Centre for Interprofessional Clinical Simulation Learning
The CICSL Journal club is a monthly event where all are welcome to gather and engage in critical discussion of emerging practices related to clinical simulation education.
The CICSL Journal Club occurs on the fourth Thursday of each month, between 12:00 and 1:30pm.
If you would like to present at or start receiving invites to upcoming Journal Clubs please get in touch with us at cicsl@islandhealth.ca
A comparison of virtual reality to traditional simulation in health professions education.
With the increasing availability of virtual reality (VR) and its lower overall costs of use, the objective of this review was to compare VR to traditional simulation in terms of learning outcomes.
Presenter: Ateshia York
5th year FRCP Resident completing Fellowship in Leadership in Digital Scholarship and Simulation through UBC and Interior Health.
Call to Action: Quality and Simulation Professionals Should Collaborate
Simulation is under utilized as a tool to improve healthcare quality and safety despite many examples of its effectiveness to identify and remedy quality and safety problems, improve teamwork, and improve various measures of quality and safety that are important to healthcare organizations, e.g., patient safety indicators. We urge quality and safety and simulation professionals to collaborate with their counterparts in their organizations to employ simulation in ways that improve the quality and safety of care of their patients. These collaborations could begin through initiating conversations among the quality and safety and simulation professionals, perhaps using this article as a prompt for discussion, identifying one area in need of quality and safety improvement for which simulation can be helpful and beginning that work.
Presenter: Tamara Young
Clinical Nurse Educator, Island Health Simulation
For healthcare professionals working and living in geographical isolation, there are few opportunities to maintain skills and knowledge, and to update themselves with recent advances in care compared to their city dwelling peers. It is known that within a short period and limited practice, clinical skills erode. A mobile healthcare simulation unit provides high-quality, technologically enhanced, convenient, and affordable training for healthcare professionals under expert supervision in any remote setting. The current narrative review was planned to summarize the outcomes and challenges related to developing and effectively utilizing mobile healthcare simulation units as experienced globally.
Presenter: Michael Lundin
Michael Lundin, a Simulationist since 2011, has been instrumental in advancing in-situ and now mobile healthcare simulation. His expertise focuses on expanding access to high-quality simulation training, enabling healthcare education in remote and underserved communities
This paper was designed as a tool to help point of care healthcare practitioners triage and manage their day more effectively. Initially conceived to aid new graduate nurses in identifying and overcoming the challenges of transition shock as they entered practice, the tool proved beneficial for both novice and experienced nurses. A template was developed and integrated into clinical simulation education. Preliminary results and feedback from a small sample size indicated a decrease in anxiety and improved time management.
Presenter: Kent Soltys
Kent Soltys is the Clinical Nurse Educator for the Regional Emergency Department Education Program (REDEP) in the North of Vancouver Island (Port Hardy/Port McNeill).
When not immersed in REDEP, he will also support simulation in the North of Vancouver Island. His passion and pursuit in the field of Emergency Nursing and rural and remote patient care is his focus, along with the desire to make long lasting systemic changes in the field of health care.
Presenter: Darin Abbey, RN
Director of the Island Health Simulation Program, Advanced Practice Lead in the Office of the Chief Nursing and Allied Health Officer Island Health, and Clinical Faculty in UBC’s Island Medical Program.
Article: Current use of simulation for EPA assessment in emergency medicine
In 2018, the Royal College emergency medicine programs in Canada implemented a competency-based paradigm and introduced the use of Entrustable Professional Activities (EPAs) for assessment of trainees. However, direct observation and assessment of trainees on specific EPAs in the clinical setting has multiple potential challenges.
Anecdotally it was known that EM programs were using simulation to supplement these assessments, however the details were unknown. These authors interviewed ED program leaders to report on the use of simulation for EPA assessment.
Join us as we discuss EPA’s, review the authors findings, and explore ways to connect this content to our work as a simulation community of practice.
Presenter: Jamie Gallaher, RH
Instructional Support for Simulation
Thompson Rivers University
Article: Ongoing training and peer feedback in simulation-based learning for local faculty development: A participation action research study. (2023)
This paper is designed to discuss the professional development challenges that occur for those in simulation-based education, especially at smaller institutions. The results discuss the importance of a clear professional development structure by the organization as well as the individual, to enhance ongoing training and self-reflection.
