Top 50 Medical Simulation Articles of 2014

healthcare simulation top 50 articles of 2014

The Top 50 Medical Simulation Articles of 2014 are curated here to help you improve the adoption, utilization and efficiency of your healthcare simulation programs! We took the most read, most clicked, most shared articles from our hundreds of written posts from 2014 and shared here the top 50 articles from the year. These are all must read articles which you can share easily with this special link:

50) Bridging The Gap Between Clinical and Non-Clinical Simulation Technicians – Guest author Lisa Schwaberow wrote in this helpful piece to assist Sim Techs who need to gain more medical knowledge. After explaining the benefits to hiring a tech without a clinical background, Lisa reviews some handy ipad apps to help those with technical experience gain more healthcare knowledge. Lisa is looking for a new Sim Tech position and is willing to relocate if you are looking for a great simulation champion!

49) TeamSTEPPS Online Master Trainer CE Course Now Available for FREEThe “Team Strategies and Tools to Enhance Performance and Patient Safety” 2.0 Online Master Trainer Course consists of 11 modules, 8 of which offer continuing education (CE) credits. Learners in a cohort or noncohort group completing the full course of all 11 modules and a coaching session with a TeamSTEPPS Master Trainer (also known as a teach-back session) not only receive CE credits, but can also receive certification as a Master Trainer.

48) INSPIRE Provides Free Pediatric Simulation Support Community – The International Network for Simulation-based Pediatric Innovation, Research, and Education is a rapidly growing, open research network designed to connect and mentor experts and novices across the world in answering important questions on pediatric care through the use of simulation. Learn more about their workshops at IMSH & IPSSW.

47) MEdSim Magazine Advances Patient Safety Through Education and Training MEdSim Magazine is written by professionals in medicine, simulation and training who are recognized leaders with a lifetime of experience which addresses the needs of medical practitioners, educators, and academicians around the world.

46) Hemoulage: A Review of TrueClot Blood Simulant by Reader Will EnfingerRead this comprehensive use-test review of clotting blood moulage product “TrueClot” from Luna Inc.

45) Simulation Moulage: Should You Be Using It? From Moulage Expert Bobbie Merica, an introduction and reasons behind utilizing moulage in your medical simulations. Also, check out Theatrical Blood Effects Part 4, From– Part 4 of’s article on Theatrical Blood Effects for Realistic Casualty Simulation has been released. Here, moulage experts from the website share a few extra blood makeup tips, including how to “release” effects at the right time using Squibs and pumps.

44) HealthySim Youtube Channel Crosses 50,000 Views! – To highlight this achievement I have shared here the top “most watched” videos from our channel, which covers healthcare simulation product demos, conference interviews, tutorials and more!

43) “New Validation for Simulation Education” ANA Article from INACSL VP Lori LioceArticle covers the continued evolution of healthcare simulation, the recent NCSBN landmark research study results, and the INACSL standards — all of which are helping to support the increase of simulation in healthcare education.

42) Cedars-Sinai Women’s Guild Simulation Center For Advanced Clinical Skills Empowers Team to Achieve Legendary Vision – Learn how this team’s dedication to vision has created one of the most realistic sim centers I have ever seen.

41) SimSpaces Affordably Increases Medical Simulation Lab Fidelity – Learn how you can quickly apply these printed canvas styled papered wall coverings to quickly add fidelity to your simulated learning environments.

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40) Timothy Clapper PhD Articles on TeamSTEPPS Communication Training Opportunities for Medical Simulation ProgramsLinks to: TeamSTEPPS: The patient safety tool that needs to be implemented., Why your TeamSTEPPS program may not be working & Next steps in TeamSTEPPS: Creating a just culture with observation and simulation.

39) NAEMSE Plenary: Laerdal Supported Research Study of Simulation Education in EMSLearn some of the results from Phase I of this landmark study conducted by the National Association of EMS Educator Research Committee.

38) Medical Student Speaks Up and Saves a Life — But Not Without Persistence“A minute passed. And then another. Nobody came by to see this patient, who continued to bleed. I hesitated against speaking up, since we were in the middle of a trauma. But I couldn’t wait any longer. I asked an ED nurse if he was her patient. “No,” she said before hurrying off.”

37) Video of U.S. Government Subcommittee Hearing on 1000+ Lethal Medical Errors a Day – This two-hour recording is a must watch for those interested in furthering the use of medical simulation to improve patient care and reducing medical errors.

36) Simulated Patient ‘Allergic to Ink’ Warning Sign, Download to Save Your Manikins – Will Enfinger, Simulation Specialist at Des Moines University, has created a nifty “Allergy Warning Sign” which simulation champions can use to help prevent ink stains from learners.

35) Fidelis Maternal Fetal Simulator From CAE Healthcare at IMSH 2014 Video Interview Part 1 – CAE Healthcare unveiled Fidelis, their state-of-the-art maternal fetal simulator at IMSH 2014. In part 1 of this video interview with Pam Azevedo, CAE Healthcare Product Manager, we explore the key connection between CAE Healthcare simulation divisions and parent company CAE Aviation divisions – including expanded engineering opportunities. This has lead to a complete overhaul of the engineering design of manikin features, with CAE Healthcare’s first high-fidelity birthing simulator being Fidelis!

34) Fidelis Maternal Fetal Simulator IMSH 2014 Interview Part 2: Advanced Engineering – Unique to CAE Healthcare is the ability to pull from the years of experience manufacturing some of the world’s leading aviation simulators. You can really see the attention to engineering detail and streamlined design of the Fidelis by seeing her in this video!

