scenario design 2014 02-11 ver2pgd (1)
DESCRIPTION
TRANSCRIPT
SCENARIO DESIGN:6 TIPS FOR
SUCCESS
Session 2
Objectives
Describe the essential components of scenario design
Develop learning objectives that are suitable for simulation
Build a basic scenario to address those objectives
Anatomy of a Simulation
Learning Objectives/
Competencies
Event sets/Scenario
Synthetic/ immersive environment
Performance measures/dynamic
assessment
Performance diagnosis
Feedback/ instructional
strategy
Skill inventory/ historical performance
date
Task analysis data
Adapted from Jan Cannon-Bowers 2005
Anatomy of a Simulation
Learning Objectives/
Competencies
Event sets/Scenario
Synthetic/ immersive environment
Performance measures/dynamic
assessment
Performance diagnosis
Feedback/ instructional
strategy
Skill inventory/ historical performance
date
Task analysis data
Adapted from Jan Cannon-Bowers 2005
Scenario Design
Scenario design
The design and implementation of a partially scripted situation in which the learner is challenged to (and has the opportunity to) demonstrate the defined objectives.
IDENTIFY DESIRED LEARNING OUTCOME
Tip #1
DEVELOP LEARNING OBJECTIVES THAT CAN BE ADDRESSED WITH
SIMULATION
Tip #2
Learning objectives
Hint: use strong action verbs SMART objectives
Specific, measurable, appropriate, realistic, timebound
Centered around desired observable behaviors
Achievable for the learner
Example Objectives
By the end of this simulation training, learners will be able to:
demonstrate effective teamwork behaviors (ie. communication, information exchange, mutual support, leadership),
diagnose and manage a clinical condition, correctly perform a skill (ie.insertion of central
venous catheter, correct placement of an advanced airway) ,
effectively counsel a “standardized patient” about his or her prognosis, etc
DESIGN THE SCENARIO TO INCLUDE THE
ESSENTIAL ELEMENTS
Tip #3
Who are your learners?
Identify who and how many learners will be involved in the simulation
Impacts complexity of scenarioInfluences debriefing and assessment plans
What are the Elements of Scenario Design ? Tools Environment Script (Story)
Patient “states” Learner actionsTrigger events
Confederate roles and instructions Facilitator instructions
Types (tools) of simulation
high fidelity (computerized full body manikin)
task trainer for skills performance mastery
“standardized patient” (learner interacting with a trained actor)
hybrid (combination of these)
Environmental considerations
setting medical equipment clinical forms Props (moulage?)
The story…..
Credible Beware of medical controversy unless
this is the purpose of the scenario Don’t try to trick the learner Who is your patient? What has
happened to him/her? When does the scenario start and end?
What drives the story forward? What distractions do you want to build in?
Important definitions
“State” “Triggers” “Learner Actions” “Confederate”
Trigger events
Effective building of a scenario requires trigger events.
A trigger event is a condition, action or event within the scenario that
move the “patient” into a different state
This should push the learner toward a specific action, decision or thought process
Confederate roles /instructions
Confederates should have a specific purpose within the scenario
Confederates should keep learners on track
Confederates should challenge learners in areas relevant to learning objectives
Confederates don’t lie unless that’s the objective (and why would it be?)
Facilitator instructions
Information necessary for another instructor to run your scenario without you
FAQs Good questions for debriefing Content that should be covered in
debriefing
REVIEW YOUR SCENARIO AND DO A DRY RUN
Tip #4
Dry Run Objectives Ensure that scenario progresses in a credible
way Ensure that learner actions move the scenario
in the desired direction Ensure that learner can achieve desired
objectives in the scenario Try to identify possible deviations from
anticipated learner actions, and build in ways to redirect learners
Refine scenario as necessary based on dry run
PLAN YOUR PREBRIEF
Tip #5
Prebrief
Establish learning climate Describe relevant features of simulator Describe learning objectives or
expectations The Basic Assumption The Fiction Contract The Promise (Vegas) Any information about the patient for the
learner(s) before the scenario begins
DEVELOP AN ASSESSMENT AND DEBRIEFING PLAN
Tip #6
Sample case scenarioTitle: Cardiac Arrest / PEA
Learning Objectives:
1. Demonstrate effective teamwork behaviors in a code situation
2. Provide effective treatment to the patient in a cardiac arrest
3. Demonstrate the ability to do a critical analysis of the underlying causes of the patients arrest
Case backround: 52 yo man with schizophrenia admitted from to general medicine from inpatient psych for evaluation of shortness of breath. Nurse was going in to take vitals, thought pt looked strange - called for help