A big announcement today from MEdSim Magazine, that they are changing their name and expanding their focus to “Medical Training: Improving Performance, Improving Outcomes”. In the 1st edition of the 2016 series, Publisher Andy Smith shares this editorial letter regarding the reasons behind the change, which I encourage you to read in its entirety as it reflects some of the major problems our community faces, and a few ideas on how we can move forward.
One of the reasons Medical Training Magazine is such an important resource is because their parent company, Halldale Media, is the leader in aviation and military training resources — and have a powerful mission to expand those industry’s success stories into healthcare. This does, however, mean that HealthySimulation.com has returned to be the sole independent news source specifically dedicated to medical simulation news and information. Sign up for our free medical simulation newsletter to stay informed with the latest healthcare simulation news.
You can start a subscription, and read the latest content at the
Medical Training Magazine on the Halldale Media Website.
From MEdSim to Medical Training Magazine:
From its inception MEdSim has always been about education and more specifically training than simulation per se.
To quote three healthcare leaders: – “its not the simulation, it’s the curriculum.” – ‘‘don’t talk to me about simulation talk to me about how you will help me improve my outcomes.” – “medicine has changed beyond measure in the last 50 years, yet the way we teach and train has hardly altered.”
By referring to simulation alone we put ourselves in a narrow, small box with a limited if evangelical following. For this reason we will be renaming the magazine from MEdSim to Medical Training from the next issue, using the byline Improving Performance, Improving Outcomes.
In an industry of perhaps 6 million people in the US alone, the leading Simulation societies have memberships of about 3000 and 1500 people. Those numbers are creditable but are they sufficient to impact an industry of this size and complexity?
It is doubtful that they can achieve the change patients demand, hospitals need and we, as the healthcare simulation and training industry, require if we are to achieve our twin and compatible aims of helping solve healthcare’s significant problems while building a decent business.
Whilst we at Halldale/MEdSim/MTM have been evangelizing on behalf of simulation in multiple industries for the past 30 years we recognize that it is indeed ‘not about the simulation.’ Though we all need to continue to evangelize because we know that the use of simulation in a well structured training curriculum dramatically improves personal, team and business performance! In the case of healthcare better training means better patient care.
The decision to make this name change to Medical Training was made over the summer and it was not made lightly, changing a brand is never easy and there will be some who prefer the old title, though we feel that many more will respond to the new one.
[Click the link below to continue reading…]
Readers of MEdSim will be aware that we have always focused on some of the critical structural changes that the medical profession must make, while never losing track of the underlying reason for the need for sweeping change, better outcomes!
The ‘gorilla in the room’ in healthcare is the fact that it is itself the third largest killer of US citizens after cardiac conditions and cancer. Everyone engaged in the caring professions is well aware of this yet it is seldom discussed at our meetings where, we believe, it should be front and center. Instead, after an entertaining and perhaps instructive general session, we usually split up into hundreds of small groups in which we can focus on things we are comfortable with and which probably apply only to us and our narrow, stovepiped and disconnected sub group. Perhaps that advances the ‘science’ but we are convinced that it does not advance it enough or quickly enough.
Several weeks ago, as we were discussing this editorial, news broke of the NPSF discussions and paper ‘Free From Harm.’
The NPSF’s first recommendation (perhaps it should be a demand) is ‘Ensure that Leaders Establish and Sustain a Safety Culture,’ (the next day the ACS announced its own study emphasizing the same need!)**
We completely agree and have written on this topic in MEdSim and spoken about it to many. Moving healthcare and hospitals from the old ‘Throughput Culture’ of do as much as possible to a ‘Safety Culture’ of ‘do as much as possible as well as possible’ is critical to improving patient safety by eradicating error.
Recommendation number six of the NPSF paper is ‘Support the Healthcare Workforce’. Once again we completely agree; only a confident and happy workforce can deliver what is required. We need a no fault culture in which the system is held to account not the individual, unless they have broken the rules laid down by the ‘system’.
Unfortunately we have no single ‘system’ and hence few best practices and established procedures, though we do know what many of them are or should be. Hand washing, checklists, time outs, warm ups and a thorough well thought out communications protocol are excellent places to begin.
All of those and more will need to be designed, implemented and mandated, if we are to create a system where it is much harder than it is today for individuals and teams to make mistakes.
How we create a ‘system of healthcare’ and then train our teams and individuals to best effect is the focus of Medical Training Magazine – watch this space and above all contribute to the discussion.
P.S. – It is excellent that two such august bodies as ACS and NPSF have come to the same conclusion at the same time working with some of the most enlightened and progressive healthcare leaders. They deserve our thanks and support. How, or perhaps even more appropriately who, should carry this forward? Your thoughts? Email: email@example.com
Again, you can start a subscription, and read the latest content at the
Medical Training Magazine on the Halldale Media Website.