INSPIRE @ IMSH 2016

1. INSPIRE @ IMSH 2016 Welcome 08:30 am January 16, 2016 San Diego, California, USA International Network for Simulation-based Pediatric Innovation, Research and Education

2. International Network for Simulation-based Pediatric Innovation, Research and Education Administrative Items • WIRELESS:

3. International Network for Simulation-based Pediatric Innovation, Research and Education Acknowledgments

4. International Network for Simulation-based Pediatric Innovation, Research and Education Introductions

5. International Network for Simulation-based Pediatric Innovation, Research and Education Mission We aim to improve the delivery of medical care to acutely ill children by answering important research questions pertaining to resuscitation, technical skills, behavioral skills, debriefing and simulation-based education

6. International Network for Simulation-based Pediatric Innovation, Research and Education INSPIRE Research Themes TRAINING AND ASSESSMENT Debriefing Develop/assess/implement effective techniques for debriefing real/sim events IPE, Teamwork, Communication Develop/assess/implement effective techniques for team training Procedural, Psychomotor Skills Develop/assess/implement effective techniques for skills development retention HEALTH CARE INNOVATIONS Technology Develop/assess/implement novel technologies designed to improve processes of care and pediatric patient outcomes Acute Care and Resuscitation Develop/assess/implement novel techniques for improving care of pediatric patients Human Factors Assess the role of human factors when providing care to pediatric patients Patient Safety Explore the key variables that influence patient safety and assess strategies to mitigate

7. International Network for Simulation-based Pediatric Innovation, Research and Education

8. International Network for Simulation-based Pediatric Innovation, Research and Education Schedule - AM • 0730 – 0830: Ongoing Projects • 0830 – 0845: Network Welcome & Intros • 0845 – 0930: New ALERT Presentations - I • 0930 – 1030: Working Group – I • 1030 – 1050: Screen-based Simulation & Serious Games • 1050 – 1110: PediSTARS India • 1110 – 1130: Reporting Guidelines Update • 1130 – 1230: Lunch Provided & Network Update

9. International Network for Simulation-based Pediatric Innovation, Research and Education ALERT Working Group I 1. Ali N – Team Leadership during Neonatal Resuscitation 2. Gross I – Rapid Cycle Deliberate Practice to improve Airway Management Skills 3. Gangadharan S – In situ Simulation for Families of Chronically Ill Survivors of Critical Illness 4. Song JL – Teaching Infant CPR to Families in the Pediatric Emergency Department 5. Walsh B – Factors for High Quality Paramedic Pediatric Care using In situ Simulation 6. Whitfill T – Improving Pediatric Acute Care in Community EDs through Collaborative Simulation

10. International Network for Simulation-based Pediatric Innovation, Research and Education ALERT Working Group I • What did you achieve today? • Gaps/questions • Timeline/Next steps • 2 weeks • 2 months • 6 months • 1 year

11. Screen-based Simulation & Serious Games Initiative Todd P Chang, MD MAcM Children’s Hospital Los Angeles / University of Southern California International Network for Simulation-based Pediatric Innovation, Research and Education

12. International Network for Simulation-based Pediatric Innovation, Research and Education Disclosures (TPC) • Grant Funding provided by American Heart Association & National Board of Medical Examiners • No Conflicts of Interest to report

13. International Network for Simulation-based Pediatric Innovation, Research and Education Schedule - AM • 0730 – 0830: Ongoing Projects • 0830 – 0845: Network Welcome & Intros • 0845 – 0930: New ALERT Presentations - I • 0930 – 1030: Working Group – I • 1030 – 1050: Screen-based Simulation & Serious Games Initiative • 1050 – 1110: PediSTARS India • 1110 – 1130: Reporting Guidelines Update • 1130 – 1230: Lunch Provided & Network Update

14. International Network for Simulation-based Pediatric Innovation, Research and Education Objectives 1. Define serious games and the attributes that define best practices of games and game-based learning 2. Describe the next steps on how INSPIRE is navigating the newest steps in serious game-based research

