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Discover Simulation. Agenda. Overview of Discover Simulation Toolkit Needs Assessment / Implementation Knowledge/Skill Acquisition Simulation in Teams Debriefing Close the Performance Gap. Agenda. What are the most important issues? 1 note per table. Overview.
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Agenda • Overview of Discover Simulation Toolkit • Needs Assessment / Implementation • Knowledge/Skill Acquisition • Simulation in Teams • Debriefing • Close the Performance Gap
Agenda What are the most important issues? 1 note per table
Overview Laerdal and JEMS provide comprehensive approach to teaching using blended learning methodology
Overview Goal: Help make simulation training easy
Title that best describes your role • Dept. Training Officer • College Faculty/Instructor • Medical Director • Quality Role • Nursing • Other
Program’s current use of simulation in training programs • Regularly (once a month) • Occasionally (few times a year) • Limited • Never
How do you use simulation? • Teaching • Assessment • Do not use • Other
Previous Simulation Training • Formal class • User Network • Read Directions • Webinar • Conference • Other
What Leads to Effective Learning? Well-designed simulation training improves performance
My Overall Proficiency Using Simulation • Expert – can teach other instructors • Competent to teach students • Not ready to teach students • Just starting to learn
Overview Turn-key education system…
Phases of Sim-Based Education PERFORM LEARNING NEEDS ASSESSMENT CLOSE PERFORMANCE GAPS & REPORT KNOWLEDGE ACQUISITION Facilitate Debriefing Administer Knowledge Pre-Test Perform Asthma Simulation Assign Asthma Article SIMULATION IN TEAMS Discuss Asthma Case Study SKILLS PROFICIENCY Administer Knowledge Post-Test Practice Skills
Discover Simulation Components Objectives linked to EMT & EMT-P Curricula >
Increase Skill Development Reduce Human Error Assess Systems On-Demand Access to Patients Regulatory Requirements Practice in Controlled Environment Assess Needs -Why Use Simulation?
How does your organization perform needs assessment? • QI data analysis • Surveys • Interviews • Direct observation • Other
Assess Needs Review and discuss case study – select group spokesperson
Discover Simulation Components Article & Pre/Post Test >
Discover Simulation Components Item analysis worksheet >
Knowledge Acquisition Discuss how data from the pre-test and post-test may be used to improve the quality of training.
Knowledge Acquisition REMEMBER: Reflection, combined with feedback, enhances performance.
Skills Proficiency Discuss the availability of relevant skills checklists Discuss the importance of validity and reliability
Discover Simulation – Scenario Operations Prepare… the learners the instructors the simulator the learning environment Prepare for Simulation >
Discover Simulation – Scenario Operations SimMan ALS Simulator SimPad Scenario Operations>
Discover Simulation – Scenario Operations Watch learner’s performance Click events Performance is registered in the debriefing log
Discover Simulation- Scenario Operations Initial State O2 & Beta Agonist 7 minutes Improvement Deterioration O2 & Beta Agonist 2 minutes Improvement Fail
Discover Simulation – Facilitated Debriefing Debriefing can make or break a simulation session
Discover Simulation - Facilitated Debriefing You can see actions, but never frames Rudolph J, et al. There’s no such thing as ”nonjudgmental” debriefing” A theory and method for debriefing with good judgment. Simul Healthcare 2006;1: 49–55
Discover Simulation – Facilitated Debriefing Advocacy • My perspective • Use first person • Make perspective clear • I observed _______________ • I’m concerned / pleased because _______________________ Inquiry • Short, open ended questions • “I wonder what happened…” • I’m curious how you see it?”
Discover Simulation – Facilitated Debriefing Beginning – Reactions Phase Allow participants to express their initial reactions (emotion OK) Discusses facts as necessary to eliminate confusion Avoid ridiculing or shifting right to analysis Middle – Analysis Phase Ask questions that prompt the learner to discuss and reflect Listen with genuine curiosity – seek to understand their “frames” Avoid telling the participants what to do without getting them to reflect first End – Summary Phase Ask participants to summarize what they learned “what went well?” “Given a similar situation, what would you do differently?”
Evaluate the Simulation Education Program Level I Level II Level III Level IV Reaction Learning Behavior Outcome / ROI Return on Expectations Kirkpatrick, D.L., Evaluating Training Programs: The Four Levels. San Francisco, CA: Berret-Koehler Publishers, 1998.
Implementation Next Actions Visit www.laerdal.com/discoversimulation Register for follow-up webinar Request toolkit and scenario Join the Discover Simulation forum www.laerdal.com/discoversimulation