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Coping with Simulation Case Derailment
Author: Corey Heitz, MDPeer Reviewer and Editor: Nikita Joshi, MD The simulation scenario starts and things are going well. The learners are on their game. Instability – recognized, managed. Initial...
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Death and Simulation
Should the manikin ever die in a simulation scenario? Effective simulations require suspension of disbelief and willingness by learners to play along with the game created by the facilitators. Without...
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Deception and Simulation
Have you ever created a simulation case with hidden objectives that the learners were not aware of? Would you ever purposefully try to trick or deceive learners in a simulation case? Simulation can...
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ALiEM Sim Case Series: Pediatric WPW
Case Writer: Nikita Joshi, MD KeywordsPediatrics, Syncope, Wolff Parkinson White (WPW), PALS Educational ObjectivesMedical Discuss a broad differential diagnosis for pediatric syncope Identify...
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Reflections on CMS Simulation Instructor Course
I just completed the 4 day intensive Center for Medical Simulation Institute for Medical Simulation Instructor Course. The title of the course is a mouthful and just as intense and high yield as the...
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ALiEM Sim Case Series: Mass Casualty Building Bombing
Case Writer: Nikita Joshi, MD Keywords: Mass casualty incident, building bombing, disaster, triage, ethics Educational Objectives Medical Develop system of triage to optimize patient outcomes in...
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ALiEM Book Club: Difficult Conversations
Debriefing is a difficult skill to acquire. It is a little to easy to ask accusatory questions when you witness things that went wrong, or in a direction not anticipated. It’s also hard when trying to...
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Crisis Resource Management
CRM and SBT… just another set of acronyms in the world of medical education? Don’t we already have enough?? Not quite! Rather, Crisis Resource Management (CRM) is a complementary approach to...
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Simulation Trick of the Trade: Blindfold the Leader
Simulations are routine now in medical training. But sometimes routine can start to get boring! All learners now know, especially for high fidelity simulations, to prepare for the unexpected. The...
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Simulation Trick of the Trade: Paper Mache
Money doesn’t grow on trees, and neither do simulation manikins, not even on simulated trees. So what to do when you are looking for a cheaper, more easily replicated solution to simulation dilemmas?...
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Sim Case Series: Procedural Sedation
Case Writer: Brent Thoma, MD MACase Editors: Teresa Chan, MD and Nikita Joshi, MD This procedural sedation simulation case can be used to teach, evaluate or reinforce the skills needed to safely...
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Pitfalls in Comparative Simulation Based Research
Simulation based research is tough. We all know that it’s fun, and we think it is safer for the patients. Beyond that, the data is not so strong! And it’s important to care about this. Why? Because...
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Back to the Basics in Medical Simulation: 11 Programmatic Factors
Let us start 2014 with renewed vigor and interest in simulation! To do that, I am going to take it way back and review the basics of simulation with a 2007 article that I consider landmark for...
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Simulation: A tool for non-clinicians
Thought simulation is only for doctors and nurses? Think again! More and more, people are reconsidering the notion that medical simulation has only application in the clinical setting. By rethinking...
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Hands Up For Health: Simulation Extending to Community Education
Medical simulation is not just for the clinical learner. Rather, it can have far reaching impact and can contribute meaningfully to the community. In this post, Dr. Beth Thomas describes the work of...
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Improving debriefing skills: Two-column case and learning pathways grid
Being a learner in a medical simulation case can be tough. But equally challenging, is the role of the Debriefer. This person has to balance the important task of debriefing the small group, provide...
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Simulation Trick of the Trade: Bleeding Cricothyroidotomy Model
One advantage of simulation as an educational tool is the re-creation of cognitive and emotional stresses in caring for patients. Doing this for a high fidelity scenario is relatively easy – add...
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SimLIFE-EM Challenge: Add to the conversation
Debriefings in medical simulation are meant to be the bow on top of the gift that is medical simulation. It is the ultimate delicious dessert, served after a grueling dinner course. All analogies...
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A cost-effective, two-layer wound closure task trainer
Performing a two layer wound closure can be a challenging procedure in the Emergency Department for clinicians with limited wound care experience. Challenges include suture choice, suture placement,...
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