The Embedded Participant During High-fidelity Simulation

The Role of the Embedded Participant on Learners' Performance During High- Fidelity Simulation

Simulation in medicine is a powerful and effective teaching tool that has become essential for the training of students and health professionals.

In this context, simulation instructor training have been implemented in recent years, where many subjects are addressed, such as the main principles of pedagogy, the integration of simulation, the construction of a scenario, briefing and debriefing.

However, scenario facilitation, in particular the role of the embedded participant (EP), is only vaguely discussed. The EP of a high-fidelity simulation session plays a very important role in driving the scenario. Indeed, he/she guides the learner in order to achieve all the educational objectives set by the main instructor of the scenario. He/she also manages unexpected behavior and possible technical issues that may arise. Finally, the EP supervises the physical and psychological risks inherent in the simulation in order to maintain a safe environment.

All of these key roles suggest that the EP can influence the performance of the learners. Little is known about the relationship between Facilitation and Learner Performance.

In this observational study, investigators aim to explore the influence of the embedded participant on learners' technical and non-technical performances during high-fidelity simulation by analysing previously recorded sessions.

Study Overview

• Status: Completed
• Conditions: Healthy

Detailed Description

In this observational study, investigators aim to measure performance on high-fidelity simulation scenarios (HFS) used routinely in the current anesthesiology, training curriculum. Age, sex, previous experience of HFS will be noted. All data will be anonymized.

Two investigators will independently evaluate the performance of HFS by video record:

• technical performance on tables pre-established by experienced instructors and based on international recommendations,
• non-technical performances, assessed using the Ottawa Global Rating Scale.

• Study Type: Observational
• Enrollment (Actual): 340

Contacts and Locations

Study Locations

• France
  • Lyon, France
    • Claude Bernard University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 100 years (Adult, Older Adult)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Anaesthesia residents in postgraduate years 1-5 at Edouard Herriot Hospital, Lyon

Description

Inclusion Criteria:

• Resident physicians in anesthesia/intensive care- postgraduate year 1-5 participating in HFS training sessions from 2015 to 2021
• Consent for recording

Exclusion Criteria:

• Denial to be recorded

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Technical Skills Performance	technical performance on a scale pre-established according to each scenario rated from 0 to 100.	1 month (review video)
Non-technical skills performance	Ottawa Crisis Resource Management Global Rating Scale rated from 6 to 42.	1 month (review video)

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Demographic characteristics	demographic data related to the instructors (embedded participants) through a questionary	1 month (collect data)

Collaborators and Investigators

• Sponsor: Claude Bernard University
• Investigators: Study Chair: thomas rimmele, PhD, Claude Bernard University

Publications and helpful links

General Publications

• Cooke JM, Rooney DM, Fernandez GL, Farley DR. Simulation center best practices: A review of ACS-accredited educational institutes' best practices, 2011 to present. Surgery. 2018 Apr;163(4):916-920. doi: 10.1016/j.surg.2017.11.004. Epub 2017 Dec 19.
• Paige JB, Graham L, Sittner B. Formal Training Efforts to Develop Simulation Educators: An Integrative Review. Simul Healthc. 2020 Aug;15(4):271-281. doi: 10.1097/SIH.0000000000000424.
• Lewis KL, Bohnert CA, Gammon WL, Holzer H, Lyman L, Smith C, Thompson TM, Wallace A, Gliva-McConvey G. The Association of Standardized Patient Educators (ASPE) Standards of Best Practice (SOBP). Adv Simul (Lond). 2017 Jun 27;2:10. doi: 10.1186/s41077-017-0043-4. eCollection 2017.
• Boyer TJ, Mitchell SA. Utilization of Embedded Simulation Personnel in Medical Simulation. 2022 Jul 25. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK562294/

Study record dates

Study Major Dates

• Study Start (Actual): September 1, 2021
• Primary Completion (Actual): October 30, 2022
• Study Completion (Actual): November 4, 2022

Study Registration Dates

• First Submitted: May 10, 2021
• First Submitted That Met QC Criteria: May 19, 2021
• First Posted (Actual): May 24, 2021

Study Record Updates

• Last Update Posted (Actual): November 8, 2022
• Last Update Submitted That Met QC Criteria: November 6, 2022
• Last Verified: November 1, 2022

More Information

Terms related to this study

• Keywords: High Fidelity Simulation; Task Performance and Analysis; Simulation Training/methods
• Other Study ID Numbers: FAC1

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No