15. Entertainment Video Game International Network for Simulation-based Pediatric Innovation, Research and Education What is Serious Games? Simulation Screen- based Sim Serious Games Entertainment Video Game

16. International Network for Simulation-based Pediatric Innovation, Research and Education What is Serious Games? A game in which the primary purpose of gameplay is the acquisition of a cognitive, psychomotor, or affective skill

17. International Network for Simulation-based Pediatric Innovation, Research and Education Attributes Jane McGonigal’s definition of Games Goal Rules Feedback Mechanism Voluntary Use

18. International Network for Simulation-based Pediatric Innovation, Research and Education Attributes Incremental Challenge Adaptation Mystery Narrative Conflict Control Safety Fantasy

19. International Network for Simulation-based Pediatric Innovation, Research and Education Examples

20. SO WHERE ARE WE IN HEALTHCARE SERIOUS GAMES? International Network for Simulation-based Pediatric Innovation, Research and Education

21. International Network for Simulation-based Pediatric Innovation, Research and Education 1st Game-based Learning Summit

23. International Network for Simulation-based Pediatric Innovation, Research and Education Next Steps 1. White Paper on Serious Games in Healthcare 2. Establish standards for Research using Serious Games, within a Simulation Framework 3. Establish known funding streams (academic, community, federal, industry) for serious games-related development & research 4. Develop a Portal for all INSPIRE-led game-based research

24. International Network for Simulation-based Pediatric Innovation, Research and Education Next Steps 1. White Paper on Serious Games in Healthcare 2. Establish standards for Research using Serious Games, within a Simulation Framework 3. Establish known funding streams (academic, community, federal, industry) for serious games-related development & research 4. Develop a Portal for all INSPIRE-led game-based research Anticipate Submission near April 2016

25. International Network for Simulation-based Pediatric Innovation, Research and Education Next Steps 1. White Paper on Serious Games in Healthcare 2. Establish standards for Research using Serious Games, within a Simulation Framework 3. Establish known funding streams (academic, community, federal, industry) for serious games-related development & research 4. Develop a Portal for all INSPIRE-led game-based research

26. International Network for Simulation-based Pediatric Innovation, Research and Education Next Steps 1. White Paper on Serious Games in Healthcare 2. Establish standards for Research using Serious Games, within a Simulation Framework 3. Establish known funding streams (academic, community, federal, industry) for serious games- related development & research 4. Develop a Portal for all INSPIRE-led game-based research

27. International Network for Simulation-based Pediatric Innovation, Research and Education The Portal 1. White Paper on Serious Games in Healthcare 2. Establish standards for Research using Serious Games, within a Simulation Framework 3. Establish known funding streams (academic, community, federal, industry) for serious games-related development & research 4. Develop a Portal for all INSPIRE-led game-based research

28. International Network for Simulation-based Pediatric Innovation, Research and Education The Portal 1. White Paper on Serious Games in Healthcare 2. Establish standards for Research using Serious Games, within a Simulation Framework 3. Establish known funding streams (academic, community, federal, industry) for serious games-related development & research 4. Develop a Portal for all INSPIRE-led game-based research • Single Login • Standard consent • Easy Game Porting • Standard data metrics & reports

29. International Network for Simulation-based Pediatric Innovation, Research and Education The Portal 1. White Paper on Serious Games in Healthcare 2. Establish standards for Research using Serious Games, within a Simulation Framework 3. Establish known funding streams (academic, community, federal, industry) for serious games-related development & research 4. Develop a Portal for all INSPIRE-led game-based research• Governed by only 1 Institutional Ethics/IRB • Streamlined process for Ethics/IRB Approval • Facilitated Contacts with potential Funders

30. dr.toddchang@gmail.com …visit the IMSH Serious Games Showcase Mark X Cicero – Disaster Triage game Jim Gerard – Virtual Pediatric simulator David Kessler – Infant LP Champagne Tap game Marc Auerbach – Infant Intubation simulator International Network for Simulation-based Pediatric Innovation, Research and Education If you are interested

