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Beyond pen and paper: Simulation as a transformative training ground for guideline methodologists
Michael McCaul1, Simone Titus-Dawson2
1Department of Health Professions Education, Faculty of Medicine and Health Sciences, Stellenbosch University; Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University.
Journal of Clinical Epidemiology
|August 10, 2026
Summary
Simulation training enhances guideline development skills for panelists, methodologists, and chairs. This experiential approach builds confidence and competence in a safe environment, improving facilitation and decision-making processes.
Area of Science:
- Health Professions Education
- Clinical Guideline Development
- Simulation-Based Learning
Background:
- Guideline panel meeting simulations are used to train panelists.
- A gap exists in understanding how simulations train facilitators (methodologists and chairs).
- This study explores simulation's impact on preparedness, confidence, and competence in guideline processes for both panelists and facilitators.
Purpose of the Study:
- To explore how simulation-based training strengthens preparedness, confidence, and competence in guideline processes and methods.
- To investigate the dual role of simulation in training both panelists and facilitators.
- To identify the specific skills and knowledge gained by participants and facilitators through simulation.
Main Methods:
- Qualitative study using semi-structured interviews and focus groups.
- Purposive sampling of 11 participants (5 facilitators, 6 panelists) from South Africa, Malawi, Namibia, Nigeria, and Norway.
- Data analysis using a reflexive thematic approach guided by Kolb's experiential learning theory.
Main Results:
- Facilitators, acting as methodologists and chairs, were primary learners, enhancing their understanding of transparent decision-making and uncertainty management.
- Simulation provided an experiential, authentic, and safe practice ground, building confidence for facilitators and demystifying the process for panelists.
- Simulations addressed critical interpersonal skills for methodologists and chairs, including facilitation, communication, and conflict resolution.
Conclusions:
- Guideline panel simulation effectively addresses professional development gaps for methodologists, chairs, and panelists.
- This practical, experiential approach builds confidence and competencies in a safe, low-risk environment.
- Simulation offers a transformative, humanized alternative to traditional theoretical methods for guideline development training.