha shared the story of designing the center’s layout across from two other deans (From NSC & UNSOM) over a three year period that were connected by the Nevada System of Higher Education. Dr. Yucha then spoke on how to Negotiate to create an effective and efficient student learning environment, described the different roles and training needs for simulation staff, and discussed, and strategies for sim champs to communicate their needs.

The most crucial hiring practice Dean Yucha reminded the audience was to hire simulation staff that “desired to continue to learn”, as “technology evolves too quickly for us not to pay attention to whats going on out there”. Furthermore, simulation programs must maintain a technology refresh cycle to plan for aging equipment.

You can watch the Laerdal sponsored keynote address in the very near future on their website You can also watch more Laerdal sponsored healthcare simulation program administrative content on our HealthySimAdmin pages.

Patient Audio Tapes Their Surgery & Doctor’s Words Cost Her Job — Should We Simulate Negative Coworker Behavior?

malpractice audio recording

Recently shared on was a Washington Post audio recording taped by a patient undergoing a colonoscopy procedure. KevinMD reports that “What he heard instead was shocking: “In addition to their vicious commentary, the doctors discussed avoiding the man after the colonoscopy, instructing an assistant to lie to him, and then placed a false diagnosis on his chart.” The incident cost his anesthesiologist $500,000 in the ensuing malpractice and defamation trial. The recording has to be heard to be believed.”

Professional communication between healthcare providers, students, and patients should be a practiced skill. In medical simulation we have the opportunity to provide learners scenarios where no skills based tasks are being focused on, but rather unprofessional communication practices from confederate characters within the environment. What should have been said to these doctors in the room? How is this behavior been able to be condoned for so long? What is the appropriate way to deal with such negative communication? These types of questions are great for post-scenario debriefing environments for students and professionals to address such issues heads on. Think of the good investing half of the awarded $500,000 would have done in simulation experiences to weed out such behavior!

In the past I have covered how A/V recordings have proven to increase performance of healthcare professionals (See: The Power of Video Recording: Taking Quality to the Next Level). The affordability of audiovisual equipment continues to increase and eventually such devices will be present at every level of healthcare. The recording age is coming and healthcare programs will need to train for the professional communication they have taught, but not always enforced too.

Check out for more great articles related to Medicine.

More EMS Thoughts of Simulation in EMS Paramedic Programs National Research Survey

ems simulation research

Over the past few months I have been covering the McKenna KD, Carhart E, Bercher D, et al. “Simulation use in paramedic education research (SUPER): A descriptive study.” (Read my report on the article and read the research here). Recently on Alexander L. Trembley, NREMT-P, Elliot Carhart, EdD, RRT, NRP & David Page, MS, NREMT-P added their thoughts with a review of the report as well:


“Think back to the roots of your EMS education. No matter when it was, there were probably manikins. From a simple CPR trainer to today’s high-fidelity manikins, the face of EMS education is evolving to include a focus on simulation because it provides consistency and creates clinical opportunities to assess and treat patients who students may not see during their clinical rotations.

Despite this great potential, it’s important to characterize the current use of simulation in EMS education before our profession can move forward in studying and developing best practices for the use of simulation. Researchers from the National Association of EMS Educators (NAEMSE) have filled this void through an effort to help the stakeholders of EMS education target educational initiatives and resources.

Background: Study authors, including Research Review contributor Elliot Carhart, sent surveys to 638 paramedic programs that were accredited or in the process of becoming accredited by the Commission on Accreditation of Allied Health Education. The survey consisted of 56 items, primarily multiple-choice questions along with a limited number of open-ended responses for clarification purposes. The questions asked respondents if they had–or had access to–and if they used various types of manikins and other simulation equipment. The survey also captured information about other methods of simulation, such as standardized patients, computer-based scenarios and games, and virtual reality simulation. They also asked about training and the program’s personnel resources. Additional questions focused on how each program used simulation (e.g., teaching, testing, etc.), with other questions designed to capture the respondents’ perspective on the use of simulation in EMS education.

Thoughts: The results of this study suggest that a large portion of the EMS education community is experiencing similar problems with the use of simulation as a training modality. The findings regarding inadequate personnel resources aren’t surprising, as EMS educators must often wear many hats when incorporating simulation into their practical scenarios (e.g., operating equipment while facilitating a simulation). Trying to do too much with too little is likely to lead to frustrated educators, idle equipment and missed opportunities for learning.”

(Editors Note: SimGHOSTS was specifically developed to create the training necessary to empower administrators to increase the speed of medical simulation integration.)

Read the full article review on!

