Simulation in Palliative Care Education
The 5 domains of simulation are:
Safe work environment
Case Development
Training SPs
Program Development
Professional Development
Theory Burst: In simulation, there is prep work (80%), the day of the event (15%), and the assessment/ follow-up (5%). The learner is usually stressed about being in ‘the hot seat’ but the education from simulation comes from the debrief!
Focus on 2-3 focused learning goals per case.
Simulations can be run in a 1:1 fashion with the learner and the SP or can be run in an interprofessional way.
Develop scenarios with enough information for the learner but also need to build a character, life-story, medical knowledge, and intended responses for the SP.
Remember that feedback ≠ debriefing. Debriefing is open-ended, positive, and learner centered. For high-level learners, debriefing can often be guided by their own self-assessment.
Use a debrief structure (e.g. one popular method is PEARLS). Using video replay during debriefing is a highly effective way to help the learner see their own strengths and opportunities for improvement.
Consider incorporating parents/ bereaved parents into different aspects of the educational program.
Take Action: Reach out to your intended learner group (residents, fellows, new nurses, etc) and your medical center or university’s sim center. Come up with a plan to work together to incorporate simulation based education into the curriculum! It can take years to really develop this type of curriculum. And even longer to develop a research Don’t get discouraged.
Learn From Each other: Reply to the listserv with how your run your sim program and whether you’re willing to share cases! The presenters are happy to share our cases with you if you would like.