Designing Effective Simulation Scenarios for Health Educators
Submitted in INTAPT 2019-2020
Submitted to Dr. A. Ghavam-Rassoul and Dr. J. Peranson
March 4, 2020
Title of Workshop: Designing Effective Simulation Scenarios for Health Educators
Name of presenters: Tez Brown-Cotterell, Marilyn Simard and Aubrey Sozer
Topic Area: Simulation Based Teaching
Goal of the workshop: For the audience to learn how to create and apply a simulation scenario.
Intended Audience: For this presentation the audience for this workshop are the INTAPT students, but could also be applied to any professional who is looking to improve their competency to build simulation based teaching.
Objectives of workshop:
- Recognise three situation when simulation learning can be applied in your workplace
- Name five benefits of using simulation learning in your role as a teacher
- Describe the six steps needed to create a clinical scenario based on Bambini’s model
- Apply the knowledge gained during this workshop to create a clinical scenario independently
Overview of the workshop design:
This is a three hour interactive workshop in building a simulation scenario. We take the learner through the six steps of building a scenario based Deborah Bambini’s “Writing a Simulation Scenario: A Step-By-Step Guide”. In this workshop participants will be divided into two working groups to each create a simulation scenario. As the presenters describe each step the learners will be involved in applying these steps to build and complete a final scenario. Once both scenarios are complete, the groups will each take turns facilitating their own scenario and participating in the other group’s scenario. At the end both groups will receive a debriefing and evaluation on the scenarios they have created.
Simulation-based learning allows learner to experience real situations in a controlled environment and without being subjected to the stress of real life. In the medical field, simulations are used since the early 1960s to teach cardiorespiratory resuscitation with medical manikin.
Application of Simulation (some examples):
- Routine learning and repetition of clinical and communication skills
- Practice of complex clinical situations
- Design and testing of new clinical equipment
- Performance assessment
- Part-task trainers
- Computer-based systems
- Complex manipulation
- Integrated simulators
Benefits and Challenges of Simulation:
|Risks are avoided||Cost|
|Undesired interference is reduced||Administrative challenges|
|Tasks/scenarios can be created to demand||Need time to create and run scenarios|
|Skills can be practised repeatedly||To make the situation real|
|Training can be tailored to individuals||Identify competencies/abilities to be assessed|
|Retention and accuracy are increased||To establish instruments/metrics to conduct the assessment|
|Transfer of learning to real situation is enhanced||Technical/programming difficulties|
|Diagnosis of educational needs||Attitude of learners|
Recapitulation of Pendleton’s Model (INTAPT 2019-2020)
- The learner says what they thought was done well
- The teacher says what they thought was done well
- The learner says what was not done well and could be improved upon
- The teacher says what was not done so well and makes suggestions for improvement
Six steps to create a clinical scenario based on Bambini’s model
Writing the simulation scenario can be challenging but rewarding. Following a step by step approach can makes the task less daunting and the end result equally fulfilling. In this workshop we use a six step framework to building a simulation scenario. This starts with a determination of the outcome of the simulation experience. That is the knowledge and skills you intend for the learners to acquire having gone through the experience. It is important that one ensures that this is aligned the organisation’s policy or in keeping with recommended standards. After which the context of the scenario is determined. This is what provides the realism of the experience and includes the physical environment, actors/players, location to name a few. All of this to approximate the real-life context as closely as possible. Creating the objectives of the scenario is the step that follows. Objectives should be congruent with the intended outcome(s) and are the action arm to the outcome. That is, what does the learner have to do for the outcome to be achieved? The objectives therefore will contain a verb from the order level in keeping with the stage of the learner. Once these are done then comes the script of Flow of the scenario. This is how the story unfolds and includes the beginning phase which lays the scene. The middle phase follows which is where the challenge of the scenario unfolds after which comes the End phase which closes the script. Once this is done we now review and refine the scenario to ensure it unfolds logically. Lastly we add complexities according to the level of the learner involved and the specific points of emphasis. We will not be exploring debriefing in this workshop but this is an important element and should be done at the end of all such encounters.
Allan Waters Family Simulation Centre ( AWFSC) : Simulation Workbook
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