Presenter:Kimberly Cockburn, RN
Simulation Educator
Vancouver Coastal Health
Article: Embracing informed learner self-assessment during debriefing: the art of plus-delta
Cheng et al. discuss how plus-delta questioning can reveal learner insight and create a learner-centered approach to debriefing. They present single and double-barreled questioning techniques, the pros and cons of each approach, and provide a framework for how to respond to learners. This article provides an explanation for why plus delta questions are a powerful facilitator tool, and a roadmap for how to use them effectively
Presenter: Darin Abbey, RN
Director, Island Health Simulation
Advanced Practice Lead, Island Health
Article: Teaching spirituality to Canadian medical students: students’ perceptions of a spiritual history taking clinical skills session
This manuscript cites work by Loo et al. that reported that 80% of University of Toronto medical students surveyed recognized patients’ spiritual beliefs as important but were unsure how spirituality applied to them as medical trainees. In response, the authors of this article, describe their efforts of implementing a three-year pilot of a spiritual history taking clinical skills session. These sessions included facilitated teaching and clinical scenarios, in which the medical students practiced spiritual history taking, with real or standardized patients. Join us as we review this brief publication, their main findings and suggestions for next steps, and discuss possible implications.
Presenter: Anna Macdonald, PhD
Manager, Island Health Simulation
Article: Exploring equity, diversity, and inclusion in a simulation program using the SIM EDI tool: the impact of a reflexive tool for simulation educators
A SIM-EDI tool has been developed with the aim to advance awareness and action related to diversity, equity and inclusion in simulation. The authors implemented this SIM-EDI tool in an emergency department simulation program and examined the impacts of using this tool on the attitudes, behavior and performance of the simulation team in relation to equity, diversity and inclusion.
If you have any questions or would like to be added to the invitation list, please email cicsl@islandhealth.ca.
On behalf of the three partners, Darin\\u2019s role is to assure that the Centre\\u2019s mission and values are reflected in the work that we do. As an Emergency Department Clinical Nurse Educator, Darin has galvanized his career around a passion for excellence in resuscitation, and an ongoing commitment to assuring improved clinician and patient outcomes. Central to this work is the belief that in healthcare, communication matters, and is best viewed as procedure that can be enhanced through consideration and simulation.<\\\/p>\",\"typography_typography\":\"custom\",\"typography_font_size\":{\"unit\":\"px\",\"size\":16},\"typography_font_weight\":\"300\",\"typography_line_height\":{\"unit\":\"em\",\"size\":2},\"text_color\":\"#000000\",\"align_mobile\":\"center\"},\"elements\":[],\"widgetType\":\"text-editor\"},{\"id\":\"0ebb2bb\",\"elType\":\"widget\",\"settings\":{\"text\":\"Contact\",\"link\":{\"url\":\"mailto:darin.abbey@islandhealth.ca\",\"is_external\":\"\",\"nofollow\":\"\"},\"align\":\"right\",\"text_shadow_text_shadow\":{\"horizontal\":0,\"vertical\":0,\"blur\":8,\"color\":\"rgba(0,0,0,0.3)\"},\"button_text_color\":\"#FFFFFF\",\"background_color\":\"#0F426A\",\"button_box_shadow_box_shadow\":{\"horizontal\":1,\"vertical\":1,\"blur\":10,\"spread\":0,\"color\":\"rgba(0,0,0,0.5)\"},\"selected_icon\":{\"value\":\"far