32. International Network for Simulation-based Pediatric Innovation, Research and Education Disclosures (MAA)

33. Reporting Guidelines for Simulation-based Research Adam Cheng, David Kessler, Ralph MacKinnon, Todd P Chang, Vinay Nadkarni, Betsy Hunt, Jordan Duval-Arnould, Jeffrey Lin, Barry Issenberg, David Cook, Martin Pusic, Joshua Hui, Marc Auerbach, for the INSPIRE Investigators International Network for Simulation-based Pediatric Innovation, Research and Education

34. International Network for Simulation-based Pediatric Innovation, Research and Education Schedule - AM • 0730 – 0830: Ongoing Projects • 0830 – 0845: Network Welcome & Intros • 0845 – 0930: New ALERT Presentations - I • 0930 – 1030: Working Group – I • 1030 – 1050: Screen-based Simulation & Serious Games Initiative • 1050 – 1110: PediSTARS India • 1110 – 1130: Reporting Guidelines Update • 1130 – 1230: Lunch Provided & Network Update

35. International Network for Simulation-based Pediatric Innovation, Research and Education Objectives 1. Describe the Development & Publication process of Reporting Guidelines in Simulation-based Research

36. International Network for Simulation-based Pediatric Innovation, Research and Education INSPIRE@IMSH 2015

37. INSPIRE @ IMSH Network Update Vinay Nadkarni, MD MS & Betsy Hunt, MD MPH PhD January 16, 2016 San Diego, California, USA International Network for Simulation-based Pediatric Innovation, Research and Education

38. International Network for Simulation-based Pediatric Innovation, Research and Education Schedule - PM • 1130 – 1230: Lunch & Network Update • 1230 – 1300: Progress ALERT Presentations • 1300 – 1345: New ALERT Presentations - II • 1345 – 1445: Working Group Meetings – II • 1445 – 1515: Completed Project Presentations • 1515 – 1530: Break • 1530 – 1615: Cognitive Simulation • 1615 – 1645: Future Directions, Discussion • 1645 – 1730: Funding, Question & Answer

39. International Network for Simulation-based Pediatric Innovation, Research and Education Disclosures (VN / EAH)

40. International Network for Simulation-based Pediatric Innovation, Research and Education Acknowledgments

41. International Network for Simulation-based Pediatric Innovation, Research and Education Leadership

42. International Network for Simulation-based Pediatric Innovation, Research and Education Research Committee

43. International Network for Simulation-based Pediatric Innovation, Research and Education Mission We aim to improve the delivery of medical care to acutely ill children by answering important research questions pertaining to resuscitation, technical skills, behavioral skills, debriefing and simulation-based education

44. International Network for Simulation-based Pediatric Innovation, Research and Education What do we do? • Vision – Answering important questions – Pillars of research • Building programs of simulation research – Sharing resources • Bringing down walls between institutions

45. International Network for Simulation-based Pediatric Innovation, Research and Education Mentorship

47. International Network for Simulation-based Pediatric Innovation, Research and Education Productivity

48. International Network for Simulation-based Pediatric Innovation, Research and Education Growth 0 50 100 150 200 250 2011 2012 2013 2014 2015 2016 Sites

49. International Network for Simulation-based Pediatric Innovation, Research and Education Growth 0 100 200 300 400 500 600 700 2011 2012 2013 2014 2015 2016 Members

50. International Network for Simulation-based Pediatric Innovation, Research and Education Productivity in 2015 • 11 New Projects • 10 Grants Awarded • 24 Abstracts, Workshops & Presentations • 36 Publications

51. International Network for Simulation-based Pediatric Innovation, Research and Education Consultative Submission Study protocol Specific Consultative Questions Online submission (http://www.INSPIRESim.com/) Research Design Committee feedback Any grant proposal Grant feedback One-time access to Experts and feedback

52. International Network for Simulation-based Pediatric Innovation, Research and Education Study Protocol Submission Study protocol Online submission (http://www.INSPIRESim.com/) Research Design Committee feedback Any grant proposal Executive Oversight Committee feedback Invitation to present at IMSH or IPSSW

