Should deliberate deception be used in healthcare simulation? Deceptive techniques have been viewed as necessary educational tools since the beginning of our field, and are frequently employed to reproduce important rare and critical clinical events including equipment failure, situations in which inappropriate orders are given, and complex teamwork scenarios. In the broader psychological and educational community, however, deception has a more controversial history, and many ethicists and psychologists ask whether these criticism apply to simulation as well. In this interactive panel a group of experts will present their current research results pertaining to this issue and outline potential benefits and detriments of the use of deceptive techniques. Panelists will then explore the intersection of key decision points with the recently released Healthcare Simulationist Code of Ethics. The session will end with an open audience discussion of the use of deception in simulation practice.
1. Deception in Simulation - Introduction and Key Background Concepts (previous work, Milgram, insights from the psychological literature)- Aaron – 10 minutes
2. Our Current Data- Taxonomy of Deception and Potential Beneficial Uses (review of the types of deception from our study, as well as the possible beneficial uses) - Adam – 10 minutes.
3. Our Current Data- Potential Detriments and "Never Events" (review of the concerns raised by our study, including an exploration of the different “never events”) – Elaine – 10 min
4. Key Decision Points and the Code of Simulation Ethics (discussion linking the SSH Ethics code with the Ethical decision points from our study) – All Panelists- 15 min
5. Interaction with the Audience - Question and Answer -15 min