fa-envelope\",\"library\":\"fa-regular\"}},\"elements\":[],\"widgetType\":\"button\"}],\"isInner\":true},{\"id\":\"36c8083d\",\"elType\":\"column\",\"settings\":{\"_column_size\":50,\"_inline_size\":null,\"border_border\":\"solid\",\"border_width\":{\"unit\":\"px\",\"top\":\"1\",\"right\":\"1\",\"bottom\":\"1\",\"left\":\"1\",\"isLinked\":true},\"border_color\":\"#000000\",\"margin\":{\"unit\":\"px\",\"top\":\"0\",\"right\":\"0\",\"bottom\":\"0\",\"left\":\"15\",\"isLinked\":false},\"padding\":{\"unit\":\"px\",\"top\":\"35\",\"right\":\"35\",\"bottom\":\"35\",\"left\":\"35\",\"isLinked\":true},\"margin_mobile\":{\"unit\":\"px\",\"top\":\"25\",\"right\":\"0\",\"bottom\":\"0\",\"left\":\"0\",\"isLinked\":false}},\"elements\":[{\"id\":\"726201c2\",\"elType\":\"widget\",\"settings\":{\"image\":{\"id\":8650,\"url\":\"https:\\\/\\\/bcsimulation.ca\\\/wp-content\\\/uploads\\\/2023\\\/06\\\/Anna-ID-Photo-June-edit.png\",\"alt\":\"\",\"source\":\"library\",\"size\":\"\"},\"title_text\":\"Anna Macdonald\",\"description_text\":\"Manager\",\"position\":\"left\",\"image_space\":{\"unit\":\"px\",\"size\":20},\"image_size\":{\"unit\":\"%\",\"size\":35},\"text_align\":\"left\",\"content_vertical_alignment\":\"middle\",\"title_bottom_space\":{\"unit\":\"px\",\"size\":10},\"title_color\":\"#0F426A\",\"title_typography_typography\":\"custom\",\"title_typography_font_size\":{\"unit\":\"px\",\"size\":30},\"title_typography_font_weight\":\"bold\",\"description_color\":\"#000000\",\"description_typography_typography\":\"custom\",\"description_typography_font_size\":{\"unit\":\"px\",\"size\":15},\"description_typography_font_weight\":\"300\",\"description_typography_text_transform\":\"uppercase\",\"description_typography_letter_spacing\":{\"unit\":\"px\",\"size\":5},\"description_typography_line_height\":{\"unit\":\"em\",\"size\":0.1},\"text_align_mobile\":\"center\",\"title_typography_font_size_tablet\":{\"unit\":\"px\",\"size\":25},\"description_typography_font_size_tablet\":{\"unit\":\"px\",\"size\":12},\"description_typography_letter_spacing_tablet\":{\"unit\":\"px\",\"size\":3},\"thumbnail_size\":\"1536x1536\",\"_border_border\":\"none\"},\"elements\":[],\"widgetType\":\"image-box\"},{\"id\":\"72e01e4d\",\"elType\":\"widget\",\"settings\":{\"editor\":\"
Anna runs day-to-day operations, coordinates research, and makes sure that the Centre is performing to the best of its capabilities. Anna is originally from New Zealand, and has a PhD in Neuroscience from the University of Victoria. Anna has been involved in medical education for a number of years and believes that the simulation centre is an excellent tool for undergraduate nursing and medical students as well as for continuing education within Island Health.<\\\/p>\",\"typography_typography\":\"custom\",\"typography_font_size\":{\"unit\":\"px\",\"size\":16},\"typography_font_weight\":\"300\",\"typography_line_height\":{\"unit\":\"em\",\"size\":2},\"text_color\":\"#000000\",\"align_mobile\":\"center\",\"_margin\":{\"unit\":\"px\",\"top\":\"\",\"right\":\"\",\"bottom\":\"\",\"left\":\"\",\"isLinked\":false},\"_padding\":{\"unit\":\"px\",\"top\":\"0\",\"right\":\"0\",\"bottom\":\"2\",\"left\":\"0\",\"isLinked\":false}},\"elements\":[],\"widgetType\":\"text-editor\"},{\"id\":\"eeb8fd5\",\"elType\":\"widget\",\"settings\":{\"text\":\"Contact\",\"link\":{\"url\":\"mailto:anna.macdonald@islandhealth.ca\",\"is_external\":\"\",\"nofollow\":\"\"},\"align\":\"right\",\"text_shadow_text_shadow\":{\"horizontal\":0,\"vertical\":0,\"blur\":8,\"color\":\"rgba(0,0,0,0.3)\"},\"button_text_color\":\"#FFFFFF\",\"background_color\":\"#0F426A\",\"button_box_shadow_box_shadow\":{\"horizontal\":1,\"vertical\":1,\"blur\":10,\"spread\":0,\"color\":\"rgba(0,0,0,0.5)\"},\"selected_icon\":{\"value\":\"far