Traditional Poster Round
Background: : Simulation based training is usually conducted at simulation suites or in-situ. However, there is very little experience or reports on conducting simulation-based training in situations without such facilities. We report our experience of conducting Ad-hoc simulation sessions in unusual location with resource challenges.
Research Question: : To study the resource challenges of conducting Ad-hoc Simulation sessions in unusual settings, aimed at Paediatricians across districts in Karnataka state.
Methodology: : Retrospective analysis of Ad-hoc simulation sessions conducted from January 2016 to December 2018 was done. Septic shock and Newborn resuscitation scenarios were conducted. Pause –Discuss/ Advocacy –Inquiry method of debriefing was used. Challenges faced and strategies adapted while conducting Ad-hoc Simulation were studied.
Results: : Workshops have been conducted in 19 districts during the time period of January 2016 to December 2018. 625 participants attended the workshops. Challenges faced by the simulation trainers were limited manpower (1-2 trainers per session), maintaining realism amidst varying locations, limited time to setup the scenarios, engaging novice learners to simulation, technical problems amongst others. Anticipatory preparation with customised inventory for the scenarios, standardising settings for the scenario locally by adequate communication and assistance from local organisers, adequate pre-briefing, improving the psychosocial and environmental fidelity and ensuring customised debriefing to suit the learners helped in addressing some of these challenges.
Discussion/Conclusions: : Ad-hoc simulation in resource limited setting is challenging. Adequate preparation and partnership with local organising teams are vital to ensure adequate simulation delivery experience.