EM Simulation Training in MMUH

Simulation sessions run every Thursday morning for NCHDs and nursing staff. In these simulated scenarios we run through a clinical case and observe how the clinical team deliver the best care possible.

The sessions have a structured approach.  The clinical scenario lasts about 10-15 minutes.  Afterwards we debrief for the next 15-20 minutes to focus on the issues raised during the case.  The debrief is quite structured.  It starts off with a “tell me what happened” question where one of the participants will recount the story of the scenario.  A good way to do this is in a “ladybird” manner or as if you were telling this to a 4 year old.

This is followed by a “tell me about what was good/you were happy with during the scenario”.  Again the key here is to emphasise good behaviours in both technical and non-technical domains.

Finally we pose the question “what you might do different if confronted with the same scenario again”.  People have a tendency to put themselves down in this area and focus on the negatives.  Be constructive however and not just critical.  the whole purpose of simulation is to enable us to analyse our decision making, especially when stressed.  Hopefully by thinking about why we make certain decisions we can influence this process and hopefully for the better!

There are a few ground rules to simulation:

  1. What happens in Sim stays in Sim:  The purpose of simulation is purely educational.  This is not used as an assessment in any way.
  2. Suspend disbelief:  We are aware that we can never actually represent real life in these simulated scenarios.  However we do run them in the clinical workplace and with EM team members.  We do expect that participants engage in this “MOCK” process for the purpose of an educational experience.  If there’s something you would normally do, then do it, or at least verbalise it.
  3. Challenge yourself:  it’s very easy to sit back and not engage in the process but yo’ll actually learn nothing about yourself and how good you can be if you do this.  We encourage you to challenge yourself and use this as a bench mark of “how good am I”

Overall we do hope that you can enjoy these scenarios and learn something from them. We appreciate that performing in front of peers and colleagues can be daunting but recognise the importance of good teamwork which we’ve seen develop with this process.

If you’re interested in Simulation as a means of medical education there’s loads of stuff around most EM websites for more information.

Finally, if you’re scheduled to be part of the scenario and can’t make it, please inform the Sim lead.