Simulcast Journal Club is a monthly series that aims to encourage simulation educators to explore and learn from publications on Healthcare Simulation Education. Each month we publish a case and link a paper with associated questions for discussion. Inspired by the ALiEM MEdIC series, we moderate and summarise the discussion at the end of the month, including exploring the opinions of experts from the field.
The journal club relies heavily on your participation and comments and while it can be confronting to post your opinions on an article online, we hope we can generate a sense of “online psychological safety” enough to empower you to post! Your thoughts are highly valued and appreciated, however in depth or whatever your level of experience. We look forward to hearing from you.
The Article :
Leung, J.S., Brar, M., Eltorki, M. et al. Development of an in situ simulation-based continuing professional development curriculum in pediatric emergency medicine. Adv Simul 5, 12 (2020). https://doi.org/10.1186/s41077-020-00129-x
The Case Study :
Alejandra frowned in the consultant meeting as they yet again debated the pros and cons of simulations during consultant education. The discussion was a mix of strong resistance, excuses and intermittent spurts of enthusiasm from a few acolytes. She could tell from the way things were going that the proposal would fizzle out again, as it had in the years before that.
Despite her frustration, Alejandra knew this was partly her own doing. In a burst of sim enthusiasm earlier in her consultant career, she had created what she believed to be a fantastic sim designed to challenge even the brightest of her colleagues. Her simulation, the “Resuscitative hysterotomy of a mother pregnant with a 23/40 premature infant with harlequin syndrome and an abusive same-sex partner during a swine flu outbreak” had seemed the perfect physical. conceptual and social challenge for a group of 12 consultants and 3 nurses, but the fallout during the debrief had taught her a lot about identity threat at the top of the food chain.
She had realised with time that she needed a different approach to psych safety for this group, but she’d also realised that having a robust program didn’t mean simulating the ultimate list of fascinomas. She needed a curriculum they actually valued. But she didn’t know where to begin.
This month we look at curriculum development, with a very in depth process from Leung et al in advances in simulation describing their approach to a robust curricular framework for a simulation program for senior medical officers in paediatric emergencies.
As you read the article, we hope it provides the opportunity to reflect on how you approach your own local curriculum development, and whether there are lessons to be learned from the paper at hand.
Our expert this month will be primary author himself, James Leung. We look forward to your comments!