33) Simulation in Healthcare Education: A Best Evidence Practical Guide – Dr. Barry Issenberg, Director of the Gordon Medical Simulation Center at the University of Miami Miller School of Medicine and co-author of AMEE Guide #82 “Simulation in Healthcare Education: A Best Evidence Practical Guide PART-2” reminds us here of the importance of considering the practical implementation of medical simulation. This article is FREE to download!

32) Developing a Strong Simulation Operations Team – A poster entitled “Super Technical Teams: Continuing Professional Development to Support Sim Ops” from IMSH 2014 by Nicole Jones de Rooy, who works for the School of Medicine’s Simulation Program at Australia’s Griffith University is now available for download! Learn what it takes to improve simulation working relationships and continue staff development.

31) First Ever Practicum Week of Drexel University MS in Medical Simulation Program Deemed True Success – One of the unique features of the MSMS program at Drexel is the heavy focus on being interprofessional and the projects were required to have a variety of professional roles. Learn more about this new MS program that was called by one student “Quite simply, this was by far the best, most outstanding educational event of my career”.

30) Sheffield Hallam University Uses Augmented Reality to Increase Manikin Fidelity – Sheffield Hallam University was recently featured on BBC news for their augmented reality system which increases realism of stagnate simulators by overlaying recorded standardized patient videos on top of the manikin. This is a step in the right direction towards increased fidelity for patient simulator engagements. Because this is such an innovative project, I have added several links in this article to additional information.

29) Do You Charge for Sim Center Tours? A LinkedIn Discussion – A great conversation took place in the SSH LinkedIn Discussion group regarding tours of Simulation Spaces. Fritz Sticht, Administrative Director at Behling Simulation Center, asked “we are constantly getting requests for tours and I am wondering how to justify attaching a fee to such requests. As you know these tours take up time and center resources. Thanks for your input.” Check out the many interesting responses, including my own!

28) Pole Mountable Power Supply From Pocket Nurse – Sim Techs rejoice! More power is now quickly and easily available through Pocket Nurse! How cool is this pole mountable Power Strip to enable you to quickly bring in more equipment to specific areas without needing to lay down multiple cords and take the time to tape up floors. Thanks to Pocket Nurse you can now bring one cord in and attach power where you need it with this iv-pole attaching power strip.

27) Pre-Production; How To Plan Your Sim Lab Video Project – In this article I answer this reader email question: “I was wondering what YOUR process is for creating a video for the Sim Lab. Do you come up with what you want to communicate, write the script, do a storyboard and then shoot it, followed by editing? (this was my method) I work with very non technical people that don’t get the whole storyboarding thing, they want to just start shooting.”

26) Gordon: “Some Physicians Continue to Ignore Learning Opportunity From Aviation Simulation” – Suzanne Gordon, author of Beyond the Checklist: What Else Can Healthcare Learn from Aviation Teamwork and Safety, recently wrote up an article entitled “…just two guys in a box” – Really?” which focuses on her frustration when healthcare physicians criticize the training take-aways from aviation without true understanding. “As we have gone around the country discussing our book, we have been struck by the number of people who insist that healthcare has little to learn from aviation because the two enterprises are entirely different. Critics suggest that healthcare is far more complex than aviation even though they have no experience in that field.

25) “VIRTSIM” From Motion Reality Provides Virtual Reality Physical Environment Simulator – Learn about VIRTSIM, where trainees are fully immersed “head-to-toe” in training scenarios requiring the execution of basic individual maneuvers, complex unit tactics, and mission rehearsals. They are able to train as individuals, in teams, or in full squads. Trainees have complete freedom of movement to run, jump, or crawl throughout the full volume (up to 5,000 square feet – equivalent to a basketball court), unrestricted by wires or tethers. The VIRTSIM system allows training in a range of reconfigurable environments.

24) U.S. Navy Show “Scrubbing In” Takes Us Inside San Diego Bioskills Simulation Training Center – This U.S. Navy produced show “Scrubbing In” highlights a recent visit of the Bioskills Simulation Training Center at the Naval Medical Center in San Diego, CA. “The goal of this episode is to showcase some of the training that helps keep our medical personnel ready to provide care in a variety of situations.”

23) Low Cost & Low Resource Healthcare Simulation Group – Kam McCowan, Paramedic Intern & Simulation Technology Specialist, recently started a new website dedicated to promoting Low Cost & Low Resource Healthcare Simulation program and simulator development. Are you interested in highlighting your work with or supporting the development of low cost or low resource simulation program or equipment? Then you must stop by!

22) Medical Simulation Research Article: Using Simulation to Develop Handover Skills – This article outlines the potential impact of ineffective handover skills on nurses’ confidence, competence and coordination, as well as on patient safety. It focuses on how student nurses can develop their communication skills by looking specifically at how the University of Derby used simulation to teach pre-registration student nurses effective handover techniques.

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21) iSimulate ALSi Patient Monitor Continues to Innovate Healthcare Simulation Space – During IMSH 2014, iSimulate’s CEO Peter McKie introduced me to all the latest updates for their patient monitoring system, which can dramatically increase the realism of your low-fidelity manikins or standardized patients. With the option to purchase an ongoing licensing agreement, users can take full advantage of all these recent updates and those still yet to come. Also in this article is a link to our comprehensive product demonstration using iPad captured video.

20) “Bedside Manners” Play DVD and Workbook Help Demo & Teach Healthcare Communication Issues – Bedside Manners is a play, recorded dvd, and workbook designed to improve effective communication between healthcare professionals. Past participants have reported that its use enhances on-going efforts to reduce medical errors and injuries and helps to improve teamwork and workplace civility. This has resulted in improved patient safety and care! This is a must watch training tool for all healthcare educators!

