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.
Title : “How to Host a Debrief”
Nimali pulled Nitin hastily into the supply closet and shut the door.
“The phone towers are down.” She whispered. “The roads around the education centre are flooding from the hailstorm and the police could be hours away. We’re stuck here surrounded by floodwaters with our entire simulation faculty, the corpse of a particularly sarcastic paediatric intensivist and a tea room stocked exclusively with International Roast Caterer’s blend.”.
Nitin winced. “There’s only one thing to do in a situation like this.”
Nimali nodded sagely. “We’re going to debrief the shit out of it. If we don’t work out who the murderer is by the time the cops arrive, hospital executive is going to find out what’s happened and they’ll close down our whole program.”
A flash of fear went across Nitin’s face. “If we do this we need a game plan, Nimali. This isn’t like other debriefs : Catherine’s crying her eyes out even though she hated Snythe, Brad’s frantically washing blood off his palms Macbeth style in the change rooms and Jacob has enough extraneous load on him just trying to stop Jessica live tweeting from the crime scene. We don’t exactly have experience crime solving, and while you’re debriefing, we’ll need to be checking for the clues in people’s statements. After all, you and I were the only ones not on campus when this happened.”
Nimali thought for a few precious seconds. Nitin’s heart still gushed at her ability to stay calm in the most horrific of crises. Crime solving, it had to be acknowledged, looked good on her.
“OK.” Said Nimali. “Here’s what we’re going to do. I’m going to ask everyone to help me make some coffee in the tea room. You go get Brad and help him move the body out of the debriefing room and into one of the supply rooms. There’s no way anybody will be able to focus with Snythe still in there.”
Nitin nodded solemnly.
“Once the body’s moved, I’ll take us all into the debriefing room. We’ll calm down Catherine, keep Jacob and Jessica engaged in the conversation and away from their social media. Brad used to work in forensic pathology so we’ll use him as our expert in the room, and together we can start piecing together what happened.”
Nitin smiled. “OK we got this. And to help with the germane load of it all, I’ll give you feedback with the DASH Serial Killer Version.”
Nimali kissed him quickly on the cheek. “You gotta give them credit,” she said wryly. “There really is a DASH for everything.”.
The Article (open access via the link) :
When faced with learning to debrief, facilitators experience a wide variety of different types of cognitive load.
In this month’s article, Fraser et al break down cognitive load theory for educators, and provide sensible and practical interventions to optimise load when learning a new skill.
For our journal clubbers this month : What sort of cognitive strains do you find particularly challenging? How does this paper assist you in both simulation delivery and simulation design?