Simulation Congress 2016 Presentation Highlight: Innovating a Paediatric Robotic Motion Arm for Neurological Sensory Feedback Response by Nadine Alcorn
14 June 2017
Alcorn’s presentation introduced a novel solution to improve realism during simulation scenarios with paediatric patients (manikin-based) experiencing neurological deterioration. The team at Kids Simulation Australia created a robotic motion arm to simulate sensory feedback during neurological examination.
The robotic motion arm was created to address the lack of authentic limb movement in simulators and in particular, the replication of motor limb flexion and extension responses during neurological examination of a paediatric patient. Improving simulator realism is important in assisting learners to recognise the subtle cues involved in the assessment and management of neurological injury in children. The aim of improving realism in paediatric simulation will enable the transfer of learning into actual patient care.
The challenges faced when developing the solution includes space constraints (one size does not fit all), the need to negotiate current systems (paediatrics) and cost. The team came up with the idea modifying an arm from the Laerdal® ‘MC Kid Trauma’ moulage kit and controlling it with a push button and joystick via a wireless transmitter. Therefore, the arm can be transferred between Laerdal manikins (SimJunior, MegaCode Kid and NursingKid). The modification includes a linear actuator with a customised metal elbow pivot joint. This allowed for the lifting force and pivot required to enable realistic limb movement. Through this, the team were able to simulate movements according to various scenarios, factoring in motor responses associated with fluctuating levels of consciousness with varying degrees of flexion, extension and rotation from the elbow.
Evaluation using simulation was undertaken to assess the success of the solution. Subjective interpretation by students of the limb movement were considered, as well as objective assessment by faculty or an observer. The results indicated the following:
*63% accuracy in interpretation of level of consciousness using the AVPU pneumonic and Glasgow Coma Score
It was also observed that due to role fixation, some students missed the arm movement. The flexing occurring only at the elbow also resulted in missed limbed movement during scenarios. As the system utilises wireless sensors, there were times when the arm moved unexpectedly with external wireless systems. However, the team believed that the robotic arm has the potential to deliver improved realism which will assist accurate neurological assessment of paediatric patients as well as the transfer of learning to clinical practice.
For more information regarding this project, please contact:
Prof Debra Nestel is inaugurated to the Academy, Society for Simulation in Healthcare
05 May 2017
In January, during the International Meeting for Simulation in Healthcare, Debra became a Fellow of the Academy, Society for Simulation in Healthcare (SSH). The Academy recognises individuals whose sustained contributions have had an impact on the field of healthcare simulation. Debra has led the NHET-Sim Programme since it's commencement. She is Editor-in-Chief, Advances in Simulation, https://advancesinsimulation.biomedcentral.com/, an open access journal of the Society in Europe for Simulation Applied to Medicine. She has edited a book on Simulated Patient Methodology and will shortly publish a book on healthcare simulation.
Debra is Co-Chair of the Simulation Committee, Association for Medical Education in Europe, and has held leadership roles with Simulation Australasia. Debra has established a simulated patient network, http://www.simulatedpatientnetwork.org/. Debra is the only Fellow of the Academy who lives and works in Australia. She is pictured here receiving the award from the Immediate Past President of the SSH, Dr Chad Epps, the current President, Dr Christine Park and the President Elect, Dr Joe Lopreiato.
01 February 2017
In 2016, Adam Cheng and several colleagues launched the website www.debrief2learn.org, focusing on making debriefing and feedback resources accessible to clinical and simulation educators.
Debrief2Learn has now launched the “Coffee Talk” Series of Podcasts – where world experts in simulation, debriefing and feedback provide their thoughts on hot topics.The first podcast is a wonderful discussion featuring Walter Eppich (a faculty friend of NHET-Sim) and Michaela Kolbe– who discuss the benefits and challenges of blended-method debriefing for healthcare simulation education.
The NHET-Sim Facebook group will notify you when new materials are posted. So please join our group at @nhetsim and be kept informed of new resources, simulation activities and what’s happening in the NHET-Sim Programme.
