Striving for Simulation(A personal perspective)

Ray Bourgeois2012 CAAHP AGM

In Brief

1. Why simulation at Dawson?2. Taking the pulse3. Inventory4. The Strategy5. Achievements6. Obstacles7. Lessons learned

1. Why Simulation

• Natural affinity for technophiles• Exposure to Allied Health (CAAHP)• The personal journey to the self-evident• Misconceptions

(Fidelity factor, “The” Purpose, Costs)

2. Taking the Pulse

• Realizing we speak different languages• Taking a Survey

Survey of: Nursing, BioMedLab, Radiation Therapy, Diagnostic Imaging

2. Taking the Pulse

• Realizing we speak different languages• Taking a Survey– All programs are favourable to concept– Most do some type of simulation already– Not all attempts have been judged successful– Not clear as to benefits regarding clinical hours– Fidelity and Specialized Equipment is focus– Faculty want to know more and take PD

2. Taking the Pulse

• Realizing we speak different languages• Taking a Survey• Nay-Sayers

“Pedagogical validity was rarely cited ascontributing to the shift to simulation-based learning and most educators were not aware of any literature that would provide an evidence base for use of these activities in medical laboratory education. Patient safety also does not appear to be a motivating factor in the use of simulations for medical laboratory students.”

“There is little evidence to support their use in medical laboratory education”

3. Inventory

• Manequins• Case studies• Samples• Room layout

3. Inventory

Missing elements…• Faults• Timing stressors• Client interactions• ‘Crisis’ handling• Inter-professional interactions

4. The Strategy

• Start at top – involve the purse at site visits• Smart capital acquisitions

4. The Strategy

• Start at top – involve the ‘purse’ at site visits• Smart capital acquisitions• Adopt incremental approach • Support “first adopters”• Lavish PD opportunities on everyone• Recognize IPE element – get them talking to

one another• Partnerships

5. Achievements

• Numerous personal site visits (educate self)• DG visit to state-of-art facility• Developing links with CAE and others• Sent faculty to conferences and sites• Program development cross-talk• Identify as priority in Strategic Plan• Simulation Day Exercise • Monitor and report on progress

6. Obstacles

• Money, money, money (and things that look like money)

• Change management• Legacy configurations• Limit to credit hours allowed• Dean’s time and competing priorities

7. Lessons learned

(… learned sofar!)• Challenge is not always faculty• Invest in exposure to the idea• Reflect on your objective• Argue like the devil