19) SIM-one Offers Simulation Certificate Training Courses – MASCS (Mastering the Artistic Side of Clinical Simulation) is a certificate program that focuses on the creative and psychological elements required to bring simulations to life, enhancing fidelity and increasing learner engagement. MASCS introduces the use of best practice principles and techniques developed in many fields that can be used for enhancing health professions education. This program is designed to help mentor and support participants in developing their careers in the exciting field of healthcare simulation, with the opportunity to become a SIM-one Simulationist.

18) What’s in a Name? The Many Titles of “Sim Techs” – I exported the titles of those attending SimGHOSTS 2014 USA to demonstrate what a dynamic range of titles this profession currently entertains. Find out which title has the most frequency!

17) Performance Analysis Results When Teaching with Simulated EHR – Does training with simulated EHR increases learning outcomes? Read this abstract posted on the The National Center for Biotechnology to find out the results of the study.

20) 5 Mistakes To Avoid When Selecting Medical Simulation A/V Systems, From CAE Healthcare – CAE Healthcare just shared these top tips on their company blog. Covered here are the people, equipment, schedules and concepts necessary to be successful with your A/V system selections.

19) Learn More About NYIT MS in Medical / Health Care Simulation at IMSH – Have you considered a masters degree in Medical Simulation? NYIT is ahead of the curve with the world’s first MS in Medical / Health Care Simulation. If you are attending IMSH, Anthony Errichetti, Ph.D., Director of the Medical Simulation MS Program will be on hand at IMSH Booth #334 starting Sunday! Stop by their booth #334 to talk with Tony about the program!

18) Cardionics Offers Big Discounts on their Auscultation Manikins – Cardionics products range from Simulation & Education to Clinical FDA approved devices being used in diagnostic and tele-health fields. For over thirty years, Cardionics has been an innovator and leader in auscultation products and services which facilitate and support classroom education, clinical, and tele-health programs in medical institutions and universities throughout the world.

17) Recorded EMS Webinar: How to Affordably Expanding Your Simulation Staff by HealthySim Founder – Sign up with EMS for this and other free recorded webinars. Expanding your sim lab technical staff is a must for short and long-term simulation program success. This session will explore why hiring a Sim Tech is such a crucial step toward increasing simulation lab operational efficiency and learning quality. Maximize your budget through staff analysis of your technology-based simulation lab and then learn how to increase simulation staff in cost effective steps with proven techniques!

16) ‘True Plastic Surgery’ Blog Talks Sim Tech Shop – Looking for more great content for simulation technicians? At SimGHOSTS Australia I ran into Cyle Sprick who was shares his impressive DIY projects on this blog.

15) Free Simulation Faculty Training Tools & Scenarios from UW– This website is intended to be a resource for faculty and clinical educators and students with online modules teach the latest technologies and techniques for designing and enhancing an e-learning course, designing and implementing simulation in your curriculum, using telehealth to enhance communication, using informatics to manage and communicate data, learning team communication strategies and more.

14) Drexel University Offers New Graduate Program in Healthcare Simulation – The Drexel University College of Medicine Graduate School of Biomedical Sciences and Professional Studies recently launched a new graduate program offering a Master of Science Degree in Medical and Healthcare Simulation. This unique program offers advanced training to healthcare professionals to prepare them to teach others how to care for patients in simulation practice environments rather than practicing on patients.

13) Simulation Pioneer Passes Away – SSH President Pam Jeffries announced earlier this month that Dr. Stephen Abrahamson passed away at the age of 93. Watch this video interview from the Simulation Innovation Award’s held at IMSH 2014.

12) Joint Commission Journal Publishes “Eight Critical Factors in Creating and Implementing a Successful Simulation Program – The eight factors–science, staff, supplies, space, support, systems, success, and sustainability–represent a synthesis of the most critical elements necessary for successful simulation programs. The order of the factors does not represent a deliberate prioritization or sequence, and the factors’ relative importance may change as the program evolves. Read this free article to learn how these eight factors can create program success.

11) Clinical Skills Lab Coordinator Standard Operating Procedures Example – Here is the downloadable SOP for the Lab Coordinator responsible for: Managing supplies, coordinating with faculty regarding skills lab setups, managing volunteers and student workers, skills labs signups, lab setups/teardowns, task trainer maintenance, utilization tracking and storage. (Sim Tech SOPs linked there as well).

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10) The National Council of State Boards of Nursing Releases Results of National Simulation Study – This three year study found that up to 50 percent simulation was effectively substituted for traditional clinical experience in all core courses across the prelicensure nursing curriculum, and did not affect NCLEX pass rates! Click to read the full study.

9) Eight Video Sessions Covering Sim Lab Management ‘HealthySimAdmin’ Now Free for Subscribers – Subscribers to the free HealthySim newsletter can now get access to the fifteen hours of HD recorded content from HealthySimAdmin, a 2-day recorded event which brought administrators from a dynamic range of programs together to discuss the “how to” of medical simulation administration.

8) Why Do Healthcare Simulation Programs Hire Sim Techs Without Technical Backgrounds? Avoid this #1 Simulation Hiring Mistake! – Recently I received an email from a HealthySim reader who wished to remain anonymous regarding a concern that medical simulation programs seem to lean towards hiring Sim Techs for clinical experience rather than technical experience. This article response highlights a major community misunderstanding which a lot of my efforts have been geared towards correcting. to this article from the community, so I would highly recommend catching up with this conversation – There has been a huge number of responses in support of this argument so read how to help your program avoid future hiring mistakes!

