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 :
Calhoun, Aaron, Pian-Smith, May, Shah, Anjan, et al. Guidelines for the Responsible Use of Deception in Simulation: Ethical and Educational Considerations. Simul. healthc.. 2020;15(4):282-288. doi:10.1097/SIH.0000000000000440.
The Case Study :
As Amir watched the playback video of his scenario, he became quietly frustrated.
The course orientation had stated there’d be no tricks, that this was a safe space for learning, and that he was expected to push himself to the edge of his comfort zone in pursuit of learning. As an avid life long learner, this was something he’d been happy to embrace. Performing well in front of his junior staff was important for him but so was being open to feedback and becoming a better physician.
But if this was such a ‘safe space’, why had the patient’s notes containing critical background information been placed in an obscure part of the room under a coffee cup and some patient handouts? Critical minutes had been wasted pursuing an incorrect treatment pathway for the patient’s real condition, and while the resultant discussion had generated some great discussion about shared mental models and situational awareness, he couldn’t help shake the feeling that he’d been somehow set up as the patsy in the greater pursuit of transformative teamwork conversations.
This particular safe container, he felt, left a somewhat bitter aftertaste.
This month we get to revisit a topic we explored at the very start of simulation journal club : deception in simulation. As we chat this month, we ask our journal clubbers : how does this article change or inform your practice? What has been your experience with deception in simulation? When have you seen it used effectively, and what have you learned to avoid?