The NHET-Sim team wishes you a happy new year
2016 has been a busy year for us. We launched the revised online modules, we implemented our new governance structure, our new workshop hosting options, new website format and got busy on social media – please connect with us through Facebook and Twitter. We’ve ended the year with workshops in Victoria (Epping and Melbourne) and Queensland (Gold Coast and Cairns) and have an exciting schedule of workshops in the first six monthsof 2017.
We say farewell to Anthea Power our Programme Manager as she returns to Western Australia. Having joined the team in 2013, Anthea has made an important contribution to NHET-Sim including the organization of workshops, updating the website, compiling evaluation data, conducting evaluation interviews, report writing and so much more. Anthea has loved working with the NHET-Sim community and I would like to thank her on behalf of all NHET-Sim friends for her thoughtfulness and generosity and wish her well in 2017 and beyond.
We welcome Mati Chinyanda from the Monash Institute for Health and Clinical Education to the Programme management.
Have a safe and happy Christmas holiday and new year.
Faculty Development Workshop at Epworth Health, December 2016
We held the first NHET-Sim Faculty Development workshop in Melbourne on December 5 at Epworth Health. Tess Vawser hosted the workshop for which we are grateful – another opportunity to work within the beautifully equipped hospital-based education centre.
Eight faculty worked with Prof Debra Nestel & A/Prof Margaret Bearman covering topics directly relevant to the NHET-Sim Programme – especially changes in modules and also logistics as we seek to achieve a sustainable and quality assured programme. A/Prof Margaret Bearman led two sessions –one on using theories in simulation practice and the other on programmatic assessment. We also undertook additional scholarly activity by reviewing recent articles on debriefing practices.
Participants valued all these offerings enormously, together with learning from each other. Our simulation appetite was well and truly nourished by the end of the day. We’re all looking forward to facilitating NHET-Sim Workshops in 2017.
Summary of Keynote Presentation at Simulation Congress 2016 – The Debriefing Challenge: Training Future Leaders with Effective Debriefing
(Originally posted on 21 October 2016 by the Simulated Patient Network )
One of the keynote presentations at Simulation Congress this year was by Dr Adam Cheng. Cheng believed that the key driver of effective debriefing is better patient care and outcome. The ideal patient experience can be achieved through debriefing in education and patient care.
Citing the work of Kouzes and Posner, The Leadership Challenge, he argued that effective debriefing requires the application of 5 leadership qualities. Good leaders should possess the following abilities:
Cheng suggested that these qualities can be exhibited during the debriefing process through the consideration of these 5 factors:
One of his key messages during the keynote was that there is no one correct method to carry out debriefing. Instead, the process is dependent on context and situation. He also challenged the idea that debriefing should be faculty-centred. Instead, he proposed that it should be more learner-centred.He posited post-debriefing through peer coaching is essential to improve debriefing skills. Cheng believed that faculty development should include debriefing training. He also shared a resource for learning more about effective debriefing: www.debrief2learn.org
Sim Congress Wrap-up
September saw simulation enthusiasts congregate for the annual Australasian Simulation Congress (ASC) at the Convention and Exhibition Centre in Melbourne. The congress brings together both the SimHealth and SimTect conferences. This year it also incorporated the International Simulation and GamingAssociation (ISAGA).
Some of the SimHealth highlights included Dr Adam Cheng’s presentation on The Debriefing Challenge, Carrie Hamilton’s work on Will This Building Work? The Rough (and Ethical) Guide to Large Scale Simulation (With Children) and Professor William McGaghie’s presentation on Medical Educationas Translational Science.
Dr Cheng introduced us to the complexity of Debriefing. From teacher/learner contribution time to the many different methods of debriefing to how to handle your plans for a structured debrief being altered by the observations of the participants.