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HealthySim Medical Simulation Youtube Channel Cross 75,000 Views!

healthcare simulation videos

Are you looking for even more medical simulation content? Be sure to check out our library of over 125 original content videos specifically addressing aspects of healthcare simulation. We have produced countless hours of easy to watch videos covering new products, conference updates, center tours, simulation tutorials and more. Check out some of our content below:

The last five videos we posted:

Top five most watched videos:

  1. Pyxis MedStation 4000 From Part 1: Educator Reflections
  2. Maternal Fetal Simulator Fidelis from CAE Healthcare – Part 2: Advanced Engineering
  3. iSimulate unveils ALSi Patient Vital Sign Software
  4. Laerdal Launches SimPad at IMSH 2012
  5. Simulab – TraumaMan In-Situ at LSU

Stay tuned for a NEW special video highlight of the Victor Valley Community College EMS Program & CAE Healthcare coming soon!

Watch & Subscribe now at: Seeks Website Developer Support

simulation website

Dear HealthySim Readers!

We have noticed that the website has been under performing in the past few weeks and believe it is time to give a “face lift” with a new theme and functionality. Thus we are seeking support from our community for individuals with previous experience in server host migration, redesigning a wordpress website, twitter integration, and SEO automation.

Please contact us at if you would like to volunteer your support to give an update!

SimGHOSTS Australia 2015 Launches at Clinical Skills Development Service

simghosts australia 2015

Today in Brisbane Australia over 100 simulation champions from around the world came together at the Clinical Skills Development Service for the 2nd annual “Gathering of Healthcare Simulation Technology Specialists”, aka SimGHOSTS. This was the 6th international event put on by the organization which also has meetings in the United Kingdom (co-hosted by ASPiH), the United States (hosted at Cedars-Sinai) and Dubai (supported by Simulead).

CSDS Director Dylan Campher opened the show with an introduction to Elwyn Hellway provided the “Welcome to Country” of the Gubby way, an official ceremony sharing the ancestry and aboriginal people of Australia. Dylan then returned to start the show. A team of clinical professionals took the stage with a Simman during a cardiac arrest – a very tense simulation moment — unfortunately the patient didn’t survive the simulation — which unbelievably brought on a GHOST! On the screen behind the stage was a projected Ghost which brought the call for “Ghost Busters”. Being Australia, Crocidile Dundee showed up to help call for the Ghost Busters — and together they captured the Ghost!

Event Director Ryan Eling thanked Platinum Sponsor Laerdal Medical for their sponsorship of the keynote address by Dr. Caroyln Yucha and the opening reception. He also thanked CAE Healthcare & Mediquip who sponsored tomorrow’s Plenary Address. He also recognized Limbs & Things, Trauma Sim, and Simulation Australia.

After morning announcements Ryan brought up Laerdal Queensland Territory Sales Manager Lucas Tomczak who spoke to the support of the company of organizations and communities like SimGHOSTS, stating that their mission of “helping save lives” was not just a catch phrase – but an earnest passion shared by their global team-members. Lucas introduced Dr. Carolyn Yucha, Dean of Nursing & Allied Health of the University of Nevada Las Vegas. The school was apart of the Nevada System of Higher Education, which also connected Nevada State College and the University of Nevada Reno School of Medicine — all of whom collaborated on the Clinical Simulation Center of Las Vegas (CSCLV). SimGHOSTS founder Lance Baily began the organization and annual events at the CSCLV in 2011 when he was the Director of the center.

Dr. Yucha spoke on how to Negotiate to create an effective and efficient student learning environment, described the different roles and training needs for simulation staff, and discussed, and strategies for sim champs to communicate their needs.

Today opens three days of hands-on training and community networking for those who operate Simulation Technology across Australia, New Zealand and the Asia-Pacific region. Registered attendees were also provided complimentary subscription to which will connect Sim Techs from the four global events from around the world.

Follow @SimGHOSTS, @luke27 to stay up to date with latest announcements & learn more about the organization and its future world events at!

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Boise State University Provides Healthcare Simulation Certificate Course

boise state

Recently came across a new online Healthcare Simulation Certificate program from Boise State University School of Nursing. Applications are open now for the 2015 Fall cohort which starts August 24. You must apply by August 1st to be considered!

About the Course:

Boise State University offers an online Healthcare Simulation Certificate. This nine credit hour interprofessional program (3 courses, 3 credit hours each) offers a combination of two completely online courses and one hybrid course that includes a three day on-campus visit for an intensive training experience. This program provides the participant with the skills to facilitate healthcare simulations and to operate and maintain a simulation center using evidence-based teaching methods.

Program Objectives

  • Create a curriculum to develop healthcare educators who are able to use evidence-based principles and best practices in simulation teaching.
  • Create a program which will provide baseline knowledge in preparation for three interprofessional certifications offered by the Society for Simulation in Healthcare in simulation education, advanced simulation education, and simulation operations.

Learning Outcomes

  1. Graduates will be able to write, conduct, and debrief simulation scenarios for health professions students which promote optimal learning and skill development.
  2. Graduates will develop skills to manage simulation center activities such as planning, scheduling, budgeting, and equipment troubleshooting.

Learn more at the Boise State University Simulation Webpage!