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LO13: Development of a national, standardized simulation case template

机译：LO13：发展国家，标准化模拟案例模板

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Innovation Concept: A major barrier to the development of a national simulation case repository and multi-site simulation research is the lack of a standardized national case template. This issue was recently identified as a priority research topic for Canadian simulation based education (SBE) research in emergency medicine (EM). We partnered with the EM Simulation Education Researchers Collaborative (EM-SERC) to develop a national simulation template. Methods: The EM Sim Cases template was chosen as a starting point for the consensus process. We generated feedback on the template using a three-phase modified nominal group technique. Members of the EM-SERC mailing list were consulted, which included 20 EM simulation educators from every Canadian medical school except Northern Ontario School of Medicine and Memorial University. When comments conflicted, the sentiment with more comments in favour was incorporated. Curriculum, Tool or Material: In phase one we sought free-text feedback on the EM Sim Cases template via email. We received 65 comments from 11 respondents. An inductive thematic analysis identified four major themes (formatting, objectives, debriefing, and assessment tools). In phase two we sought free-text feedback on the revised template via email. A second thematic analysis on 40 comments from 12 respondents identified three broad themes (formatting, objectives, and debriefing). In phase three we sought feedback on the penultimate template via focus groups with simulation educators and technologists at multiple Canadian universities. This phase generated 98 specific comments which were grouped according to the section of the template being discussed and used to develop the final template (posted on emsimcases.com). Conclusion: We describe a national consensus-building process which resulted in a simulation case template endorsed by simulation educators from across Canada. This template has the potential to: 1. Reduce the replication of effort across sites by facilitating the sharing of simulation cases. 2. Enable national collaboration on the development of both simulation cases and curricula. 3. Facilitate multi centre simulation-based research by removing confounders related to the local adoption of an unfamiliar case template. This could improve the rigour and validity of these studies by reducing inter-site variability. 4. Increase the validity of any simulation scenarios developed for use in national high-stakes assessment.
机译：创新概念：国家模拟案例储存库和多站点模拟研究发展的主要障碍是缺乏标准化的国家案例模板。此问题最近被确定为加拿大模拟基于教育（SBE）在急诊药物（EM）研究的优先研究课题。我们与EM仿真教育研究人员合作协作（EM-SERC）开发国家模拟模板。方法：选择EM SIM案例模板作为共识过程的起点。我们使用三相修改的标称组技术在模板上产生反馈。咨询了EM-SERC邮件列表的成员，其中包括来自北安大略省医学院和纪念大学北部的每一所加拿大医学院的20个EM模拟教育者。当评论发生冲突时，纳入了有利于更多评论的情绪。课程，工具或材料：在第一阶段，我们通过电子邮件向EM SIM案例模板寻求自由文本反馈。我们收到了11名受访者的65条评论。归纳专题分析确定了四个主要主题（格式化，目标，汇报和评估工具）。在第二阶段，我们通过电子邮件向修改后的模板寻求自由文本反馈。来自12名受访者的40条评论的第二个主题分析确定了三个广泛的主题（格式，目标和汇报）。在第三阶段，我们通过多个加拿大大学的焦点小组向倒数第二模板寻求反馈。此阶段生成98个特定的注释，根据正在讨论的模板的部分分组，并用于开发最终模板（在Emsimcases.com上发布）。结论：我们描述了一个国家共识建设过程，导致了从加拿大跨越模拟教育者认可的模拟案例模板。该模板具有以下可能性：1。通过促进模拟案例的共享，减少跨网站努力的复制。 2.在模拟案例和课程的发展中启用国家合作。 3.促进基于多中心模拟的研究，通过消除与局部采用不熟悉的案例模板相关的混淆。这可以通过降低现场间可变性来改善这些研究的严谨性和有效性。 4.提高任何用于国家高赌注评估所开发的模拟方案的有效性。

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