7) Example of Simulation Lab Faculty, Staff and Learner Roles & Responsibilities Breakdown – Download these example guidelines which were created in-order to maximize the results of simulated learning experiences, which we know require the coordination of many ‘moving parts’.

6) Standard Operating Procedure Guides for Simulation Technician Positions – Here are two SOPs, or Standard Operating Procedure, manuals that we built at the Clinical Simulation Center of Las Vegas in case we ever needed to train someone new to those positions. I tasked the staff with creating and annually updating their job descriptions AND these SOPs — so that if the role switched to another individual they would have a head-start on the responsibilities, and a guide on how to complete them!

5) Free ECG Simulator Game – James Cypert forwarded along a great 6-second ECG Simulator game where healthcare learners can practice identifying one of 27 most common rhythms. SkillStat provides the web version free to play online now!

4) SimGHOSTS Holds 4th Annual Simulation Technology Hands-On Training Event to 220 Participants – A four day event, the 4th annual Gathering of Healthcare Simulation Technology Specialists was the second meeting the non-profit 501(c)3 organization put on this year following its first-ever Australia event which took place a month ago at the University of the Sunshine Coast. Read the highlights here and learn more about their 2015 training events around the world!

3) Konsiderate “Yelp Like” Medical Simulation Product Review Website Partners with Leading Industry Vendors – Learn why top vendors want to hear your simulation product and service feedback through Konsiderate’s validated peer review website. Get access to hundreds of medical simulation product reviews and share your own on this new website which launched in January of 2014.

2) The Ultimate Job Guide to Healthcare Simulation Technology Specialists – Summary of TOP articles covering the topic of Sim Tech position descriptions, responsibilities, hiring, career development, administration, training and more.

1) Free Medical Simulation Scenarios – I have previously shared several articles on where to get free clinical simulation scenarios, which I link in this article as well as update you with even more free online resources for clinical simulation scenarios.

Looking for even more great healthcare simulation content? Check out:

HealthySim’s Top 10 Most-Read Medical Simulation Articles Of All Time! – Here is a list of the most read articles from the website since it began in 2010. All the best is here from free nursing simulation scenario databases to moulage recipes, best of the year recaps, sim tech hiring practices, simulation job listings as well as Simulab, Laerdal, and CAE Healthcare videos! Must read and must share article!

HealthySim’s Top 50 Articles of 2013 – Another comprehensive list of the best of news from the previous year.

Finally, be sure to subscribe to our Free Newsletter to get all the best of HealthySimulation in 2015 and beyond!

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Thanks for A Great Year of Healthy Simulations!

simghosts2014 was Year of the Sim Tech!

Sim Champs,

2014 has been an amazing year for simulation. From the overwhelmingly positive NCSBN research results to the expansion of SimGHOSTS across the pacific into Australia and affiliation with ASPiH UK, and from the launch of new simulator products like the Fidelis and the Victoria to the development of Konsiderate – the worlds first community review platform for simulation products, our interesting world of modern technology & methodology continue to improve the structure of healthcare.

For me personally, 2014 brought forth a great deal of wonderful traveling; everywhere from Albuquerque New Mexico to Sippy Downs Australia. I can say matter-of-factly that no matter where I went, the common denominator amongst all simulation champions around the world is that we love what we do. While this is energy is consistent so too are the stories of frustration that come with being an innovator. As champions, we consistently are challenged by the status quo — sometimes on every step of our process towards successful utilization of simulation. But this feeling of resistance to innovation is not exclusive to healthcare simulation. Being an entrepreneur, I can share that I have experienced this same resistance in other industries as well. The movie “Moneyball” starring Brad Pitt, Philip Seymour Hoffman and Jonah Hill perfectly resembles the individual, institutional and community resistance to change.

In the film, Beane (Brad Pitt) and assistant GM Peter Brand (Jonah Hill), faced with the franchise’s unfavorable financial situation, take a sophisticated sabermetric approach towards scouting and analyzing players, acquiring key “base hitters” over famous players, break through resistance to change and win 20 consecutive games, an American League record. More importantly, they forever changed the way Baseball would be played – something that the Red Sox realized earlier than other teams. In this scene below, the Owner of the Boston Red Sox acknowledges to Billy Beane, that the innovator will face the most challenges of all to bring change — but that change is inevitable and ultimately correct.

“For 41 million, you built a playoff team. You lost Damon, Giambi, Isringhausen, Peña and you won more games without them than you did with them. You won the exact same number of games that the Yankees won, but the Yankees spent 1.4 million per win and you paid 260 thousand. I know you’ve taken it in the teeth out there, but the first guy through the wall… it always gets bloody, always. It’s the threat and not just the way of doing business, but in their minds it’s threatening the game. But really what it’s threatening is their livelihoods, it’s threatening their jobs, it’s threatening the way that they do things. And every time that happens, whether it’s the government or a way of doing business or whatever it is, the people are holding the reins, have their hands on the switch. They will bet you’re crazy. I mean, anybody who’s not building a team right and rebuilding it using your model, they’re dinosaurs. They’ll be sittin’ on their a** on the sofa in October, watching the Boston Red Sox win the world series.”

Billy was then offered the most money any General Manager had ever been offered at that point in history to lead the Boston Red Sox the next year into victory, which he turned down because of his love of the Oakland A’s.