53. International Network for Simulation-based Pediatric Innovation, Research and Education Writing up a project • Accountability – Clear expectations/roles • Engagement will vary from person to person, site to site – A priori milestones, timelines, tasks – Shared decision making • Opportunities for Authorship – What does each individual gain from participation – Sub-groups (projects within projects) – Network by-line

54. International Network for Simulation-based Pediatric Innovation, Research and Education Example

55. International Network for Simulation-based Pediatric Innovation, Research and Education Writing Groups • Primary Author – Responsible for the main writing – Corresponding author • Production Manager – Manages the entire process – Sets deadlines – Compiles sections written by others into a single draft – Formats the paper in accordance with the journal’s style • Core Group (3-5 people) – Responsible for the content of the paper – Divide pieces of manuscript – Make decisions concerning the manuscript

56. International Network for Simulation-based Pediatric Innovation, Research and Education INSPIRE Manuscript Oversight Committee (MOC) The MOC will ensure that INSPIRE research projects are peer-reviewed for publication in a manner that ensures timely and effective communication of research findings to our stakeholders and that INSPIRE members are properly credited for their hard work. Additionally, the MOC will advocate for the involvement of young researchers in the publication process.

57. International Network for Simulation-based Pediatric Innovation, Research and Education MOC Guiding Principles 1. To be listed as an author an individual must significantly contribute as described by the International Committee of Medical Journal Editors criteria (www.icjme.org). Authors must meet ALL 3 criteria: a) Substantial contribution(s) to conception and design, acquisition of data, or analysis and interpretation of data b) Drafting the article or revising it critically for important intellectual content c) Final approval of the version to be published. 2. Authorship and order of authorship will be assigned as early as possible in the research process. The first author will be responsible for leading the writing process and delegating roles to co-authors. 3. Authorship and the order of authorship are subject to change if contributions to the final work product are not consistent with the expectations outlined by the lead author. Any research team member can contact the MOC for assistance in decisions related to authorship order and inclusion as an author.

58. International Network for Simulation-based Pediatric Innovation, Research and Education MOC Guiding Principles 4. All site investigators will be recognized as part of the “INSPIRE Collaborative” in all INSPIRE publications with the byline "...FOR THE INSPIRE INVESTIGATORS." 5. INSPIRE investigators who are not site PI's or co-PI's will generally be acknowledged in an appendix of site participants appropriate to that manuscript . 6. INPSIRE will attempt to appropriately attribute academic credit, with emphasis on acknowledgement of all involved and the MOC subcommittee will negotiate and mitigate disagreements among/between investigators about authorship 7. INSPIRE will prioritize young investigators as first, second and third authors, when possible and appropriate. 8. The MOC will facilitate identification and management of Conflicts of Interest, if they arise related to INSPIRE projects.

59. International Network for Simulation-based Pediatric Innovation, Research and Education MOC Guiding Principles 9. The MOC will assist with enforcement of timelines for analysis and publication of data. If any first author cannot complete the manuscript submission within 1 year following the end of data collection/closure of data collection, then first authorship will be re- evaluated and potentially reassigned by the MOC. 10. The MOC advocates consideration for publishing in journals that have an Open Access mandate so that our research is available as broadly as possible

60. International Network for Simulation-based Pediatric Innovation, Research and Education Writing Success INSPIRE contributors represent 95% of all authors in Comprehensive Healthcare Simulation: Pediatrics Textbook

