The "Simulation Roulette" game.

Area of Science:

• Medical Education
• Simulation-Based Training
• Anesthesiology

Background:

• Traditional anesthesia simulation often involves predefined critical scenarios with minimal trainee preparation.
• This lack of preparation can lead to trainee anxiety, hindering the learning process.
• Simulation Roulette was developed to address these limitations and augment existing training curricula.

Purpose of the Study:

• To introduce and describe "Simulation Roulette," a novel game-like approach to on-the-fly simulation scenario creation.
• To provide a method that complements traditional simulation by reducing trainee anxiety and improving learning outcomes.
• To enhance critical incident training through a structured, engaging, and preparatory framework.

Main Methods:

• Simulation Roulette utilizes premade cards for random patient and complication selection.
• Worksheets are incorporated to guide comprehensive pre-scenario "prebrief" discussions.
• Scoresheets are used to facilitate structured post-scenario "debrief" discussions, with facilitator oversight.

Main Results:

• While formal testing is pending, the method is hypothesized to decrease trainee anxiety.
• The game-like framework and emphasis on the "prebrief" are expected to improve the learning environment.
• Randomized scenario selection is a key component in mitigating pre-simulation stress.

Conclusions:

• The rationale, design, and initial implementation of Simulation Roulette are presented.
• Examples of game components, including instructions, cards, and scoresheets, are provided.
• This innovative game offers a promising approach to enhance anesthesia simulation training and reduce learner anxiety.