Meanwhile Carrie Hamilton raised some interesting points and considerations when working with children as simulated patients. She explained the process of ‘connecting’ with them, often through literature they were currently reading, to play a particular character. Her project also detailed the use of local residents to help familiarise them with their new hospital and gain their input on construction.
Professor McGaghie provided evidence for the use of simulation to obtain mastery level with clinical procedures. One of the significant points of his research was that practitioners taught by those who had received mastery level training through simulation also improved.
The conference also featured various workshops and panel discussions. Our very own, Professor Debra Nestel, participated in several panel discussions and chaired the SimHealth Free Papers presentations on surgical simulation education.
Before the conference commenced members of the newly formed Executive and Steering committees met to discuss plans for the NHET-Sim programme. Keep your eyes on this space for the latest news and announcements of upcoming workshops. We will also be bringing you more feature stories from our time atSim Congress.
Society for Simulation in Healthcare, Presidential Citation
Professor Debra Nestel, Programme Lead, NHET-Sim, was awarded a Presidential citation, from the US-based Society for Simulation in Healthcare. The citation reads: In recognition of her significant contributions to advancing implementation science for simulation supported education across health professions on a global scale, and for her visionary leadership, mentorship, and scholarship in healthcare specific educational research. The NHET-Sim programme is an example of Professor Nestel’s leadership in healthcare simulation.
NHETSim wins award for innovation and flexibility in curricula, learning & teaching
December 9 2015
NHETSim has won the 2015 Office for Learning and Teaching award for Programs that Enhance Learning: Innovation and flexibility in curricula, learning and teaching presented during a ceremony held at Parliament house in Canberra yesterday.
The Australian Awards for University Teaching are designedto recognise quality teaching practice and outstanding contributions to student learning. They aim to support recipients, through knowledge sharing and dissemination, to contribute to systematic change in learning and teaching.
NHETSim is thrilled to have won this important award and would like to acknowledge and thank everyone in the simulation community who has contributed to the success of the program.
Role Available in Cambodia
12th February 2015
|Australian Volunteers International are looking for a Medical Simulation Lab Development Mentor. Visit their website for further details.|
Today is our final workshop for the NHET-Sim Program
15th December 2014
|Debra Nestel and Bryn Baxendale are co-facilitating the last workshop at Latrobe Regional Hospital in Traralgon, Victoria today. Latrobe Regional Hospital was one of the first sites to host workshops in late 2012. The NHET-Sim Project has hosted 364 workshops nationally.|
Proof of professional development completion
3rd December 2014
Proof of professional development will NOT be available after the close of the Project.
If you are seeking evidence of your completion of the NHET-Sim Program, please download your certificates NOW!
12 more days of NHET-Sim workshops…
1st December 2014
NHET-Sim finishes on December 31st 2014
Workshops will be held at the following venues in the 2nd week of December:
Wanting to complete more workshops before the close of the NHET-Sim Program?
November 25th 2014
The NHET-Sim Program finishes on December 31st 2014?
Webinar on the use of simulation for preparing healthcare workforce to deal with patients with ebola virus disease
19th November 2014
NHET-Sim registrants may be interested in a webinar organised by Simulation Australia and scheduled for Friday afternoon, November 21,4.00pm – 5.15pm AEDT. The tile is: Using Simulation to Prepare Health Professionals for Working with Patients with Ebolavirus Disease (EVD): An International Perspective.
The link provides additional information.
6th November 2014
We are pleased to advise we are on track to meet our target of 4,595 completions for the NHET-Sim Program. The following milestones have been achieved:-
November is the month to review what action is needed to ensure you have completed all your NHET-Sim requirements and taken full advantage of this Program before the Christmas rush.
The NHET-Sim Program is ending on December 31st 2014:
4th November 2014
The NHET-Sim Program is ending on December 31st 2014
Over 50 workshops planned from November to December 15th 2014. Book now to ensure you do not miss out.
