INSPIRE @ IMSH 2016

INSPIRE @ IMSH 2016
Welcome
08:30 am January 16, 2016
San Diego, California, USA
International Network for Simulation-based Pediatric Innovation, Research and Education

Administrative Items
• WIRELESS:

Acknowledgments

Introductions

Mission
We aim to improve the delivery of medical care to acutely ill children
by answering important research questions pertaining to resuscitation,
technical skills, behavioral skills, debriefing and simulation-based
education

INSPIRE Research Themes
TRAINING AND ASSESSMENT
Debriefing
Develop/assess/implement effective techniques for debriefing
real/sim events
IPE, Teamwork,
Communication
Develop/assess/implement effective techniques for team
training
Procedural,
Psychomotor Skills
Develop/assess/implement effective techniques for skills
development retention
HEALTH CARE INNOVATIONS
Technology
Develop/assess/implement novel technologies designed to
improve processes of care and pediatric patient outcomes
Acute Care and
Resuscitation
Develop/assess/implement novel techniques for improving care
of pediatric patients
Human Factors
Assess the role of human factors when providing care to
pediatric patients
Patient Safety
Explore the key variables that influence patient safety and
assess strategies to mitigate

Schedule - AM
• 0730 – 0830: Ongoing Projects
• 0830 – 0845: Network Welcome & Intros
• 0845 – 0930: New ALERT Presentations - I
• 0930 – 1030: Working Group – I
• 1030 – 1050: Screen-based Simulation &
Serious Games
• 1050 – 1110: PediSTARS India
• 1110 – 1130: Reporting Guidelines Update
• 1130 – 1230: Lunch Provided & Network Update

ALERT Working Group I
1. Ali N – Team Leadership during Neonatal Resuscitation
2. Gross I – Rapid Cycle Deliberate Practice to improve
Airway Management Skills
3. Gangadharan S – In situ Simulation for Families of
Chronically Ill Survivors of Critical Illness
4. Song JL – Teaching Infant CPR to Families in the
Pediatric Emergency Department
5. Walsh B – Factors for High Quality Paramedic Pediatric
Care using In situ Simulation
6. Whitfill T – Improving Pediatric Acute Care in
Community EDs through Collaborative Simulation

ALERT Working Group I
• What did you achieve today?
• Gaps/questions
• Timeline/Next steps
• 2 weeks
• 2 months
• 6 months
• 1 year

Screen-based Simulation &
Serious Games Initiative
Todd P Chang, MD MAcM
Children’s Hospital Los Angeles / University of Southern California

Disclosures (TPC)
• Grant Funding provided by American Heart Association &
National Board of Medical Examiners
• No Conflicts of Interest to report

Schedule - AM
• 0730 – 0830: Ongoing Projects
• 0830 – 0845: Network Welcome & Intros
• 0845 – 0930: New ALERT Presentations - I
• 0930 – 1030: Working Group – I
• 1030 – 1050: Screen-based Simulation &
Serious Games Initiative
• 1050 – 1110: PediSTARS India
• 1110 – 1130: Reporting Guidelines Update
• 1130 – 1230: Lunch Provided & Network Update

Objectives
1. Define serious games and the attributes that define best
practices of games and game-based learning
2. Describe the next steps on how INSPIRE is navigating
the newest steps in serious game-based research

Entertainment
Video Game
What is Serious Games?
Simulation
Screen-
based
Sim
Serious
Games
Entertainment
Video Game

What is Serious Games?
A game in which the
primary purpose of
gameplay is the
acquisition of a
cognitive,
psychomotor, or
affective skill

Attributes
Jane McGonigal’s
definition of Games
Goal
Rules
Feedback Mechanism
Voluntary Use

Attributes
Incremental Challenge
Adaptation
Mystery
Narrative
Conflict
Control
Safety
Fantasy

Examples

SO WHERE ARE WE IN
HEALTHCARE SERIOUS
GAMES?

1st Game-based
Learning Summit

Next Steps
1. White Paper on Serious Games in Healthcare
2. Establish standards for Research using Serious Games,
within a Simulation Framework
3. Establish known funding streams (academic, community,
federal, industry) for serious games-related development
& research
4. Develop a Portal for all INSPIRE-led game-based
research

Next Steps
& research
research
Anticipate Submission near
April 2016

Next Steps
2. Establish standards for Research using Serious
Games, within a Simulation Framework
& research
research

Next Steps
3. Establish known funding streams (academic,
community, federal, industry) for serious games-
related development & research
research

The Portal
& research
research

The Portal
& research
research
• Single Login
• Standard consent
• Easy Game Porting
• Standard data
metrics & reports

The Portal
& research
research• Governed by only 1 Institutional Ethics/IRB
• Streamlined process for Ethics/IRB Approval
• Facilitated Contacts with potential Funders

dr.toddchang@gmail.com
…visit the IMSH Serious
Games Showcase
Mark X Cicero – Disaster Triage game
Jim Gerard – Virtual Pediatric simulator
David Kessler – Infant LP Champagne Tap game
Marc Auerbach – Infant Intubation simulator
If you are interested

Disclosures (MAA)

Reporting Guidelines for
Simulation-based Research
Adam Cheng, David Kessler, Ralph MacKinnon, Todd P Chang,
Vinay Nadkarni, Betsy Hunt, Jordan Duval-Arnould, Jeffrey Lin,
Barry Issenberg, David Cook, Martin Pusic, Joshua Hui, Marc
Auerbach, for the INSPIRE Investigators