What helps me get through this resistance, challenge or frustration? I simply choose to focus on what has been accomplished, and the benefits of what still needs to be accomplished. Challenges faced are just hurdles to be jumped over, and accepting those difficulties as part of the path of a disruptive champion is honestly a necessary requirement to successfully overcoming them. With awareness and acceptance of these challenges, our resistance to resistance will be minimized — and that way — our energy can stay focused on working through resistance as opposed to be drained by it.

My goal for 2015 is to continue to dramatically expand the reach of, and to help champions engage with one another even more. As Champions we can recharge our batteries not only by our successes, but by the support and sharing of successes by other simulation champions around the world who face the exact same resistance. Do you do the same? How else do you mentally overcome this resistance? Email me and let me know!

I thank each and every one of you for reading and sharing this year, which made the website hit over 10,000 readers a month by Q4!  and always welcome your Our community of champions need to recharge reinforcement

Below are some of the photos from my crazy year of simulation! Write to me and share yours as I love to see what you are up to in simulation!


Happy Holidays Dance Video from SimGHOSTS!

SimGHOSTS Dance Video 2014

Happy Holidays & a Wonderful New Years from SimGHOSTS!

SimGHOSTS Vice President Ferooz Sekandarpoor shot and edited this “Happy Dance” video recorded at SimGHOSTS 2014 Australia and 2014 United States – where hundreds of simulation technology specialists from around the world came together to celebrate all things “tech”! SimGHOSTS participants certainly are happy!

They thanked all those attendees and vendors who attended, subscribed, supported, and shared SimGHOSTS in 2014!

Learn more about their 2015 events and IMSH Attendance at http://www.SimGHOSTS.Org

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Interesting Medical Simulation Studies & Research Twitter Feed

healthcare simulation research 2014

Some interesting simulation studies have recently been published. Thanks to Tim Willet (@SIMtim_one) for highlighting these and many more research articles for medical simulation! Follow Tim for continuous links to the latest medical simulation research!

Status of simulation in health care education: an international survey. (Qayumi K, Pachev G, Zheng B, Ziv A, Koval V, Badiei S, Cheng A.) – Simulation is rapidly penetrating the terrain of health care education and has gained growing acceptance as an educational method and patient safety tool. Despite this, the state of simulation in health care education has not yet been evaluated on a global scale. In this project, we studied the global status of simulation in health care education by determining the degree of financial support, infrastructure, manpower, information technology capabilities, engagement of groups of learners, and research and scholarly activities, as well as the barriers, strengths, opportunities for growth, and other aspects of simulation in health care education. We utilized a two-stage process, including an online survey and a site visit that included interviews and debriefings. Forty-two simulation centers worldwide participated in this study, the results of which show that despite enormous interest and enthusiasm in the health care community, use of simulation in health care education is limited to specific areas and is not a budgeted item in many institutions. Absence of a sustainable business model, as well as sufficient financial support in terms of budget, infrastructure, manpower, research, and scholarly activities, slows down the movement of simulation. Specific recommendations are made based on current findings to support simulation in the next developmental stages.

We recommend that educational and health care authorities, as well as accreditation and licensing bodies, support the integration of simulation into health care education for all learner groups. This can be achieved by:

  • Recognizing simulation-based education as a central modality in the maintenance of competencies in health care
  • Setting standards on the expected proficiencies of health care professionals, and identifying how simulation can assist in achieving and maintaining those standards
  • Designing and delivering simulation curriculum for patient safety, professionalism and advocacy-related competencies
  • Encouraging collaboration between and within institutions to promote sharing of existing and new curriculum and expertise.

To promote the growth of simulation-based research on a global scale, we recommend the development of improved opportunities for collaboration and networking. These opportunities will enhance expertise, expand potential for multicenter simulation studies, and further the quality of future simulation-based research. Here, Visit our HealthySimAdmin pages to gain free access to eight administrative sessions.

Central venous access by trainees: a systematic review and meta-analysis of the use of simulation to improve success rate on patients. (Madenci AL, Solis CV, de Moya MA.) – Simulation training for invasive procedures may improve patient safety by enabling efficient training. This study is a meta-analysis with rigorous inclusion and exclusion criteria designed to assess the real patient procedural success of simulation training for central venous access. We identified 550 studies, of which 5 (3 randomized controlled trials, 2 prospective 2-group cohort studies) studies of central venous catheter (CVC) insertion were included in the meta-analysis, composed of 407 medical trainees. The simulation group had a significantly larger proportion of trainees who successfully placed CVCs (RR, 1.09; 95% confidence interval [CI], 1.03-1.16, P<0.01). In addition, the simulation group had significantly fewer mean attempts to CVC insertion (weighted mean difference, -1.42; 95% CI, -2.34 to -0.49, P<0.01). There was no significant difference in the rate of adverse events between the groups (RR, 0.50; 95% CI, 0.19-1.29; P=0.15). CONCLUSIONS: Training programs should consider adopting simulation training for CVC insertion to improve the real patient procedural success of trainees.

Emergency medicine resident crisis resource management ability: a simulation-based longitudinal study. (Clarke S, Horeczko T, Carlisle M, Barton JD, Ng V, Al-Somali S, Bair AE.) – Simulation has been identified as a means of assessing resident physicians’ mastery of technical skills, but there is a lack of evidence for its utility in longitudinal assessments of residents’ non-technical clinical abilities. We evaluated the growth of crisis resource management (CRM) skills in the simulation setting using a validated tool, the Ottawa Crisis Resource Management Global Rating Scale (Ottawa GRS). We hypothesized that the Ottawa GRS would reflect progressive growth of CRM ability throughout residency. Ottawa GRS scores increased over time, and the domains of leadership, problem solving, and resource utilization, in particular, were predictive of overall performance. There was a significant gain in all Ottawa GRS components between postgraduate years 1 and 2, but no significant difference in GRS performance between years 2 and 3. CONCLUSIONS: In summary, CRM skills are progressive abilities, and simulation is a useful modality for tracking their development. Modification of this tool may be needed to assess advanced learners’ gains in performance.