November is the time to complete the NHET-Sim Program:
2nd November 2014
It’s time to review which NHET-Sim elective modules you would like to complete before the end of the year. The following elective modules can be completed purely online:
Progress to Foundation or Foundation + level in October or November 2014 and go into the draw for one of ten copies of a book about simulation education. Make sure you complete the NHET-Sim Program before December 31st 2014.
For further details about electives, press this link: http://www.nhet-sim.edu.au/nhet-sim-program-3/optional-modules/
Complete NHET-Sim in October and November 2014 to win a prize:
7th October 2014
The NHET-Sim Program ends on December 31st 2014. As there is no guarantee that registrants will have access to the online modules after December 2014 it is imperative that all registrants who have not completed two core modules and any elective modules to do so in October and November 2014.
All participants who progress to a Foundation or Foundation+ level in October 2014 or November 2014 will go into the draw for 1 of 10 copies of a simulation based education book.
Book options are:
Winners will be notified by email and will receive their book in the mail.
October 2014 and November 2014 are the months to complete any further online modules and to take advantage of participating in any of the 75 NHET-Sim workshops on offer until the end of the year.Register now for workshops via the calendar.
UK based international facilitator to visit in December 2014
1 October 2014
|Professor Bryn Baxendale is a consultant anaesthetist at Nottingham University Hospitals Trust in the United Kingdom, Director of the Trent Simulation and Clinical Skills Centre and has been the President of the Association for Simulated Practice in Healthcare, the leading body for simulation in healthcare in the UK, since 2009. Bryn’s interests relate to leading the wide adoption of simulation-based methodologies across the health care system in order to enhance patient safety, quality of care and workforce development. (See the calendar for venues)|
The Australian College of Midwives (ACM) accredits NHET-Sim Program for MidPLUS Points
26 September 2014
We are pleased to advise the NHET-Sim Program has been accredited by the Australian College of Midwives (ACM) for Continuing Professional Development points. The purpose of the accreditation process is to promote the provision of high quality, relevant and appropriate CPD activities that meet the ongoingeducational needs of Australian midwives.
An allocation of 66 MidPLUS Points has been approved for the entire NHET-Sim Program. The number of actual activity hours equals the number of CPD points, therefore one hour of CPD activity equals one CPD point. The number of CPD hours that may be claimed depends on the combination of modules selected and completed by the participant.For further information please see the the CPD Activities tab on this website.
The Australian College of Rural and Remote Medicine (ACRRM) accredits NHET-Sim Program for CPD hours
9 September 2014
We are pleased to advise the NHET-Sim Program has been accredited by the Australian College of Rural and Remote Medicine (ACRRM) for Continuing Professional Development points. Upon successful completion of the NHET-Sim Program, ACRRM Fellows may claim the following pro rata core and PRPD points:|
– e learning modules equal to one core point per hour and workshops equal to 2 PRPD points per hour.
Ray Page Lifetime Simulation Achievement Award
28 August 2014
The Ray Page Lifetime Simulation Achievement Award was recently awarded to Professor Debra Nestel, HealthPEER and School of Rural Health, at the SimHealth and SimTecT conferences in Adelaide on August 27th 2014.
The Award is presented by Simulation Australia, the national body for those working in simulation across Australasia, in recognition of an outstanding contribution, made over an extended period of time, to the advancement of modelling and simulation in Australia or New Zealand.
For over thirty years, Professor Debra Nestel has demonstrated vision, integrity and leadership through her commitment to healthcare simulation education and research. She has developed an approach to learning, teaching and assessing clinical skills – ‘patient-focused simulation’ –that is now adopted internationally, Debra has raised the profile of simulated patients in healthcare professions education and has led a unique initiative – a national training program for simulation educators –(NHET-Sim).
