Simulation in Healthcare Education: A Best Evidence Practical Guide

medical simulation management

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. While Part-1 focused on simulation program development and operations, part-2 focuses on clinical educators and getting ROI on learning outcomes. Think of these articles as a great “How To Get Started” guide to medical simulation!

Simulation in Healthcare Education: A Best Evidence Practical Guide Part -2 Abstract:

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Over the past two decades, there has been an exponential and enthusiastic adoption of simulation in healthcare education internationally. Medicine has learned much from professions that have established programs in simulation for training, such as aviation, the military and space exploration. Increased demands on training hours, limited patient encounters, and a focus on patient safety have led to a new paradigm of education in healthcare that increasingly involves technology and innovative ways to provide a standardized curriculum. A robust body of literature is growing, seeking to answer the question of how best to use simulation in healthcare education. Building on the groundwork of the Best Evidence in Medical Education (BEME) Guide on the features of simulators that lead to effective learning, this current Guide provides practical guidance to aid educators in effectively using simulation for training. It is a selective review to describe best practices and illustrative case studies.

This Guide is the second part of a two-part AMEE Guide on simulation in healthcare education. The first Guide focuses on building a simulation program, and discusses more operational topics such as types of simulators, simulation center structure and set-up, fidelity management, and scenario engineering, as well as faculty preparation. This Guide will focus on the educational principles that lead to effective learning, and include topics such as feedback and debriefing, deliberate practice, and curriculum integration – all central to simulation efficacy. The important subjects of mastery learning, range of difficulty, capturing clinical variation, and individualized learning are also examined. Finally, we discuss approaches to team training and suggest future directions. Each section follows a framework of background and definition, its importance to effective use of simulation, practical points with examples, and challenges generally encountered. Simulation-based healthcare education has great potential for use throughout the healthcare education continuum, from undergraduate to continuing education. It can also be used to train a variety of healthcare providers in different disciplines from novices to experts. This Guide aims to equip healthcare educators with the tools to use this learning modality to its full capability.

To download part-2 of the FREE article visit here. Part-1 is located here.

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Association For Simulated Practice in Healthcare 2013 Conference Video Review – Part 2

aspih 2013

Yesterday in Part 1 of our ASPiH video review, we introduced organization President Dr. Bryn Baxendale and Sim Tech SIG Co-Chair Jane Nicklin from the November medical simulation meeting which took place in Harrogate, England. Today, we continue our conference coverage with further exploration into the sessions and speakers of the event, highlighting the keynote by Gordon S. Michael Simulation Center Director Dr. Barry Issenberg.

Dr. Barry Issenberg, Director of the Michael S. Gordon Center for Research in Medical Education at the University of Miami, was invited in part by platinum sponsor Laerdal to present on Achieving and Demonstrating Optimal value from simulation in healthcare. This was perhaps one of the most empowering presentations I have seen from one of medical simulation’s leading researchers, because Barry shared the incredible difficultly of replicating successful training methods gleamed from research papers which are limited in wordcount. Here, Barry recalls how he first learned about assumptions of implementation which lead to failed outputs for simulation colleagues attempting to duplicate his team’s performance mastery-based learning research. Areas of assumptions included “time of day of training”, “educational teaching experience of clinicians” and other “cultural boundaries”. Dr. Issenberg continued his presentation at ASPiH to look at such key factors critical to the implementation of research into clinical practice. I applaud this message as my work has been dedicated to increasing the utilization of medical simulation – which is a mission that primarily focuses on the logistics and practical application of the technology and the methodology behind it.

To learn more about technical operations of simulation visit http://www.SimGHOSTS.Org, and to learn more about administrative operations of medical simulation visit!

dr barry issenberg aspih

Visiting sessions throughout the conference I could easily see that there was an energy to ASPiH presenters similar to that of SimGHOSTS events – one which is full of excitement and passion for the use of medical simulation.  On day one of the event after stopping by the exhibitor space I toured several of the conference sessions. Upstairs medical simulation users from around the UK shared their success stories while downstairs, Laerdal provided a workshop on SimPad use, while Dr. Baxendale and Andy Buttery taught a debrief workshop which used the famous breakfast scene from Kramer Vs. Kramer as the recorded scenario. In the video above, Andy reminds the community the difference and benefits to “debriefing the debriefing” where-in facilitators and participants are provided feedback about the post-scenario debriefing experience. This is a critical step in ensuring long term program growth and performance success!

To be honest, I can’t fit in here all of the wonderful content and connections I made while attending ASPiH 2013. I would highly recommend this meeting for simulation champions within UK or the greater European Union who are looking to better connect with others engaging with this innovative field. Luckily, Dr. Baxendale announced at the meeting a new journal which will provide expanded opportunities for literature within the global simulation community.

Learn more about this empowering organization and the Nov. 2014 event by visiting! Stay tuned for more video interviews from the event coming soon to!

SimBase Creates Implementation Handbook for Healthcare Simulation and ICT-Based Learning


SimBase is a two year project funded by the European Union which brings together simulation champions and technology providers from within the territory to collaboratively expand the implementation of simulation training techniques.  The SimBase brochure explains further that…

“The adoption of ICT-enhanced techniques brings with it many advantages but adoption requires considerable up-front investment as well as the restructuring of courses and pedagogies which can in turn lead decision makers to hesitate in investing in the development of such cutting edge technologies. To help tackle this, results produced by Simbase will be collated into decision-making tools such as the already mentioned impact-assessment model, implementation guides and a policy roadmap. These tools will allow decision makers throughout Europe to learn from and imitate the best practices with regards to the implementation on ICT-enhanced techniques which suit their country’s needs. Simbase will be initialising direct contact with policy makers and will be adopting an open access strategy which means that all project deliverables will be released to the public on an open license and will be copied into several open-access repositories and sent to a selection of libraries around the continent.” Learn more about SimBase by downloading their complete pdf brochure.

Last week their website SimBase.Co released an Implementation Handbook for Healthcare Simulation and ICT-Based Learning Training Programs (also available in Spanish). This handbook is a great read and I highly recommend you download it today!

Financed by the European Commission, this FREE 45-page downloadable handbook is designed to “develop a support tool for the planning and implementation of simulation in healthcare and professional training centres” by:

  • Defining the steps to be taken for the implementation of an integrated simulation programme in the centres.
  • Providing recommendations for integrating simulation into professional healthcare training programmes.
  • Providing recommendations adapted to the particular training stages catered for in the training centres (universities, healthcare centres, etc.)
  • Defining some of the elements that will allow us to approach the evaluation of the transfer and impact of the simulation implementation programme.
  • Defining the criteria for the administration of the required resources.
  • Incorporating the use of ICTs in all these processes to maximise the impact of our programme.

The SimBase website also has a downloadable “Pilot Guide” for medical simulation programs looking to launch new training programs.

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