From Time-Based to Competency-Based Standards: Core Transitional Competencies in Plastic Surgery. (Lutz K, Yazdani A, Ross D.) – Competency-based medical education is becoming increasingly prevalent and is likely to be mandated by the Royal College in the near future. The objective of this study was to define the core technical competencies that should be possessed by plastic surgery residents as they transition into their senior (presently postgraduate year 3) years of training. Overall, 26 competencies have been identified as “core” for plastic surgery residents to possess as they begin their senior, on-service years. The nature of these skills makes them suitable for teaching in a formal, simulated environment, which would ensure that all plastic surgery trainees are competent in these tasks as they transition to their senior years of residency.

Association for Simulated Practice in Healthcare 2014 Nottingham Officially Begins!


 This morning in Nottingham, UK the Association for Simulated Practice in Healthcare officially opened its 2014 event with the theme of “Changing Behaviours”. President Bryn Baxendale announced some of the following new organizational developments:

  • New ASPiH Journal Published: “BMJ Simulation and Technology Enhanced Learning Journal” with Editor Nick Sevdalis
  • Creation of “Student ASPiH” (sASPiH) Special Interest Group to create and provide resources for student members
  • Launch of “SimHeroes”, a new simulation performance competition
  • Launch of “Skills Passport” providing learning opportunities to students through exhibitor equipment

The Opening Address was “Developing and Assessing the Performance of Professional Practice” by Dr. Paul Phrampus, Director of UPMC’s WISER and Immediate Past President of the Society for Simulation in Healthcare. Paul spoke about his work with the patient safety and system wide training certification needs at UPMC which is a 20 hospital institution with about 6,000 physicians and 11,000 nurses, and how simulation can apply to practicing professionals.

aspih uk healthcare simulation

Paul reminded us of Dr. Peter Densen’s 2011 article on Challenges and Operations Facing Medical Education which stated that as of 2010, medical knowledge doubles every 3.5 years. This doubling continues to add increasing pressure on healthcare providers as they get further away from their initial education. He warned that simulation alone could not solve this dilemma alone, but could act as a kind of “trojan horse” to bring better performance assessment into the clinical environments as part of the solution. Paul then shared how UPMC is incorporating simulation as part of the solution for maintenance of certification (MOC) for a dynamic experience range of healthcare professionals which includes web-based information, videos, testing and more.

In conclusion Dr. Phrampus proposed a future model of personalized ongoing continuing education and efficient incorporation of simulation through efficiency combined with effectiveness, customized training to the learner, and by being connected to modern availability of data designed to help one make decisions based off their career. By pulling in system data with individual monitored data, customized learning opportunities become more efficient which simulation could be a part of.

phrampus simulation aspih

About ASPiH

ASPiH is a not-for-profit company limited by guarantee, we are a membership association formed in 2009 through the merger of the National Association of Medical Simulators (NAMS) and the Clinical Skills Network (CSN). The overarching goal of ASPiH is to enable wider sharing of knowledge, expertise, and educational innovation related to simulated practice across the healthcare professions.

ASPiH Aims

  • provide an effective communication network for those involved in simulated practice in the UK and beyond
  • provide quality exemplars of best practice in the application of simulated practice to education, training, assessment and research in healthcare
  • establish key benefits & evidence of impact linking simulated practice with improvements in patient safety & quality of care
  • develop and share key operational and strategic resources for members drawn from experience within the association and from links with relevant educational bodies nationally and internationally
  • encourage and support scholarly development and recognition of members through wider dissemination of innovative practice at scientific meetings and publications

Stay tuned for hourly updates by following @ASPiHUK & @HealthySim through #ASPiH2014!

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ASPiH 2014 Launches: Opening Keynote Update & Sim Tech Pre-Con Recap

association for simulated practice in healthcare 2014

Today the Association for Simulated Practice in Healthcare (ASPiH) held its pre-conference courses kicking off their 2014 event at the University of Nottingham Orchid Hotel. SimGHOSTS leadership James Cypert, Ryan Eling and Lance Baily joined Sim Tech leaders Jane Nicklin, Stuart Ruby, and Chris Gay as they hosted the technical pre-con day at the nearby Trent Simulation & Clinical Skills Centre. The day focused on a plethora of tech-specific topics starting with an identification of job duty breakdowns for NHS positions most similar to that of healthcare simulation technology specialist. Stuart and Chris researched the process for job classification utilized by the NHS in-order to better understand how to redefine their simulation technology positions to more accurately portray their responsibilities.

Next the SimGHOSTS leadership shared the growth of this simulation technology specialist non-profit organization providing hands-on training events and online resources around the world. The team highlighted their recent 2014 successes at both the USA-based American College of Chest Physicians and Australia-based University of the Sunshine Coast events that provided unique community networking and training to over 350 simulation champions from around the world.

Afterwards the group of simulation technology specialists spent the afternoon with moulage demonstrations from the Rotherham College of Arts and Technology Hair and Media Make-up department. Through an innovative partnership, the make-up department students learn clinical moulage by applying cosmetics to simulators for the healthcare learners to utilize in their scenarios! Lead by Curriculum Leader Kelly Carr, the cosmetology school provides realistic training moulage while increasing the fidelity of the healthcare school’s simulation events. Brilliant! Those eager to learn more about this innovative partnership can email Kelly Carr.