S9 and S10 debriefing workshops at RACS in October 2014
4 August 2014
|We are pleased to announce the Royal College of Surgeons will be hosting S9 and S10 debriefing workshopsin Melbourne on October 1st and in Sydney on October 9th. The Royal College of Surgeons has hosted several NHET-Sim workshops specifically for the College.|
Australian Primary Healthcare Nursing Association (APNA) endorsement for CPD hours
14 July 2014
We are very pleased to advise that our application for the endorsement of CPD hours for the NHET-Sim Program with the Australian Primary Healthcare Nursing Association (APNA) has been successful. NHET-Sim has been approved for APNA endorsement for a period of 24 months from July 14 2014. Upon successfulcompletion of the Program, eligible participants may claim a total of up to 24 CPD hours. For example, basic completion level consists of:
Two core modules (C1 – e-learning = 3 hours, C2 – e-learning = 3 hours plus full day workshop= 6 hours; C2 total of 9 hours: total = 12 hours ) and choice of
Two electives ( e-learning = 3 hours plus half workshop = 3 hours, total 6 hours X 2: total of 12 hours)
Total program = 24 hours
We encourage all Primary Healthcare Nurses to take advantage of this free professional development opportunity that is available until December 2014. For further details, please see the NHET-Sim website.
International guest facilitator – Dr Pamela Andreatta to visit in August 2014
We are pleased to announce a further international simulation education expert will be co-facilitating workshops for the NHET-Sim Program in August 2014.
Dr Pamela Andreatta, PhDis an Associate Professor at the University of Minnesota Medical School, Minneapolis, USA. Pamela is currently the President-Elect and member of the Board of Directors of the international Society for Simulation in Healthcare (SSH).Pamela studiesthe use of advanced practices in individual and team-based methods of instruction, performance assessment, and maintenance of competencies in medical, surgical, nursing and allied health practices.
Pamela will co-facilitate NHET-Sim workshops for modules S9 (Debriefing) and S10 (Developing scenarios) at the Mater Hospital, Brisbane on August 18th,Griffith University on the Gold Coast on August 19th and then travels to Adelaide to deliver workshops at Flinders University – Adelaide on August 21standat the Adelaide Health Simulation and Skills Centre on August 22nd 2014.
This in a unique opportunity to be involved in a workshop with a facilitator recognized as an international expert in their field. Secure your place in a (S9) Debriefing and (S10) Developing scenarios workshop held on the one day. Book online via the calendar on the home page.
**STOP PRESS** Free training open to undergraduate students / trainees
The National Health Education and Training in Simulation (NHET-Sim) Program is a national training program offered free of charge and funded by Health Workforce Australia. The Program is now available to undergraduate students until the 31stDecember 2014.
The NHET-Sim Program is designed forindividuals new to educational delivery. Therefore, it is suited forundergraduate students close to graduation. The NHET-Sim Program uses simulation as the basis to explore clinical education and provides students with additional experiences to add totheir curriculum vitae. Certificates are issued for every module completed.
Participants can complete the program purely online or a combination of online and in person workshops. Participants can choose as many modules as they like.
The NHET-Sim Team is based at Monash University, Clayton and will work with you to coordinate workshops for your student group or can link students with workshops at other venues.
In summary, can you either let your students know about the NHET-Sim Program directly OR contact the NHET-Sim office so the NHET-SIm team can work with you to provide optimal access for your students.
For more information, please contact the Program Manager Clare Byrne via firstname.lastname@example.org or on 03 9905 0221.
Closure of Health Workforce Australia (HWA)
13th May 2014
In the 2014 Budget the Australian Government announced the closure of Health Workforce Australia (HWA), with essential functions transferring to theFederalDepartment of Health.
