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Structured Debriefing in Simulation-Based Education
Janice C Palaganas1, Mary Fey, Robert Simon
1Janice C. Palaganas is Director of Educational Innovation and Development, Center for Medical Simulation, 100 First Avenue, Suite 400, Boston, MA 02129 (jpalaganas@mgh.harvard.edu). Mary Fey is Research Fellow, Center for Medical Simulation, Boston, Massachusetts. Robert Simon is Senior Director, Educational Leadership and International Programs, Center for Medical Simulation, Boston, Massachusetts.
Abstract:
Debriefing following a simulation event is a conversational period for reflection and feedback aimed at sustaining or improving future performance. It is considered by many simulation educators to be a critical activity for learning in simulation-based education. Deep learning can be achieved during debriefing and often depends on the facilitation skills of the debriefer as well as the learner's perceptions of a safe and supportive learning environment as created by the debriefer. On the other hand, poorly facilitated debriefings may create adverse learning, generate bad feelings, and may lead to a degradation of clinical performance, self-reflection, or harm to the educator-learner relationship. The use of a structure that recognizes logical and sequential phases during debriefing can assist simulation educators to achieve a deep level of learning.
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