The pre-con event ended with surveys of the community’s future needs and announcements regarding the planned technical community support roadmaps currently in place for SimGHOSTS and ASPiH. I will continue to provide daily reports as the event continues!

At this moment Dr. Erik Hollnagel, Professor from the University of Southern Denmark and Chief Consultant of the Center for Quality Region of Southern Denmark, is opening  with a keynote discussion of safety. He reminded us that we believe we can prevent all accidents through a zero accident mindset, no repeats, and simple and non-negotiable rule, but questioned us if that was true? Professor Hollnagel continued to demonstrate how we incorrectly focus on the negative outcomes, which are usually only a small small percentage of what goes right, theorizing that focusing on the main region of the bell curve of what is going right should be where we put the majority of our research focus. Hollnagel recommends we explore “resilient safety management” by looking at the variability in different teams and routines of successful teams. You can learn more at

Follow all the latest updates through @ASPiHUK and @HealthySim!


Tennessee Simulation Alliance Annual Conference November 20th-22nd in Nashville

tennessee simulation alliance

Our friends from the Tennessee Simulation Alliance are reminding us today about their awesome annual event taking place at Belmont University Nashville from November 20th-22nd. If you are in the state, region or even located in the US than this is definitely a great learning opportunity! Regional directors Teresa Britt MSN RN, Beth Hallmark PhD RN, and Melina Klar RN are bringing us another year of great clinical simulation content!

About the Tennessee Simulation Alliance:

The Tennessee Simulation Alliance (TNSA) began as a means to provide Tennessee nurse educators a central location for communication, collaboration and sharing. The funding for this project began as a national collaborative initiative of the Robert Wood Johnson Foundation and the Northwest Health Foundation grant that was designed for establishing a stable, adequate nursing workforce. The Tennessee Simulation Alliance was begun after the first simulation conference held in 2008 with funding from the Robert Wood Johnson Foundation and the Northwest Health Foundation. Annual conferences have continued to be partially funded through HRSA’s Faculty Development Program: Integrated Technology into Nursing Education and Practice Initiative (Grant No. U1KHP12906, Elizabeth Weiner, PI, Vanderbilt University).

TNSA now brings the world of simulation to the nurse educators of Tennessee with links to current resources, scenarios, websites, conferences, and an in depth look at what is currently being practiced in nursing education with simulation. In today’s world of healthcare, we have learned simulation provides the learner a place safe from patient harm, helps the learner to increase confidence, and can provide the educator a means to make things happen, unlike clinical experiences. Educators are also learning that simulation education provides a format to teach teamwork. Teamwork among disciplines in where TNSA wants to go. We envision a website designed to embrace all healthcare professionals as we practice and learn to work together for the ultimate benefit of safer patient care

2014 Event Courses Scheduled Include:

  • Tennessee Hospital Association, Education and Practice Collaboration to Impact Patient Outcomes
  • Moulage and Making it Real! Create-an-Abscess
  • Simulation, Evaluation, and Rubrics
  • Access to Simulation for Courses with Large Numbers of Students
  • Which Way Do I Go Coach? Improving Student Decision-Making and Learning in Simulation
  • My Worst Day at Camp: Utilizing simulation to teach students to apply clinical judgment skills in the outpatient setting.
  • Keeping students engaged during simulated clinical experiences
  • Using Virtual and live simulation in preparing nursing students for transition to practice
  • Improving the patient experience with simulation training
  • Many many more!

You can download the full conference presentation summary here and visit the 2014 TN Simulation Event webpage to register today!

Supported Organization:

SimGHOSTS 2014 Events Opening Keynotes & Plenary Sessions Free To Watch

simghosts logo

All the SimGHOSTS 2014 opening keynote & plenary sessions addresses are free to watch! If you missed their Australia or USA events, be sure to gain some of the valuable knowledge shared their through these massive sessions!

SimGHOSTS USA Opening Keynote Address by President James Cypert “Elevating the Dialogue” Sponsored by Level 3 Healthcare – SimGHOSTS President James Cypert presented on the importance of bringing in basic research methods in support of the professional development of Simulation Techs. He  began the conversation with a community focus and topics for future research and invite a networking dialog to establish collaboration opportunities for designing, conducting, collecting, writing, and submitting well‑formed research. The goal of this the 2014 USA keynote address was to provide some of the basic tools, resources, and methods for providing evidence‑based practice for simulation technologists, ascertaining cogent research topics, and identifying collaborative opportunities, and establishing working relationships to achieve higher levels of dialog from and with the technician community.

SimGHOSTS USA Plenary Address by Jane Nicklin & Stuart Ruby “The Growth of Simulation Technology Specialist Support by the UK” Sponsored by Laerdal – Coming soon!

SimGHOSTS Australia Opening Keynote by iSimulate “Innovation in Mobile Simulation” – On June 26th 2014, Platinum Sponsor iSimulate  provided the opening keynote address to SimGHOSTS’ first overseas event, hosted at the University of The Sunshine Coast in the Queensland Region of Australia. The keynote was provided by Dr. Anthony Lewis, iSimulate Co-founder and Medical Director. This event was live-streamed for FREE through around the world for those who could not attend the three day event in Sippy Downs. The story of iSimulate is one of an identified need to make simulation technology easier, cheaper and more flexible that existing technology. Created by Medical Educators in Australia, iSimulate started as a idea and has progressed to become a company who’s products are used across the world. In this keynote, learn why and how two medical educators decided to challenge a simulation philosophy that “ever more” technologically advanced manikins are better. Instead, they took the cumbersome technology out of the manikin and placed it into an user-friendly iPad.