61. International Network for Simulation-based Pediatric Innovation, Research and Education Special Thanks to Anne Ades, Mark Adler, Jennifer Arnold, Marc Auerbach, Farhan Bhanji, Zia Bismilla, Choon Bong, Matthew Braga, Guy Brisseau, Linda Brown, Rebekah Burns, Aaron Calhoun, Doug Campbell, Todd P Chang, Adam Cheng, Kevin Ching, Mark Cicero, Suzette Cooke, Ellen Deutsch, Maria Carmen Diaz, Aaron Donoghue, Adam Dubrowski, Jonathan Duff, Jordan Duval-Arnould, Dylan Bould, Walter Eppich, Tobias Everett, Marino Festa, Marisa Brett Fleegler, Jim Gerard, Elaine Gilfoyle, Ron Gottesman, David Grant, Vincent Grant, Mindy Fiedor Hamilton, Ellen Heimberg, Lennox Huang, Betsy Hunt, Lindsay Johnston, Liana Kappus, David Kessler, Susanne Kost, Afrothite Kotsakis, Arielle Levy, Yiqun Lin, Lindsay Long, Joe Lopreiato, Tensing Maa, Ralph Mackinnon, Mary Beth Mancini, Deepak Manhas, Pete Meaney, Garth Meckler, Elaine Meyer, Mike Moyer, Elaine Ng, Akira Nishisaki, Denis Oriot, Frank Overly, Janice Palaganas, Mary Patterson, Dawn Taylor Peterson, Jonathan Pirie, Martin Pusic, Jennifer Reid, Nicola Peiris, Traci Robinson, Taylor Sawyer, Ella Scott, Yuko Shiima, Nicole Shilkofski, Elaine Sigalet, Kimberly Stone, Glenn Stryjewski, Stephanie Sudikoff, Nancy Tofil, Terry Varshney, Debra Weiner, Marjorie Lee White, John Zhong

63. International Network for Simulation-based Pediatric Innovation, Research and Education Debriefing Eppich W, Cheng A. How Cultural-Historical Activity Theory can Inform Interprofessional Team Debriefings. Clin Sim Nurs 2015;11:383-9. Eppich W, Cheng A. Promoting Excellence & Reflective Learning in Simulation (PEARLS). Sim Healthc 2015;10:106-15.

64. International Network for Simulation-based Pediatric Innovation, Research and Education Teamwork, Communication

65. International Network for Simulation-based Pediatric Innovation, Research and Education Procedural Skill Simulation Tiyyagura G et al. The Greater Good: How Supervising Physicians make Entrustment Decisions in the Pediatric Emergency Department. Acad Ped 2015;4;14:597-602.

66. International Network for Simulation-based Pediatric Innovation, Research and Education Technology

67. International Network for Simulation-based Pediatric Innovation, Research and Education Acute Care / Resuscitation Abelairas-Gomez C et al. Efectos del refuerzo audiovisual en tiempo real sobre la ejecucion de las compresiones toracicas realizadas por escolares. Emergencias 2015;27:189-92. Lin Y, Cheng A. The role of simulation in teaching pedciatric resuscitation: current perspectives. Adv Med Educ Pract 2015 Lee J et al. High-Fidelity Simulation in Pediatric Emergency Medicine. PEC 2015;31:260-5. Jones A et al. Visual assessment of CPR quality during pediatric cardiac arrest: Does point of view matter? Resuscitation 2015;90:50-5.

68. International Network for Simulation-based Pediatric Innovation, Research and Education Human Factors Chime NO et al. Comparing Practice Patterns Between Pediatric Emergency Medicine & Emergency Medicine Physicians. PEC 2015; In Press. Pusic MV et al. Learning Curves in Health professions Eucation. Acad Med 2015. Agra Tunas MC et al. Spinal muscular atrophy and respiratory failure. How do primary care paediatricians act in a simulated scenario? Anales Pediatr 2015. Rodriguez-Nunez A et al. Quality of chest compressions by Down syndrome people. Resuscitation 2015;119-22.

69. International Network for Simulation-based Pediatric Innovation, Research and Education Patient Safety O’Leary F et al. Identifying incidents of suboptimal care during paediatric emergencies. Resuscitation 2014.

