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  • 1
    In: JAMA, American Medical Association (AMA), Vol. 326, No. 11 ( 2021-09-21), p. 1013-
    Type of Medium: Online Resource
    ISSN: 0098-7484
    RVK:
    Language: English
    Publisher: American Medical Association (AMA)
    Publication Date: 2021
    detail.hit.zdb_id: 2958-0
    detail.hit.zdb_id: 2018410-4
    SSG: 5,21
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  • 2
    Online Resource
    Online Resource
    BMJ ; 2021
    In:  BMJ Simulation and Technology Enhanced Learning Vol. 7, No. 1 ( 2021-01), p. 50-51
    In: BMJ Simulation and Technology Enhanced Learning, BMJ, Vol. 7, No. 1 ( 2021-01), p. 50-51
    Type of Medium: Online Resource
    ISSN: 2056-6697
    Language: English
    Publisher: BMJ
    Publication Date: 2021
    detail.hit.zdb_id: 2799014-X
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  • 3
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2022
    In:  Advances in Simulation Vol. 7, No. 1 ( 2022-10-27)
    In: Advances in Simulation, Springer Science and Business Media LLC, Vol. 7, No. 1 ( 2022-10-27)
    Abstract: Many clinicians working in healthcare simulation struggle with competing dual identities of clinician and educator, whilst those who harmonise these identities are observed to be highly effective teachers and clinicians. Professional identity formation (PIF) theories offer a conceptual framework for considering this dilemma. However, many clinician simulation educators lack practical guidance for translating these theories and are unable to develop or align their dual identities. An unusual experience involving the first author’s suspension of disbelief as a simulation facilitator sparked a novel reflection on his dual identity as a clinician and as a simulation educator. He re-framed his clinician and simulation ‘hats’ as cooperative and fluid rather than competing and compartmentalised. He recognised that these dual identities could flow between clinical and simulation environments through leaky ‘blended boundaries’ rather than being restricted by environmental demarcations. This personal story is shared and reflected upon to offer a practical ‘hats and boundaries’ model. Experimenting with the model in both clinical and simulation workplaces presents opportunities for PIF and alignment of dual identities. The model may help other clinician simulation educators navigate the complexities of merging their dual identities.
    Type of Medium: Online Resource
    ISSN: 2059-0628
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2846887-9
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  • 4
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2023
    In:  Advances in Simulation Vol. 8, No. 1 ( 2023-03-31)
    In: Advances in Simulation, Springer Science and Business Media LLC, Vol. 8, No. 1 ( 2023-03-31)
    Abstract: There have been increasing calls for awareness and action related to equity, diversity, and inclusion (EDI) in simulation but a lack of practical guidance for how simulation delivery teams (SDTs) might move towards meaningful transformation. The gap between academic conversations about EDI and how to practically impact SDT attitudes, behaviors, and performance remains considerable. We designed a conversational tool, the SIM-EDI, to bridge the gap between theory and practice for SDTs by enhancing reflexivity and studied its impact locally. Methods We engaged in a collaborative autoethnography to explore EDI within our emergency department SDT shortly after implementing the SIM-EDI. The 12-month ethnography is informed by our team’s collection and analysis of data about ourselves and our own experiences using the tool. Data included serial interviews, field notes from simulations and SDT meetings, SDT documents, and self-reflections. Results We found the SIM-EDI tool could be implemented with a team with a high level of readiness. Use of the tool had several meaningful impacts including enhanced team reflexivity, normalization of conversations related to EDI and increased confidence to engage in EDI conversations with participants. Key themes throughout the process included (1) individual and team growth, (2) fear of “getting it wrong”, and (3) tension between bias towards action and need for slow reflection. Conclusion The SIM-EDI tool can effectively promote reflexivity among faculty in an emergency department simulation program. The tool is easy to use and implement, impacts attitudes and behaviors, and facilitates individual and team growth.