SimGHOSTS Australia Plenary Address by Dylan Campher Sponsored and Reflecting Upon the “Clinical Skills Development Service” – The Queensland Health Clinical Skills Development Service (CSDS) is one of the world’s largest providers of healthcare simulation. We deliver education and training to Queensland Health staff and healthcare providers throughout Australia. CSDS utilizes a hub-and-spoke model of support to support simulation providers throughout Queensland. With CSDS as the hub, this model focuses on providing systems and resources to support Pocket Simulation Centres, the spokes, ensuring the imbedding of simulation close to or within clinical environments. In conjunction with its role of providing support to hospital-based skills centres, the growth of Pocket Simulation Centres provides clinicians with the tools and techniques to address local needs. These in situ programs now address local training requirements, just-in-time training, and process redesign.

Top Medical Simulation Articles of Summer 2014

healthcare simulation article reviews

Took the summer off? Went to Disneyland? Go on holiday? No matter, has you covered with the most-read articles from this past summer. We tallyed the clicks from our newsletter and reviewed the analytics from the 37,000+ visits to this free healthcare simulation resource website to see what were the “hottest” summer articles. Don’t miss out on future updates by signing up for our free simulation newsletter then catch up with the articles below!

  1. Medical Simulation Job Listings – Looking for a new gig or need to post your open simulation staff position? This is the most comprehensive list on the internet!
  2. 3D Printed Anatomy To Revolutionize Medical Training – Check out this amazing story coming out of Australia where 3D Printers are being used to create anatomical models for medical education!
  3. Simulated Patient “Allergic to Ink” Warning Sign – Download to Save Your Manikins! – Will Enfinger, Simulation Specialist at Des Moines University, has created a nifty “Allergy Warning Sign” which simulation champions can use to help prevent ink stains.
  4. The National Council of State Boards of Nursing Releases Results of National Simulation Study – A Longitudinal, Randomized, Controlled Study Replacing Clinical Hours with Simulation in Prelicensure Nursing Education,” which concluded that substituting high quality simulation experiences for up to half of traditional clinical hours produce comparable end of program educational outcomes.
  5. Bridging The Gap Between Clinical and Non-Clinical Simulation Technicians – If you are a non-clinical Sim Tech you may be asking what you can do to learn more about the pathophysiology of the human body. Here are many apps for the ipad/iphone for assisting with this process.
  6. Free ECG Simulator Game – SimGHOSTS President James Cypert forwarded along a great 6-second ECG Simulator game where healthcare learners can practice identifying one of 27 most common rhythms.
  7. More Free Nursing Simulation Scenarios – The Kansas State Board of Nursing has a free library of simulation scenarios designed by nursing faculty for nursing and allied health programs.
  8. “And, Scene!” – Some More Great Places to get Simulation Scenarios – Programming is worth every difficult minute as the over efficiency of your Simulation Program increases ten fold with each successfully programmed and permanent scenario, but here’s a list of places to get started with your scenario library.
  9. Clinical Skills Lab Coordinator Standard Operating Procedures Example – Recently I shared the Standard Operating Guide developed at the Clinical Simulation Center of Las Vegas for both the IT and Clinical Simulation Technology Specialists. In this article I share the “SOPs” for the position of Skills Lab Coordinator.
  10. CAE Healthcare Updates – CAE Healthcare’s News Feed has been a popular destination for medical simulation champions this summer!

Lastly, if you are looking for more great clinical simulation articles check out HealthySim’s:

NAEMSE Symposium Takes Place Next Week in Reno, NV — EMS Educators Don’t Miss Out!


Next week is the annual National Association for Emergency Medical Service Educator Symposium, taking place the 16-21st at the Peppermill Resort Hotel in Reno, NV. The Annual Symposium is an event that is held each year in different cities around the country. It is an opportunity for EMS Educators to come together and network with other EMS educators. The symposium consists of educational pre-conferences and general/break-out sessions that are designed to help the educator better hone their teaching skills and take those new ideas back with them to the classroom. It also gives attendees the chance to visit the Exhibit Hall where EMS exhibitors will give attendees one-of-a-kind face to face time and information regarding their respective products.


The National Association of EMS Educators is a 501 ( c ) non profit educational association that has been incorporated since 1995. It is a professional membership organization that is made up of over 3,000 EMS educators, both nationally and internationally, that include Instructors, Program Directors, Deans, Training Officers, EMS Physicians, EMS Nurses and EMS State Officials. It is governed by a board of directors and the home office headquartered in Pittsburgh, PA. The staff of NAEMSE is made up of an Executive Director, Business Manager, Education Coordinator, Membership Coordinator, Project Coordinator and Communications Coordinator.


The annual NAEMSE Symposium is the premiere educational event that is held each year in different locations around the country. It is an opportunity for EMS Educators to come together and network with other EMS educators. The Symposium consists of educational pre-conferences, general sessions and break-out sessions that are presented to help the educator advance their teaching skills and take those new ideas back to the classroom. In additional to learning new skills and networking, all participants receive “take home” resources to use in their classrooms.  Also there is an exhibit hall where educators can view the latest in EMS equipment, textbooks and educational technology. Visit Symposium to find out more information.

Are you attending the show? Email or Twitter @HealthySim to connect!

There’s still time to Register – Learn more at the NAEMSE 2014 Symposium Website