Workshop Presentation


Workshop 8: Tele-simulation: How to facilitate a simulation when equipment and facilitator are apart.

Monday, May 14
13:00 - 14:30
Location: Saturn 1&2

Course Goal or Outcome: : In this workshop, we will discuss important components required to successfully conduct tele-simulations. In small groups, workshop attendees will work together to develop a tele-simulation session and discuss key components when designing and incorporating technology assisting with remote facilitation.

Learning Objectives: : By the end of the training session the participant will be able to:
1. Describe the key components of tele-simulation
2. Understand how to use tele communication platforms for simulations
3. Discuss common pitfalls and how to address them

Intended Audience: : Physicians, nurses, scientists, trainees

Relevance to the Conference: : In remote areas, access to simulation equipment can be easier than access to a well-trained simulation specialist who can effectively facilitate a simulation. In the absence of an in-person simulation instructor, tele-simulation can be used to provide real-time facilitation and remote access to a simulation specialist. Providing tele-simulation helps in increasing the use of simulation equipment and provide high quality facilitation while the time commitment for the consulting simulation specialist is relatively low. This workshop will be valuable for an audience working with remote communities and locations where equipment can be easily shipped but a simulation instructor is not available.

Workshop Timeline: : Timeline and faculty assignment (0-90 min)
00 - 05 min: Welcome and Introductions – 5 minutes

05 - 20 min: Short Presentation: Overview of tele-simulations, when is it useful and what are challenges to overcome?

20 – 35 min: Small Group Work: Participants will discuss the different telecommunication platforms per table assignment (table 1: zoom, table 2: skype, table 3: google-hangouts, table 4: facetime). The team will elaborate pros and cons of each modality.

35 – 45 min: Large Group Discussion: Report out, Q & A

45 – 70 min: Small Group Work: Groups will be provided with one case scenario to deliver as tele simulation considering what components will be delivered by the local team and what components will be delivered by the remote facilitator. The team will plan a tele-simulation session.

70 – 85 min: Large Group Discussion: Report out, questions and answers

85 – 90 min: Summary and Take-Home Messages

Isabel T. Gross, MD PhD MPH

Pediatric Emergency Medicine Fellow
Yale University School of Medicine
New Haven, CT

Dr. Gross was born and raised in Germany. She earned her MD and PhD at the Albert-Ludwigs University Freiburg, Germany. Thereafter, she started her pediatric residency in Germany and then moved to the United States to complete a pediatric residency and chief residency at the University of South Florida. During residency, she completed an MPH with a concentration on Disaster Management and Humanitarian Relief at the University of South Florida, Tampa. Dr. Gross is currently a pediatric emergency medicine fellow at Yale University School of Medicine. She is the Chair of the Scientific Review Committee of the INSPIRE pediatric research network as well as the Trainee Liaison of the Emergency Medicine Section, Society of Simulation in Healthcare. She has been active in simulation education and research for five years with a focus on community outreach simulations, tele-simulations, and international simulations.


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Reinis Balmaks, MD PhD

Pediatric Critical Care Attending
Children's Clinical University Hospital, Riga, Latvia

Reinis Balmaks, Dr. med. Assistant Professor, Department of Clinical Skills and Medical Technology, Riga Stradins University; Consultant, Paediatric Intensive Care Unit, Children's Clinical University Hospital, Riga.

Dr. Reinis Balmaks works in Paediatric Intensive Care Unit at Children’s Clinical University Hospital and teaches medical students at Riga Stradins University. Dr. Balmaks earned medical degree at RSU in 2007. After medical studies he did residency in paediatrics at Children’s Hospital in Riga and then two fellowships in paediatric critical care medicine – at St. Louis Children’s Hospital, US, and Great Ormond Street Hospital, UK. In 2014 Dr. Balmaks earned Dr. med. at RSU. Currently, his research interests are paediatric intensive care epidemiology and outcomes and technology enhanced medical education. Dr. Balmaks studies more effective to improve educational experience and uses simulations as environment for clinical studies.


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Baiba Ziemele, MD

Pediatric Resident
Children's Clinical University Hospital, Riga, Latvia

Baiba Ziemele, MD.
Resident in pediatrics and neonatology, Riga Stradins University, Faculty of Continuing Education, Latvia
Resident in Children's Clinical University Hospital, Riga, Latvia
In pediatric simulation since 2017, one of the author of " EUROPE Sim (EUropean Readiness fOr Pediatric Excellence using SIMulation) Latvia", "Implementation of pediatric emergency in situ simulations in Latvia "


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Travis Whitfill, MPH

Research Scientist
Yale University School of Medicine, CT

Travis Whitfill is an Associate Research Scientist in the Department of Pediatrics. His background began in molecular biology and biochemistry, after receiving scientific training at the MD Anderson Cancer Center and Duke University. He is the co-founder of several additional startup companies, including a Connecticut-based microbiome company, Azitra Inc. He brings strong background in entrepreneurship and business, and is also a partner in a venture capital fund, Bios Partners, bringing experience in public markets, drug development, and venture capital investments.

His research interests are in pediatric emergency medicine and health policy and to improve pediatric acute care across the United States.


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Luize Bidina, MD

Pediatric resident
Children's clinical university hospital, Riga, Latvia

Dr. Luize Bidina - 3rd year pediatric and children cardiology resident in Children's Clinical University Hospital in Riga, Latvia. Luize is a 2nd year PhD student in Riga Stradins University and her research field is arrhythmogenic cardiomyopathies. Sha has also worked as a senior house officer in the department of cardiology in Great Ormond Street Hospital in London.
Luize initiated pediatric in situ simulation project in Latvia in 2016. It was a challange to use it as a training tool as well as perform research simultaneously, because in situ simulations were a novelty for the medical staff in Latvia. Her team is satisfied with the outcome of the project and hope that in near future their volunteer work will result in a permanent training method in Latvia.


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Send Email for Ambika Bhatnagar

Send Email for Marc Auerbach


Workshop 8: Tele-simulation: How to facilitate a simulation when equipment and facilitator are apart.

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