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Area of Science:

  • Healthcare simulation
  • Medical education
  • Qualitative research

Background:

  • In situ simulation (ISS) is valuable for healthcare teams.
  • The impact of medical learners on ISS participant experience is not well understood.

Purpose of the Study:

  • To explore the effects of medical learners on the experiences of other participants in an emergency department ISS program.

Main Methods:

  • Qualitative analysis of a single-center emergency department ISS program.
  • Focus groups conducted with nurses, staff physicians, and resident physicians before and after simulations.
  • Phenomenologic analysis using a constructivist framework.

Main Results:

  • Learners were present in 36 of 52 ISSs.
  • Positive effects included an open learning environment and a safe teaching space for staff physicians.
  • Negative effects occurred when ISS objectives were team-based or focused on latent safety threats (LSTs).
  • All participants perceived value added by learners.

Conclusions:

  • Consider ISS objectives when including medical learners.
  • Clarify expectations during prebriefing and prioritize LSTs and process objectives in debriefing.
  • This study offers insights into how medical learners influence ISS participant experiences.