HWA closed on 6 August. Funding agreements and other business functions are being managed by theFederalDepartment of Health, which can be contacted by using the online enquiries form at the following address: http://www.health.gov.au/internet/main/publishing.nsf/Content/health-central.htm
|News at Monash|
|The NHET-Sim Program featured in the Monash University – Faculty of Medicine, Nursing and Health Sciences news. View the article here.|
Alzheimer’s Australia (Victoria) to host NHET-Sim workshops
|Alzheimer’s Australia in Victoria is hosting Debriefing (S9) and Developing Scenarios (S10) workshops on Monday June 16th at their new, ground-breaking learning facility in Oak Street, Parkville, Melbourne. Participants will have the opportunity to view the facilityand its ” serious gaming” technology. Registeronline via the NHET-Sim calendar to secure your place in the workshops.|
International guest facilitator feedback
|The visits from our international facilitators Dr Walter Eppich, Dr Nancy McNaughton and Dr Simon Edgar conclude at the end of May 2014. We have had such positive feedback from all workshops and we thank Walter,Nancy and Simon for sharing their wealth of knowledge and invaluable experience with the NHET-Simalumni.|
NHET-Sim Program extended to December 2014
|We are pleased to announce that Health Workforce Australia has extended the NHET-Sim Program until the 31st of December 2014. We are actively looking for new venues to host workshops in their workplace. For further details please see home page for details and the Facilities Registration form.|
In celebration of SimulationWeek
SimulationWeek is an initiative of Simulation Australia and runs from Saturday, May 3rd to Friday, May 9th 2014. SimulationWeek is an opportunity to promote the many forms of simulation in our organisations andcommunities and to help celebrate its many accomplishments.
To celebrate SimulationWeek during May 3rd to Friday 9th, we are joined by international guest facilitator Dr Nancy McNaughton from the University of Toronto.
The NHET-Sim Program will also celebrate by providing participants who attend NHET-Sim workshops during the week of May 5th to May 9th, 2014 with a small gift – a NHET-Sim branded reusable coffee cup.
Weare also having a draw with five participants who completed a minimum of two core modules and two elective modules by the 30th of April 2014 were automatically entered in the draw for one of five copies of the book – ‘Essential Simulation in Clinical Simulation’ This book is edited by UK based anaethetist, Dr Simon Edgar, who is visiting Australia in late May to help launch the new Debriefing modules.
Winners will be drawn during SimulationWeek and notified via email.
Many individuals and organisations have provided news story or a video highlighting the great work being completed using simulation.
To view the exciting snapshot of simulation, see www.simulationweek.com.
International facilitator visits April – May 2014
Dr Walter Eppich will be in Australia to help launch the new workshop modules. Walter is a paediatric emergency medicine physician in Chicago and has taught extensively in the USA and internationally on simulation educator courses and has been co-investigator on multiple simulation-relatedresearch grants. Walter will be in Australia from March 24th to April 4th and will be assisting in the launch of the new NHET-Sim modules. Walter will be delivering workshops in Victoria, New South Wales and Queensland.
Dr Nancy McNaughton will also be joining the program as a guest co-facilitator for selected Debriefing (S9) and Developing scenarios (S10) workshops. Dr McNaughton Med, PhD is the Associate Director and Director of Research at the Standardised Patient Program at the University of Toronto,Canada and will be visiting Western Australia, the Northern Territory and New South Wales. Join a workshop in Perth on May 5th and 6th, Darwin and Alice Springs on May 8th to 12th or in Sydney on May 15th 2014.
Dr Simon Edgar is a consultant anaesthetist in Edinburgh, Scotland and the Director of Medical Education for NHS Lothian. Simon will be co-facilitating workshops in Tasmania, Victoria and South Australia. Join a workshop in Hobart on May 19th and 20th, Geelong on May 23rd, in Adelaide on May 26th and 27th or in Victoria on May 29th to 30th 2014.
Workshop booking for participants;
Bookings for debriefing workshops are now open and the booking code was emailed to eligible participants (these workshops are open to NHET-Sim registrants who have completed two NHET-Sim core modules and two NHET-Sim electives). Workshop numbers are limited and bookings are essential. For further information,contact the NHET-Sim office on 03 9905 0221 or mailto:email@example.com
Free professional development opportunity for healthcare clinicians and educators
|Read about the NHET-Sim Program and how it is supporting educators and technicians, has flexible learning options andbuilds a simulation community of practice here.|