Simulcast Journal Club is a monthly series that aims to encourage simulation educators to explore and learn from publications on Healthcare Simulation Education. Inspired by the ALiEM MEdIC Series, each month we publish a case and link a paper with associated questions for discussion. We moderate and summarise the discussion at the end of the month in pdf and podcast format, including opinions of experts from the field.
In order for the journal club to thrive we need your comments! Some participants report feeling nervous about their initial posts, but we work hard at ensuring this is a safe online space where your thoughts are valued and appreciated. To ensure this, all posts are reviewed prior to posting. We look forward to learning from you.
Title : “Unconditional Love”
Nimali looked wearily at the end of financial year forms that had piled up on her desk. Trawling through the accounting reports her stomach sank as she noticed how close to the bottom line their centre was treading. They were keeping their heads above water and the CEO of the hospital was a fan of simulation, but still… they were an expensive unit and some of the medical wards had been complaining of cut backs.
She turned to Nitin who was quietly typing on the other side of the office. “Do you ever worry all this isn’t worth it?”, she asked.
Nitin paused for a moment and smiled. “I haven’t been here as long as you of course, but even I can see the difference in culture that your facility has brought to the hospital. People communicate better. The departments interact more warmly. It’s a hospital people can be proud of. Don’t doubt yourself Nimali.”
Nimali was touched, but she was rarely one to avoid reflection.
“But is that us?” she asked, “Or are we just riding on the coat-tails of other cultural changes? Have we really made a difference to patient outcomes? It’s so damn hard to prove with research, this weirdly nebulous stuff! We argue that simulation changes so many things, but we have so little evidence to prove it. I don’t know. Sometimes I worry we’re deluding ourselves.”.
Nitin looked at her with a compassionate grin. “How does one so talented have so much self doubt? You make a difference my friend. Don’t worry. One day you’ll prove it.”.
His words were genuine, too. Having learned so much from her on his fellowship, Nitin was convinced Nimali could do anything. Then again, he thought quietly, he was biased. The truth was he’d been in love with her from the first time he’d heard her talk about psychological safety.
The Article (Open Access!) :
Simulation Educators often have a dual burden to both educate and promote their service as a powerful way to improve patient safety, but we have often struggled to prove it works. Have we in some ways developed an unconditional love for the medium without evidence of actual patient impact? In this month’s paper, we hope to learn from Kumar et al’s approach, where they used a mixed methods study to assess whether a simulation program made an actual measurable impact on patient outcomes.