SimTiki Newsletter - Volume 2 (January - March 2016)
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Message from the Director

SimTiki has had a busy quarter. IMSH was fantastic in San Diego with our fellows Yuri, JJ, and House. Jannet showed us her old hometown favorite Mexican restaurant. Ben, Jannet and Yoko Akamine conducted Followership and Simulation Based Hospital Safety workshops, and Mari presented a poster. Four posters were co-authored with colleagues from Japan.  Best of all, we met all our friends and fellows from around the world. We received a grant for equipment from the UH Manoa Women’s Campus Club, and completed a Trauma Team Training program at the Kapiolani Medical Center for Women and Children. This quarter we welcomed Yui Chutima from Bangkok, Phramongkutlkalo Hospital as the second nurse to enroll in our fellowship program. Manuscripts about Instructorless debriefing and trauma team training were accepted for publication.

                                                                                                                    Benjamin Berg, MD
                                                                                                                    Director of Simulation
SimTiki at IMSH 2016 in San Diego, CA
IMSH 2016 Recap
by Kris Hara, RRT, Chief Simulation Specialist
 
The International Meeting of Simulation in Healthcare 2016 is the largest attended simulation meeting offered in the US. There are over 3,000 members in the Society for Simulation in Healthcare (SSH), and over 2,500 attended the meeting. Plenary speakers included Allison Levine, the only woman who has ascended the highest peak of every continent, and skied to both the North and South Pole.
 
Three outstanding IMSH nuggets for me included a course called, 'Debrief the Debriefer'. We watched a video of a scenario and the debriefing of it. We were then expected to debrief the Debriefer. The Debriefer (one of the course facilitator's) at our table would turn their name tag over to one side when he was speaking as the Debriefer being debriefed. At our table, we each were able to participate in a short debrief interaction, attempting to lead the Debriefer to reflect on what went well and could be improved, as well as sharing succinct models that could be adopted to their debriefing technique.  We used the DASH tool and were limited to debrief on either Element 1 - The instructor set the stage for an engaging learning experience, or Element 2 -The instructor identified what I did well or poorly — and why.Another favorite activity was a pre-course, Make Your Own Repairs. Learners were able to look 'under the hood' of 3 different manikin models and learn from experienced sim techs (see photo).
 
The third most significant experience was meeting new people involved in simulation and sharing, as well as spending time catching up with friends who have been involved in simulation.  A significant amount of networking is accomplished as well as seeing how people and centers evolve, meet challenges and share triumphs. 

 
Reflections on IMSH Workshops
by Jannet Lee-Jayaram, MD, Associate Director
Other than the great food and fun times I had meeting old and new friends, the two highlights of the conference for me were workshops - one that I attended and one that I facilitated.

The one that I attended was titled Communication in a Multicultural World: Words, Gestures and Styles. We were assigned seats to mix up the professions and got to know the people at our table.  In groups of 4, we had to play a card game in silence and communicate with our partner in non-verbal ways.  The winning pair at each table had to switch with the adjoined table.  Once switched, the pairs realized that the rules of the card game were slightly different, yet had to negotiate and engage without using words.  Afterwards we wrote words on white boards about how that made us feel - cheated, surprised, horrified, alienated, angry etc.  The exercise was meant to make the point that individuals in healthcare may come together to work towards a common goal but have a different set of rules or frames before getting there, and that communication, non-verbally, is important to navigate working with people who come to work with different frames.  The designers of this workshop made their point so cogently using a fun, simple demonstration to make it tangible for us participants.  This point has remained with me even after the conference, applied to my interactions with my colleagues, residents, medical students, and staff in the last few days that I've worked in the ER.  When I have a conflict with someone, I have stopped to analyze what frame they might be coming from, why it's not personal, how I can best approach them to understand their frame and proceed toward both of our goals which is ultimately the best care for our patients.

The workshop that Yoko, Ben and I facilitated on Followership: The Forgotten Key to Leadership was the very last day of the conference.  We had an engaged, active group of participants discussing an interesting, yet not highlighted topic of followership and teamwork.  I was elated because as always I learned a lot and engaged with many interesting, thoughtful people.  I have also continued to think about followership since I returned, my shifts in the ER always providing opportunity to appreciate and teach those teamwork skills.
SimTiki Awarded UH WCC Grant
SimTiki was recently awarded a grant by the University of Hawaii Women's Campus Club (WCC) to purchase a laptop for use with the manikins.  The new laptop will be vital to our daily operations, so we appreciate the generous award from the WCC.  The WCC grant prioritizes the funding of projects that benefit a large number of students, and enhance the university community environment on UH campuses, and we are honored to be one of the recipients. 

Some members of the WCC toured SimTiki on Friday, March 18, and observed an OBGYN course in session.  We were delighted to have the opportunity to show them the laptop in use!
Welcome to our Newest Research Scholar!
Please welcome our newest International Research Scholar, Chutima "Yui" Tohkaew!  Yui is an ER nurse from Phramongkutkalo (Royal Thai Army) Hospital in Bangkok, Thailand and colleague of current Research Scholar Dr. JJ Kwangoropas.  She will train as a simulation specialist during her year here at SimTiki, and will be working closely with our Chief Simulation Specialist Kris Hara.  We're very excited to have Yui at SimTiki, as she will be considered the first and only Simulation Specialist in Thailand, when she returns in 2017!  Yui hopes to take advantage of the surfing and snorkeling in Hawaii during her year in Hawaii.

Click here for more information about our International Research Scholar Program.
Dr. Berg demoing SimMan for Health Professions Education Conference 2016 attendees at JABSOM in February. 
We hope to see you at an
Upcoming Course!



April 18-19, 2016
FCCS Fundamental of Critical Care Support (
CME credit available)

April 20-22, 2016
DAM Difficult Airway Management Emergency Medicine


May 6, 2016
SimBites Simulation Faculty Development (
CME credit available)

May 24-25, 2016
FunSim Fundamentals of Simulation  (
CME credit available)

July 11-12, 2016
JP Resident Physician Course


Fore more information about our courses,
please visit www.simtiki.org
or email help@simtiki.org
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