While the popular myth is that everyone learns from experience, we all know people who can pass through experience without ever learning a thing. We now know that real learning comes from ef-fective reflection on real-life and simulated experiences. This session will provide you with the tools to use for effective reflection and enhanced learning from any situation. These include the learning models that lead to successful debriefing as well as the modified Plus Delta debrief format. These tools are crucial for any emergency services leader, educator, or provider for continuous per-formance improvement.
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5. 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
10. 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
22. David Kolb’s Model of
Experiential Learning
Concrete Experience
Doing
Reflective Observation
Reviewing
Abstract
Conceptualization
•Concluding
Active Experimentation
Trying
23. Rom’s 4-Rs of Experiential
LearningReact
Reflect
Rules
Repeat
24. 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
25. 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
27. 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