    Type of Medium: Online Resource
    ISSN: 2059-0628
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2846887-9
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  • 5
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2022
    In:  Canadian Journal of Emergency Medicine Vol. 24, No. 6 ( 2022-09), p. 585-598
    In: Canadian Journal of Emergency Medicine, Springer Science and Business Media LLC, Vol. 24, No. 6 ( 2022-09), p. 585-598
    Abstract: La culture professionnelle est une influence puissante dans les services d'urgence, mais elle est incomplètement comprise. Les catastrophes amplifient les réalités culturelles et, à ce titre, la pandémie de COVID-19 a offert une occasion unique de mieux comprendre les valeurs, les pratiques et les croyances de la médecine d'urgence (MU). Méthodes Nous avons mené une ethnographie collaborative dans un centre de soins tertiaires pendant la phase aiguë de la réponse à la menace du COVID-19 (mars-mai 2020). L’ethnographie collaborative est une méthode qui s’associe directement aux communautés pendant la conception, la collecte de données et l’analyse pour étudier la culture. Une équipe de recherche basée à l'urgence a recueilli des données, y compris des notes de terrain tirées de 300 heures d’observation des participants et d’entrevues informelles, de 42 entrevues semi-structurées et de 57 documents ministériels. Les données ont été codées de manière déductive à l'aide d'un cadre précédemment créé pour comprendre la culture de la MU. Résultats Chacune des sept valeurs fondamentales du cadre original a été identifiée dans l'ensemble de données et a permis de mieux comprendre la culture de la MU. COVID-19 a exacerbé les tensions préexistantes et les menaces qui pèsent sur les valeurs fondamentales de la MU. Par exemple, le désir de fournir des soins centrés sur le patient a été entravé par des restrictions strictes concernant les visiteurs ; la capacité de traiter des maladies potentiellement mortelles a été compromise par les nouvelles dispositions des salles de réanimation et des procédures de contrôle des infections ; et des changements subtils dans les protocoles ont eu un impact en aval sur le flux et la capacité à équilibrer les besoins et les ressources au niveau du système. Les valeurs culturelles liées aux équipes étaient protectrices et renforcées pendant cette période. La pandémie a mis en évidence les problèmes liés au statu quo, souligné les tensions inhérentes entre les valeurs des services d’urgence et mis en évidence les menaces pour l'identité personnelle. Conclusion COVID-19 a mis en évidence et aggravé les tensions et les menaces existantes pour les valeurs fondamentales de la MU, soulignant un décalage critique entre les valeurs et la pratique. Il est urgent de réaligner les réalités du travail dans les services d'urgence sur les valeurs du personnel.
    Type of Medium: Online Resource
    ISSN: 1481-8035 , 1481-8043
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2022
    detail.hit.zdb_id: 2059217-6
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  • 6
    Online Resource
    Online Resource
    Springer Science and Business Media LLC ; 2015
    In:  CJEM Vol. 17, No. 2 ( 2015-03), p. 101-106
    In: CJEM, Springer Science and Business Media LLC, Vol. 17, No. 2 ( 2015-03), p. 101-106
    Abstract: Il existe de plus en plus de ressources didactiques en ligne (RDL) pouvant servir à la formation en médecine d’urgence (MU). L’étude dont il question ici vise à décrire et à comparer l’utilisation des RDL gratuites par les résidents en MU du Collège royal des médecins et chirurgiens du Canada et les directeurs de programme (DP), ainsi qu’à examiner le lien entre l’utilisation des RDL et la lecture de documents évalués par les pairs. Méthode Un questionnaire d’enquête bilingue, en ligne a été envoyé, selon une version modifiée de la méthode de Dillman, à tous les résidents en MU du Collège royal et aux DP. Les auteurs ont appliqué le test Khi 2 et la méthode exacte de Fisher pour comparer les réponses des résidents et celles des DP. Résultats Dans l’ensemble, 214 résidents sur 350 (61 %) et 11 DP sur 14 (79 %) ont participé à l’enquête. Les RDL gratuites utilisées par les résidents concernaient surtout la formation générale en MU (99,5 %), l’acquisition de compétences techniques (96 %) et l’apprentissage de l’interprétation des examens de diagnostic (92 %). Les formes de RDL très souvent utilisées comprenaient les sites wikis (95 %), les sites Web de partage de fichiers (95 %), les livres numériques (94 %) et les fichiers balados (91 %). Les résidents utilisaient les sites wikis, les fichiers balados, les fichiers balados vidéos et les sites Web de partage de fichiers beaucoup plus souvent que les DP. En outre, les résidents accordaient plus d’importance à la valeur du divertissement que les DP dans le choix des RDL ( p 〈 0,01). En revanche, quelques résidents (23 %) estimaient que les références bibliographiques n’étaient pas importantes, contrairement à tous les DP. Enfin, les participants dans les deux groupes ont indiqué que l’utilisation des RDL avait pour effet d’accroître la lecture de documents évalués par les pairs (75 % et 60 %, respectivement). Conclusions Les résidents en MU font un usage très répandu des RDL et ils se distinguent des DP par la valeur accordée au divertissement et à l’indication des références dans les documents évalués par les pairs. Les RDL peuvent accroître la lecture de documents évalués par les pairs dans les deux groupes. Compte tenu de la grande utilisation des RDL que font les stagiaires en MU du Collège royal pour atteindre des buts pédagogiques de base, il est justifié de faire de la recherche sur les moyens visant à faciliter l’évaluation critique et la sélection appropriée des ressources.
