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G FOR
REAL-
WORLD
LEARNING
It’s not just for simulations
anymore
Capt. Rommie L. Duckworth @RomDuck
Debriefing:
Concepts in
Education
Applicable in all
educational
environments
John Amos
Comenius
Latin
Memorized
Curriculum redesigned
Learn practically
from natural interactions
with each other
Old View was
“Teaching=Telling
”
Telling vs Debriefing
Telling
• Educator-centered
• Less dynamic
• Educator as evaluator
• Specifically focused
Debriefing
• Learner-focused
• Highly dynamic
• Educator as facilitator
• Broadly applied
Tavares, W., Eppich, W., Cheng, A.,Miller, S., Teunissen, P. W., Watling, C. J., & Sargeant, J. (2020). Learning Conversations: An Analysis of the Theoretical Roots and Their
Manifestations of Feedback and Debriefing in Medical Education. Academic Medicine, 95(7), 1020–1025. https://doi.org/10.1097/ACM.0000000000002932
Debriefing:
A structured and facilitated
student-centered
post-event
learning experience
Debriefing
and
Experiential
Learning
Not just “having experiences”
Facilitated
Reflection
Facilitated
Reflection
React
Reflect
Rules
Repeat
At the
complet
ion of
this
progra
m
attende
Appreciate the importance of
reflection and debriefing to
experiential learning.
Understand the function of
each step of the debriefing
process.
Apply debriefing tools and
related concepts in a variety of
contexts to facilitate learning
Where can
this be used?
•
•
•
•
•
Debriefing:
A structured and facilitated
student-centered
post-event
learning experience
Debriefing
Associated concepts
John
Dewey
“Experience and Education”
Malcolm
Knowles
Self-Directed
Experienced
Practical
Relevant
Internally
motivated
Creates
Evaluates
Analyzes
Applies
Understands
Remembers
Mentors
Debates
Guides
Observes
Talks
Tells
Benjami
n
Bloom’s
Taxono
my
Robert
Mager’s
Objectives
Audience
Behavior
Condition
Degree
I can’t do…
yet
I can do
with help*
I can do
myself
Lev Vygotsky’s Zone of
Proximal Development
ZPD
I can do myself
Donald Schön
Reflection vs
Reflex
Reflection in
action
Reflection on
action
Jean Lave and
Etienne Wenger’s
Communities of
Practice
We all learn from
each other
Albert
Bandura’s
Social Learning
Theory
David Kolb’s Model of
Experiential Learning
Concrete Experience
Doing
Reflective Observation
Reviewing
Abstract
Conceptualization
•Concluding
Active Experimentation
Trying
Rom’s 4-Rs of Experiential
LearningReact
Reflect
Rules
Repeat
Debriefing framework
examples:
• Reaction
• Discuss clinical component
• Transfer to reality
• Discuss behavioral skills
• Summary
• Practice
TeamGAINS
• Defusing
• Discovering
• Deepening
3D Model
• Gather
• Analyze
• Summarize
GAS
• Reaction
• Description
• Analysis
• Summary
PEARLS
• Description
• Analysis
• Application
Diamond Debrief
• Reaction
• Analysis
• Summary
Good Judgment
Plus/Delta
Cheng, A., Eppich, W., Epps, C., Kolbe, M., Meguerdichian, M., &
Grant, V. (2021). Embracing informed learner self-assessment
during debriefing: The art of plus-delta. Advances in Simulation,
6(1), 22. https://doi.org/10.1186/s41077-021-00173-1
Modified
Plus/Delta
1) Adjectives*
2) Plus
3) Delta
4) Take-aways
Sinek, S. (2011). Start with Why: How Great Leaders Inspire Everyone to Take Action
(Reprint edition). Portfolio.
Plus/Delta
Cheng, A., Eppich, W., Epps, C., Kolbe, M., Meguerdichian, M., &
Grant, V. (2021). Embracing informed learner self-assessment
during debriefing: The art of plus-delta. Advances in Simulation, 6(1),
22. https://doi.org/10.1186/s41077-021-00173-1
Essential
elements
Not everyone has the
same expectations of
debriefing or experiences
debriefings in the same
way.
Essential Elements: The
Spectrum of Feedback Soft and friendly
Unclear. Is this even feedback?
Direct and specific
Threatening, narrow, personal!
Essential
elements
Essential
elements
Events and debriefing can be
emotionally stressful.
Not always appropriate to
focus on performance
Essential
elements
Use silence
Essential
elements
Foster reflection
on key points
Essential
elements
Essential
elements
Practice transitions
Paraphrase and
summarize
Essential elements
PACE priorities
•
•
•
•
Essential
elements
Keep your eye on the prize
Objectives must be explicit
for instructors, even if not
explicit for students.
Essential
elements
Wrap up with
their biggest
takeaways
Debriefing:
A structured and facilitated
Student-centered
post-event
learning experience
Hey! A
Zebra!
BEWARE OF
Rom’s 4-Rs of Experiential
LearningReact
Reflect
Rules
Repeat
Modified
Plus/Delta
1) Adjectives*
2) Plus
3) Delta
4) Take-aways
Sinek, S. (2011). Start with Why: How Great Leaders Inspire Everyone to Take Action
(Reprint edition). Portfolio.
http://www.flickr.com/photos/22458831@N04/3676369069/

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