Related Experiment Video
Updated: Nov 23, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Optimizing Multidisciplinary Simulation in Medical School for Larger Groups: Role Assignment by Lottery and Guided
Lawrence F Borges1, Jamie M Robertson2, Steven M Kappler3
1Division of Gastroenterology, Mount Auburn Hospital and Harvard Medical School, Cambridge, MA, USA.
A novel "Orchestra Leader's" chart method successfully accommodated larger groups in medical simulations. This approach, using role assignment by lottery, ensured high student engagement and excellent session ratings.
Area of Science:
- Medical Education
- Simulation-Based Learning
- Healthcare Professional Training
Background:
- Medical school simulations typically involve small groups for optimal engagement.
- Scaling these simulations for larger cohorts presents a significant pedagogical challenge.
- Ensuring equitable participation for all interested students is crucial.
Purpose of the Study:
- To develop and evaluate a novel method for conducting large-group medical simulations.
- To facilitate participation for all first-year medical students interested in simulation exercises.
- To maintain high levels of engagement and learning in expanded simulation settings.
Main Methods:
- Implementation of a low-technology
- Orchestra Leader's
- chart for displaying student roles assigned by lottery.
- Utilizing the chart as a group organizational tool during simulations, mounted on an intravenous pole.
- Employing a course instructor to guide students through objectives using the chart.
- Incorporating expert consultation from real-life cardiologists and gastroenterologists.
- Analysis of 125 anonymous student evaluation ratings from 2017-2019 (8-19 students per session).
Main Results:
- Consistently excellent overall ratings (Mean=1.26, SD ±.510) for large-group sessions across three years (2017-2019).
- No statistically significant differences in ratings between the years.
- Uniformly excellent evaluations for the subspecialist consultants.
- Strong positive student feedback regarding the role assignment by lottery method.
Conclusions:
- A novel
- Orchestra Leader's
- chart approach effectively accommodates larger groups in multidisciplinary simulation laboratories.
- The method integrates role assignment by lottery, visual role depiction, and expert instructor guidance.
- Consistently excellent ratings indicate the utility of this approach for successful large-group simulation design.
Related Concept Videos
Mechanistic Models: Compartment Models in Algorithms for Numerical Problem Solving
In individual population analyses, different algorithms are employed, such as Cauchy's method, which uses a...
Randomized Experiments
Simple randomization
Simple...
Group Design
Mathematical Modeling: Problem Solving