fa-envelope\",\"library\":\"fa-regular\"}},\"elements\":[],\"widgetType\":\"button\"}],\"isInner\":true}],\"isInner\":true},{\"id\":\"51aad970\",\"elType\":\"section\",\"settings\":{\"structure\":\"20\",\"padding\":{\"unit\":\"px\",\"top\":\"20\",\"right\":\"0\",\"bottom\":\"0\",\"left\":\"0\",\"isLinked\":false},\"margin_mobile\":{\"unit\":\"px\",\"top\":\"\",\"right\":0,\"bottom\":\"\",\"left\":0,\"isLinked\":true},\"padding_mobile\":{\"unit\":\"px\",\"top\":\"25\",\"right\":\"0\",\"bottom\":\"0\",\"left\":\"0\",\"isLinked\":false}},\"elements\":[{\"id\":\"26ba82e0\",\"elType\":\"column\",\"settings\":{\"_column_size\":50,\"_inline_size\":null,\"border_border\":\"solid\",\"border_width\":{\"unit\":\"px\",\"top\":\"1\",\"right\":\"1\",\"bottom\":\"1\",\"left\":\"1\",\"isLinked\":true},\"border_color\":\"#000000\",\"margin\":{\"unit\":\"px\",\"top\":\"0\",\"right\":\"15\",\"bottom\":\"0\",\"left\":\"0\",\"isLinked\":false},\"padding\":{\"unit\":\"px\",\"top\":\"35\",\"right\":\"35\",\"bottom\":\"35\",\"left\":\"35\",\"isLinked\":true},\"margin_mobile\":{\"unit\":\"px\",\"top\":\"0\",\"right\":\"0\",\"bottom\":\"0\",\"left\":\"0\",\"isLinked\":false},\"space_between_widgets\":29},\"elements\":[{\"id\":\"622c0671\",\"elType\":\"widget\",\"settings\":{\"image\":{\"id\":4608,\"url\":\"https:\\\/\\\/bcsimulation.ca\\\/wp-content\\\/uploads\\\/2019\\\/12\\\/CICSL-Michelle-Sjostrom.jpg\",\"alt\":\"\",\"source\":\"library\"},\"title_text\":\"Jack Sjostrom
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Jack provides technical support for the Centre, maintains the equipment and provides operational training.\\u00a0Jack is originally from Sweden and has a background in nursing.<\\\/span><\\\/p>\",\"typography_typography\":\"custom\",\"typography_font_size\":{\"unit\":\"px\",\"size\":16},\"typography_font_weight\":\"300\",\"typography_line_height\":{\"unit\":\"em\",\"size\":2},\"text_color\":\"#000000\",\"align_mobile\":\"center\"},\"elements\":[],\"widgetType\":\"text-editor\"},{\"id\":\"b0a5e16\",\"elType\":\"widget\",\"settings\":{\"text\":\"Contact\",\"link\":{\"url\":\"mailto:simops@islandhealth.ca\",\"is_external\":\"\",\"nofollow\":\"\"},\"align\":\"right\",\"text_shadow_text_shadow\":{\"horizontal\":0,\"vertical\":0,\"blur\":8,\"color\":\"rgba(0,0,0,0.3)\"},\"button_text_color\":\"#FFFFFF\",\"background_color\":\"#0F426A\",\"button_box_shadow_box_shadow\":{\"horizontal\":1,\"vertical\":1,\"blur\":10,\"spread\":0,\"color\":\"rgba(0,0,0,0.5)\"},\"selected_icon\":{\"value\":\"far fa-envelope\",\"library\":\"fa-regular\"}},\"elements\":[],\"widgetType\":\"button\"}],\"isInner\":true},{\"id\":\"409a3186\",\"elType\":\"column\",\"settings\":{\"_column_size\":50,\"_inline_size\":null,\"border_border\":\"solid\",\"border_width\":{\"unit\":\"px\",\"top\":\"1\",\"right\":\"1\",\"bottom\":\"1\",\"left\":\"1\",\"isLinked\":true},\"border_color\":\"#000000\",\"margin\":{\"unit\":\"px\",\"top\":\"0\",\"right\":\"0\",\"bottom\":\"0\",\"left\":\"15\",\"isLinked\":false},\"padding\":{\"unit\":\"px\",\"top\":\"35\",\"right\":\"35\",\"bottom\":\"35\",\"left\":\"35\",\"isLinked\":true},\"margin_mobile\":{\"unit\":\"px\",\"top\":\"25\",\"right\":\"0\",\"bottom\":\"0\",\"left\":\"0\",\"isLinked\":false}},\"elements\":[{\"id\":\"3d5ef5d8\",\"elType\":\"widget\",\"settings\":{\"image\":{\"id\":7880,\"url\":\"https:\\\/\\\/bcsimulation.ca\\\/wp-content\\\/uploads\\\/2022\\\/12\\\/Monique-modified.png\",\"alt\":\"\",\"source\":\"library\"},\"title_text\":\"Monique Melendez\",\"description_text\":\"Simulation administrative Monique provides administrative support for the centre and is responsible for all simulation room and equipment bookings. 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We look forward to hearing from you!<\\\/p>
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