70. International Network for Simulation-based Pediatric Innovation, Research and Education INSPIRE as Link

71. International Network for Simulation-based Pediatric Innovation, Research and Education INSPIRE as Sim Advocate

73. International Network for Simulation-based Pediatric Innovation, Research and Education ALERT Progress Reports 1. Sigalet E – Feasibility & Efficacy of an Online Faculty Development Course on Effective Feedback 2. Mallory L – Simulation-based Assessment Tools for the General Pediatrics Milestones 3. MacKinnon R – Improving High School student CPR performance using an Online Leaderboard 4. Lemke D – Rapid Cycle Deliberate Practice Simulation-based Training 5. Chang TP – Improving In-hospital CPR performance using an Online Leaderboard

74. International Network for Simulation-based Pediatric Innovation, Research and Education Progress ALERTs • What did you achieve today? • Gaps/questions • Timeline/Next steps

76. International Network for Simulation-based Pediatric Innovation, Research and Education ALERT Working Group II 1. Butler L – Physical Presence vs. Telepresence on Teamwork & Communication in Emergencies 2. Slamon N – Biometric Parameters of Critical Care Practitioners using HexoskinTM 3. Herskovitz S – Improving Infant Lumbar Puncture Success with Patient Positioning 4. Jang HY – PALS-on-Demand Skill Training 5. Gangadharan S – In situ Simulation to detect Latent Safety Threats in Critical Care Transport

77. International Network for Simulation-based Pediatric Innovation, Research and Education ALERT Working Group II • What did you achieve today? • Gaps/questions • Timeline/Next steps • 2 weeks • 2 months • 6 months • 1 year

78. International Network for Simulation-based Pediatric Innovation, Research and Education Schedule - PM • 1130 – 1230: Lunch & Network Update • 1230 – 1300: Progress ALERT Presentations • 1300 – 1345: New ALERT Presentations - II • 1345 – 1445: Working Group Meetings – II • 1445 – 1515: Completed Projects • 1515 – 1530: Break • 1530 – 1615: Cognitive Simulation • 1615 – 1645: Future Directions, Discussion • 1645 – 1730: Funding, Question & Answer

79. International Network for Simulation-based Pediatric Innovation, Research and Education Completed Projects 1. Scherzer DJ – Survey-based assessment of pediatric trainees' epinephrine knowledge 2. Auerbach M – ImPACTS 3. Adler M - Approach to Confederate Training within the Context of Simulation-Based Research

80. International Network for Simulation-based Pediatric Innovation, Research and Education Completed Projects • Lessons learned • Gaps/questions • Next steps

81. Break! http://inspireSim.com/ International Network for Simulation-based Pediatric Innovation, Research and Education

82. Cognitive Simulation Martin V Pusic, MD PhD New York University January 16, 2016 International Network for Simulation-based Pediatric Innovation, Research and Education

84. International Network for Simulation-based Pediatric Innovation, Research and Education Disclosures (MVP)

85. INSPIRE @ IMSH 2016 Future Directions & Open Group Meeting International Network for Simulation-based Pediatric Innovation, Research and Education Jordan Duval-Arnould, PhD Johns Hopkins University January 16, 2016

86. International Network for Simulation-based Pediatric Innovation, Research and Education Disclosures (JDA)

87. Funding Mechanisms for Simulation-based Research Question & Answer International Network for Simulation-based Pediatric Innovation, Research and Education Ralph J MacKinnon, MBChB Royal Manchester Children’s Hospital January 16, 2016 Todd P Chang, MD MAcM Children’s Hospital Los Angeles San Diego, CA, USA

88. International Network for Simulation-based Pediatric Innovation, Research and Education Disclosures (RJM/TPC) • Grant Funding provided by National Health Services (RJM), American Heart Association (TPC), National Board of Medical Examiners (TPC) • No Conflicts of Interest to report

89. International Network for Simulation-based Pediatric Innovation, Research and Education What are our Experiences? • How many of us have attempted to obtain: – International Funding? – National / Government Funding for Research? – Government Funding for Education or Programming? – Industry Funding? – Military Funding? – Foundation / Charity Funding? – Hospital / University Funding? • What has been successful? What have been failures?

90. International Network for Simulation-based Pediatric Innovation, Research and Education Questions …

91. Thank you INSPIRESimulationNetwork@gmail.com http://www.INSPIRESim.com/ Twitter: @INSPIRE_Network International Network for Simulation-based Pediatric Innovation, Research and Education