Oral Themed Presentation

Oral

Debriefing the Debriefer – a technique in peer-review observation to ensure debrief quality assurance

Tuesday, May 15
13:30 - 15:00
Location: Jupiter 1&2

Context: : It is widely recognized that debriefing is one of the most important aspect of simulation-based education (Motola et al 2013; ASPiH 2016). The Association for Simulated Practice in Healthcare (ASPiH ) have developed standards for simulation training including best practice for faculty. These included highlighting the importance of “faculty engagement in continuing professional development with regular evaluation of performance.” (ASPiH 2016, p. 4)

To ensure quality assurance of debriefs at Sandwell and West Birmingham Hospitals NHS Trust, we have devised a technique in peer-review observation, which we have initiated for the faculty of our Foundation Doctor and the recently developed Paediatric MDT Simulation Training Courses. Whether novice or experienced faculty debriefers, this ‘Debriefing the Debriefer’ initiative allows faculty to reflect on and evaluate their debriefing skills, increasing self-awareness and thus continuing their professional development.


Description: : The Simulation Lead led the initiative, piloting it initially on more junior and novice faculty members. Faculty were informed ahead of time that their debriefs would be observed and evaluated by another member of the faculty. Time was allocated at the end of simulation sessions, once the learners had left, for a formal, verbal debrief of the debrief. The observing faculty member gave structured feedback to the faculty member that debriefed the learners, focusing on the use of the Diamond Debrief Model (Jaye et al, 2016) (used in our simulation centre and taught at our faculty training) and the 13 areas highlighted in the Nunn and Winston (2015) feedback form (Figure 1). A report based on this form was then given to the faculty member to take away for further reflection and evidence for their continuing development.

Observation/Evaluation: : This initiative was well received and widely appreciated by faculty members, particularly novice debriefers. Faculty reported increased confidence and performance in subsequent debrief sessions. Following the successful pilot, this technique is being incorporated into all simulation programmes at the trust.

Discussion: : This initiative was well received by staff and encouraged individuals to gain further peer-review debriefing of the debriefer. In addition to improving the quality of debriefs during simulation training, the peer-reviewed summary can be used by named supervisors as evidence of good quality training for their educational appraisal and GMC accreditation.

We are currently in the process of obtaining qualitative data to support the provisional feedback we have received. We believe this initiative addresses the ASPiH standards and ensure quality assurance of debriefs – the centerpiece of simulation training.






Elke Reunis

Junior Doctor
Sandwell and West Birmingham Hospitals NHS Trust
Birmingham, England, United Kingdom

Dr Elke Reunis was born in Roosendaal, Netherland. As a child, her family moved around the world, having lived in Poland, Indonesia, Italy and Belgium. In 2009, she settled down in the UK, where she completed an intercalated Bachelor degree in Neuroscience in 2012 and a Medical Degree in 2015, both at University College London.

She has since been working as a junior doctor in Birmingham and will soon commence Paediatric training in the West Midlands. She is currently undertaking a long-distance postgraduate certificate in Medical education at the University of Dundee.

Elke has a longstanding passion for medical education, particularly simulation-based education, professional identity development and student/trainee motivation.

Over the last year she has become heavily involved in the running of and development of multiple simulation programs at Sandwell and West Birmingham Hospitals NHS Trust. This includes the ‘Debriefing the Debriefer’ initiative which she is thrilled to share with you all at IPSSW 2018.

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Cathryn Winnett

Simulation and Clinical Teaching Fellow
Sandwell and West Birmingham Hospitals NHS Trust

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Helen Finegan

Simulation and Clinical Teaching Fellow
Sandwell and West Birmingham Hospitals NHS Trust

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Meenakshi Bandhakavi

Consultant Paediatrician
Sandwell and West Birmingham Hospitals NHS Trust

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Fatima Zahir

Consultant Paediatrician
Sandwell and West Birmingham Hospitals NHS Trust

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Julian Chilvers

Consultant Anaesthetist, Postgraduate Clinical Tutor, Simulation Lead
Sandwell and West Birmingham Hospitals NHS Trust

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Roberta Hales, MHA, RRT-NPS, RN, CHSE

Senior Simulation Educator
Center for Simulation, Advanced Education and Innovation; The Children's Hospital of Philadelphia

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