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Structured Simulation Debriefings: An Interview with Demian Szyld

In this podcast we focus on arguably the most important part of the simulation experience—the debriefing phase.  We’ll strive to understand structured simulation debriefings, and delve into relevant topics including the necessity for debriefings from an educational standpoint, how to create a safe learning environment, how to structure the debriefing, how to practically deal with different challenging learner types, the parallels between simulation and clinical care, and maybe even a little on differences between anticholinergic and sympathomimetic toxicities.

Demian Szyld, MD, EdM is a practicing Emergency Medicine physician at Brigham and Women’s Hospital, and current Senior Director for the Institute for Medical Simulation, Center for Medical Simulation, in Boston Massachusetts.

 

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References

  1. Healthcare Simulation Dictionary.  Download from http://www.ssih.org/dictionary

  2. Van De Ridder JMM, Stokking KM, McGaghie WC, Ten Cate OTJ. What is feedback in clinical education? Med Educ. 2008;42:189–197. 

  3. Rudolph JW, Simon R, Dufresne RL, Raemer DB. There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Simul Healthc. 2006;1:49–55.

  4. Szyld D, Rudolph JW. Debriefing with good judgment. In Levine, AI et al (eds.),The Comprehensive Textbook of Healthcare Simulation. 2013; New York: Springer Science + Business Media.

  5. Schmutz JB, Kolbe M, Eppich WJ. Twelve tips for integrating team reflexivity into your simulation-based team training. Med Teach. 2018 Jul;40(7):721-727.

  6. Grant VJ, Robinson T, Catena H, Eppich W, Cheng A. Difficult debriefing situations: A toolbox for simulation educators. Med Teach. 2018 Jul;40(7):703-712.

  7. G.A.S. Model:  Phrampus PE, O'Donnell JM. Debriefing using a structured and supportive approach. In Levine, AI et al (eds.),The Comprehensive Textbook of Healthcare Simulation. 2013; New York: Springer Science + Business Media.

  8. Diamond Model:  Jaye P, Thomas L, Reedy G. The diamond: a structure for simulation debrief. Clin Teach. 2015;12:171–5.

  9. PEARLS Model:  Eppich W, Cheng A. Promoting excellence and reflective learning in simulation (PEARLS): development and rationale for a blended approach to health care simulation debriefing. Simul Healthc. 2015;10:106–115.

  10. Debriefing Assessment for Simulation in Healthcare (DASH):  https://harvardmedsim.org/debriefing-assessment-for-simulation-in-healthcare-dash/

  11. OSAD Tool:  Arora S, Ahmed M, Paige J, Nestel D, Runnacles J, Hull L, et al. Objective structured assessment of debriefing: bringing science to the art of debriefing in surgery. Annals of Surgery. 2012;256(6):982–988.

Last Reviewed: October 2018