Programme and faculty training
Simulation Training for Educators
Simulation has become commonplace in paediatric healthcare, both in Starship, and around the world. Simulation is especially useful in acute care settings, as it offers methods for clinicians to train for high risk events that infrequently occur in paediatric practice. It allows the educator to prepare in advance the skills required by clinicians and practice these without compromising patient safety.
Simulation is a multifaceted tool that can target the wide-range of clinical and non-clinical skills that are required to provide high quality healthcare. It is used to teach clinical skills, refresh knowledge, practice algorithms, and reflect on the human factors that impact on patient care, as well as test processes, systems and environments. Simulation has a positive impact on patient safety and team development.
There are numerous simulation education methodologies emerging, which can be confusing for those who teach across various settings and for those who participate in simulation education. The Douglas Starship Simulation Programme (DSSP), established in 2010 (in partnership with Boston Children's - the global experts in paediatric simulation), has developed a structured learning pathway for educators to ensure that simulation education is safe, evidence based and consistent across the organisation (See diagram 1 below).
1. Introduction to Simulation Workshop
This four hour workshop is designed for educators who are beginning to use simulation education. It introduces the foundational concepts of simulation zones and aligns these to an education programme. A variety of methodologies are introduced, including the pause principle and plus delta. The workshop also includes the application of these methodologies in scenario delivery using low and high fidelity manikins.
2. Simulation Technician Workshop
This two hour workshop is designed for educators who are delivering education using the DSSP high fidelity simulators. Participants will gain an understanding of the care, setup, and computing required to create realistic scenarios.
3. Simulation Faculty Development Workshop
This three day workshop is designed for educators who are currently delivering scenario education and want to advance their skill. These educators may be part of a team who are currently delivering Crisis Resource Management (CRM) workshops, or they may want to develop a CRM programme for their clinical setting.
Simulation faculty development workshops focus on practical ways of developing and improving your simulation delivery skills, including: adult education, programme design, running high fidelity simulations, and debriefing.
The course content includes:
- Approaches to CRM training
- Adult learning theory
- Building a CRM course
- The art of debriefing
- Debriefing practice exercises
- Designing CRM scenarios
- Innovative applications of paediatric simulation
DSSP encourages multidisciplinary simulation programmes, as these are more effective and sustainable long-term. Training partnerships (Doctor and Nurse or Doctor and Tech) are encouraged.
4. Refresher Workshops
DSSP provide refresher workshops for educators who wish to practice and advance their debriefing skills.
Simulation Delivery Zones
Table 1: Simulation Delivery Zones
Zone 0: Skills Teaching
Zone 0 simulations involve direct teaching and corrective, automatic feedback to an individual learner. Simulation activities are focused on the acquisition of new clinical knowledge or skills in relation to specific learning objectives. Clinical content is isolated, distractions are minimised, and direction is provided during the simulation.
Zone 1: Clinical Competencies
Zone 1 simulations involve instruction to a partial clinical team (i.e nursing or medical) within a controlled patient environment. Simulation activities are focused on set clinical objectives and the application of learned foundational clinical skills through guided, experiential learning. Clinical content remains relatively isolated, distractions are lessened, and direction is provided during paused action within the simulation.
Zone 2: Scenarios
Zone 2 simulations involve situational instruction delivered at the beginning of a clinical scenario to a partial or complete clinical team. Simulation activities can occur in unfamiliar or offsite locations and are designed around set clinical learning objectives that are predominantly skills-based within a scenario to allow experiential learning. Clinical content is embedded within the scenario and distractions occur more frequently. Discussion is facilitated at the end of the simulation using the plus/delta debrief methodology and may have both a clinical and team development focus.
Zone 3: Team Training
Zone 3 simulations are delivered in situ to multidisciplinary, native clinical teams using high-fidelity manikins and adjuncts. This creates the realism that allows clinicians to explore their work environment and systems, while working as a team in time-critical events. A structured debrief is facilitated at the end of the simulation using the advocacy and inquiry methodology. This is an opportunity to engage clinical experts and explore the human factors that can impact patient outcomes.
Zone 4: Real Clinical Events
Simulation Education available to Clinicians