    Type of Medium: Online Resource
    ISSN: 1481-8035 , 1481-8043
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2015
    detail.hit.zdb_id: 2059217-6
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  • 7
    Online Resource
    Online Resource
    Wiley ; 2019
    In:  AEM Education and Training Vol. 3, No. 2 ( 2019-04), p. 118-128
    In: AEM Education and Training, Wiley, Vol. 3, No. 2 ( 2019-04), p. 118-128
    Abstract: Simulation is commonly used in medical education. It offers the opportunity for participants to apply theoretical knowledge and practice nontechnical skills. We aimed to examine how simulation may also help to identify emergency medicine culture and serve as a tool to transmit values, beliefs, and practices to medical learners. Methods We undertook a focused ethnography of a simulated emergency department exercise delivered to 98 third‐year medical students. This ethnography included participant observation, informal interviews, and document review. Analysis was performed using a recursive method, a simultaneous deductive and inductive approach to data interpretation. Results All 20 staff (100%) and 92 of 98 medical students (94%) participated in the study. We identified seven core values—identifying and treating dangerous pathology, managing uncertainty, patients and families at the center of care, balancing needs and resources at the system level, value of the team approach, education as integral, and emergency medicine as part of self‐identity—and 27 related beliefs that characterized emergency medicine culture. We observed that culture was transmitted during the simulation exercise. Conclusion This study contributes to the characterization of the culture of emergency medicine by identifying core values and beliefs that are foundational to the specialty. Simulation facilitated cultural compression, which allowed for ready identification of values, beliefs, and practices and also facilitated transmission of culture to learners. This study expands understanding of the culture of emergency medicine and the role of simulation in the process of cultural exchange.
    Type of Medium: Online Resource
    ISSN: 2472-5390 , 2472-5390
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2019
    detail.hit.zdb_id: 2881270-0
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  • 8
    In: AEM Education and Training, Wiley, Vol. 1, No. 2 ( 2017-04), p. 110-113
    Abstract: To power the METRIQ (Medical Education Translational Resources: Impact and Quality) Study adequately, we aimed to recruit 〉 200 medical students, residents, and attendings to complete a 90‐ to 120‐minute survey by leveraging a virtual community of practice (vCoP). Methods Participants were recruited using personal (conference campaign and e‐mails) and online (a study website and social media campaign utilizing Twitter, Facebook, blogs, podcasts, an infographic, and a YouTube video) techniques that leveraged relationships within a virtual community or practice. Participants received weekly survey reminders for 4 weeks and at the end of the rating period. Survey completion rates were calculated. Results A total of 380 potential participants completed an intake form (139 medical students, 120 residents, 121 attendings), 330 consented to participate, and 309 (81.3% of interested and 93.9% of consenting participants) completed the full survey (121, 88, and 100, respectively). The required sample size was achieved. Conclusions The METRIQ Study utilized a multimodal recruitment campaign that targeted a vCoP. It recruited large numbers of participants with high completion rates. Response rates could not be calculated given the uncertainty surrounding the number of individuals invited to participate.
    Type of Medium: Online Resource
    ISSN: 2472-5390 , 2472-5390
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2017
    detail.hit.zdb_id: 2881270-0
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  • 9
    In: Medical Teacher, Informa UK Limited, Vol. 42, No. 7 ( 2020-07-02), p. 756-761
    Type of Medium: Online Resource
    ISSN: 0142-159X , 1466-187X
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2020
    detail.hit.zdb_id: 1476572-X
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  • 10
    In: AEM Education and Training, Wiley, Vol. 7, No. 2 ( 2023-04)
    Abstract: Emergency department (ED) teams frequently perform under conditions of high stress. Stress exposure simulation (SES) is specifically designed to train recognition and management of stress responses under these conditions. Current approaches to design and delivery of SES in emergency medicine are based on principles derived from other contexts and from anecdotal experience. However, the optimal design and delivery of SES in emergency medicine are not known. We aimed to explore participant experience to inform our approach. Methods We performed an exploratory study in our Australian ED with doctors and nurses participating in SES sessions. We used a three‐part framework—sources of stress, the impacts of that stress, and the strategies to mitigate—to inform our SES design and delivery and to guide our exploration of participant experience. Data were collected through a narrative survey and participant interviews and analyzed thematically. Results There were 23 total participants (doctors n  = 12, nurses n  = 11) across the three sessions. Sixteen survey responses and eight interview transcripts were analyzed, each with equal numbers of doctors and nurses. Five themes were identified in data analysis: (1) experience of stress, (2) managing stress, (3) design and delivery of SES, (4) learning conversations, and (5) transfer to practice. Conclusions We suggest that design and delivery of SES should follow health care simulation best practice, with stress adequately induced by authentic clinical scenarios and to avoid trickery or adding extraneous cognitive load. Facilitators leading learning conversations in SES sessions should develop a deep understanding of stress and emotional activation and focus on team‐based strategies to mitigate harmful impacts of stress on performance.
    Type of Medium: Online Resource
    ISSN: 2472-5390 , 2472-5390
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2881270-0
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