Pull, not push.
Temptation to ask “what can we use it for”
When really we need to be very clear on “what are we trying to do” - what we want to achieve – and then ask – can simulation help?
Don’t be driven by your simulation capabilities
Aortic dissection – manikin gimmicks
The Harlem hospital – space
Expensive and might not be bang for buck
Eg ECG tutorial – Jim Gordon scenarios at Harvard 2005
And pick the right modality
But – its not just for critical care
And not just for patient care
Cognitive load theory
Zone of proximal development
Temptations for simulation educators
But – where does learning happen..
Diagnostic challenges often not great with mankins
Keep it simple
“
What does sim really offer – diagnostic skill training? – rarely?
Also a cognitive load issue
This is what they take away… if you’re lucky !
“Formats – RCDP and LDR
No gloves
The monitor is always right..
Sterotypes in educational sessions
Simulation and assessment
Validity and reliability.
Rarely is sufficient validity for complexity of tasks we are talking about
Eg the EPA issue for juniors doctors RRCD…..
Translational sim
Safety
Disruption
Learning from success
Added this in as a visual aide to flick to if we get asked questions about design/phases