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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

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Evaluating facilitator adherence to a newly adopted simulation debriefing framework.

Lucas Smith¹, A J Kleinheksel¹, Matthew Tews²

¹Medical College of Georgia, Augusta University, Georgia, USA.

Canadian Medical Education Journal

|March 26, 2025

Summary

This summary is machine-generated.

This study evaluated faculty adherence to the Promoting Excellence and Reflective Learning in Simulation (PEARLS) debriefing framework. Results show varied adherence, highlighting areas for improved faculty development in simulation-based medical education.

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Area of Science:

Medical Education
Simulation-Based Learning
Healthcare Professional Development

Background:

Post-simulation debriefing is crucial for learning in medical education.
Existing frameworks aim to enhance learning through guided reflection.
The Promoting Excellence and Reflective Learning in Simulation (PEARLS) framework was adopted to standardize debriefing.

Purpose of the Study:

To develop and apply a rubric for measuring facilitator adherence to the PEARLS framework.
To evaluate the effectiveness of current faculty development programs for simulation debriefing.

Main Methods:

A retrospective review of 187 facilitator-learner debriefing videos was performed.
A 13-behavior rubric based on the PEARLS model was used for analysis.
Data were collected from debriefings following simulated clinical encounters for medical students.

Main Results:

Analysis included 187 debriefings from 32 facilitators.
Average scores for PEARLS behaviors ranged from 0.04 to 0.971.
Facilitators showed higher adherence to educational behaviors (7/13 items ≥ 0.77) compared to organizational/methodological aspects (2/13 items < 0.20).

Conclusions:

Faculty adherence to the PEARLS framework is inconsistent across different behaviors.
Faculty are more likely to implement educational components of frameworks.
Targeted faculty development is needed to improve adherence to all aspects of the PEARLS model.