Building and Participating in a Simulation: Exploring a Continuing Education Intervention Designed to Foster Reflective Practice Among Experienced Clinicians.
Engaging health professionals in the processes of first building and then participating in simulations has not yet been explored. This qualitative study explored the experience of building and participating in a simulation as an educational intervention with experienced clinicians.



Pediatric rehabilitation clinicians, along with a patient facilitator and standardized patients, created simulations and subsequently participated in a live simulation. The educational content of the simulation was culturally sensitive communication. We collected participants' perspectives about the process from individual journal entries and focus groups. A thematic analysis of these data sources was conducted.



Participants described a process of building and participating in a simulation that provided: 1) a unique opportunity for clinicians to reflect on their current practice; 2) a venue to identify different perspectives through discussion and action in a group; and 3) a safe environment for learning.



The combined process of building and participating in a simulation stimulated reflection about the clinicians' own abilities in culturally sensitive communication through discussion, practice, and feedback. It provided a safe environment for participants to share their multiple perspectives and to develop new ways of communicating. This type of educational intervention may contribute to the continuing education of experienced clinicians in both academic and community settings.
Dr. Zubairi: Developmental Pediatrician, Department of Pediatrics, Division of Developmental Pediatrics, University of Toronto, and Child Development Program, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada. Dr. Lindsay: Scientist, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, and Departments of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada. Dr. Parker: Senior Director, Academic Affairs and Simulation Lead, Teaching and Learning Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada. Dr. Kawamura: Developmental Pediatrician, Department of Pediatrics, Division of Developmental Pediatrics, University of Toronto, and Child Development Program, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada.
Mohammad Samad
MS
Zubairi
Sally
S
Lindsay
Kathryn
K
Parker
Anne
A
Kawamura
D000328:Adult; D004496:Education, Continuing / Q000379:methods* / Q000592:standards; D005260:Female; D017144:Focus Groups; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010372:Pediatrics; D012047:Rehabilitation Centers; D000066908:Simulation Training / Q000379:methods* / Q000592:standards*; D000078329:Workforce