Objectives
1. Describe the Development & Publication process of
Reporting Guidelines in Simulation-based Research

INSPIRE@IMSH 2015

INSPIRE @ IMSH
Network Update
Vinay Nadkarni, MD MS & Betsy Hunt, MD MPH PhD
January 16, 2016
San Diego, California, USA

Schedule - PM
• 1130 – 1230: Lunch & Network Update
• 1230 – 1300: Progress ALERT Presentations
• 1300 – 1345: New ALERT Presentations - II
• 1345 – 1445: Working Group Meetings – II
• 1445 – 1515: Completed Project Presentations
• 1515 – 1530: Break
• 1530 – 1615: Cognitive Simulation
• 1615 – 1645: Future Directions, Discussion
• 1645 – 1730: Funding, Question & Answer

Disclosures (VN / EAH)

Leadership

Research Committee

What do we do?
• Vision
– Answering important questions
– Pillars of research
• Building programs of simulation research
– Sharing resources
• Bringing down walls between institutions

Mentorship

Productivity

Growth
0
50
100
150
200
250
2011 2012 2013 2014 2015 2016
Sites

Growth
0
100
200
300
400
500
600
700
2011 2012 2013 2014 2015 2016
Members

Productivity in 2015
• 11 New Projects
• 10 Grants Awarded
• 24 Abstracts, Workshops &
Presentations
• 36 Publications

Consultative Submission
Study protocol
Specific Consultative
Questions
Online submission
(http://www.INSPIRESim.com/)
Research Design
Committee feedback
Any grant proposal Grant feedback
One-time access to
Experts and feedback

Study Protocol Submission
Study protocol
Online submission
(http://www.INSPIRESim.com/)
Research Design
Committee feedback
Any grant proposal
Executive Oversight
Committee feedback
Invitation to present at
IMSH or IPSSW

Writing up a project
• Accountability
– Clear expectations/roles
• Engagement will vary from person to person, site to site
– A priori milestones, timelines, tasks
– Shared decision making
• Opportunities for Authorship
– What does each individual gain from participation
– Sub-groups (projects within projects)
– Network by-line

Example

Writing Groups
• Primary Author
– Responsible for the main writing
– Corresponding author
• Production Manager
– Manages the entire process
– Sets deadlines
– Compiles sections written by others into a single draft
– Formats the paper in accordance with the journal’s style
• Core Group (3-5 people)
– Responsible for the content of the paper
– Divide pieces of manuscript
– Make decisions concerning the manuscript

INSPIRE Manuscript
Oversight Committee (MOC)
The MOC will ensure that INSPIRE research
projects are peer-reviewed for publication in a
manner that ensures timely and effective
communication of research findings to our
stakeholders and that INSPIRE members are
properly credited for their hard work.
Additionally, the MOC will advocate for the
involvement of young researchers in the
publication process.

MOC Guiding Principles
1. To be listed as an author an individual must significantly contribute
as described by the International Committee of Medical Journal
Editors criteria (www.icjme.org). Authors must meet ALL 3 criteria:
a) Substantial contribution(s) to conception and design, acquisition of data, or
analysis and interpretation of data
b) Drafting the article or revising it critically for important intellectual content
c) Final approval of the version to be published.
2. Authorship and order of authorship will be assigned as early as
possible in the research process. The first author will be
responsible for leading the writing process and delegating roles to
co-authors.
3. Authorship and the order of authorship are subject to change if
contributions to the final work product are not consistent with the
expectations outlined by the lead author. Any research team
member can contact the MOC for assistance in decisions related to
authorship order and inclusion as an author.

4. All site investigators will be recognized as part of the “INSPIRE
Collaborative” in all INSPIRE publications with the byline "...FOR
THE INSPIRE INVESTIGATORS."
5. INSPIRE investigators who are not site PI's or co-PI's will generally
be acknowledged in an appendix of site participants appropriate to
that manuscript .
6. INPSIRE will attempt to appropriately attribute academic credit,
with emphasis on acknowledgement of all involved and the MOC
subcommittee will negotiate and mitigate disagreements
among/between investigators about authorship
7. INSPIRE will prioritize young investigators as first, second and third
authors, when possible and appropriate.
8. The MOC will facilitate identification and management of Conflicts
of Interest, if they arise related to INSPIRE projects.

9. The MOC will assist with enforcement of timelines for analysis and
publication of data. If any first author cannot complete the
manuscript submission within 1 year following the end of data
collection/closure of data collection, then first authorship will be re-
evaluated and potentially reassigned by the MOC.
10. The MOC advocates consideration for publishing in journals that
have an Open Access mandate so that our research is available as
broadly as possible

Writing Success
INSPIRE
contributors
represent 95% of
all authors in
Comprehensive
Healthcare
Simulation:
Pediatrics
Textbook

Special Thanks to
Anne Ades, Mark Adler, Jennifer Arnold, Marc Auerbach,
Farhan Bhanji, Zia Bismilla, Choon Bong, Matthew Braga, Guy
Brisseau, Linda Brown, Rebekah Burns, Aaron Calhoun, Doug
Campbell, Todd P Chang, Adam Cheng, Kevin Ching, Mark
Cicero, Suzette Cooke, Ellen Deutsch, Maria Carmen Diaz,
Aaron Donoghue, Adam Dubrowski, Jonathan Duff, Jordan
Duval-Arnould, Dylan Bould, Walter Eppich, Tobias Everett,
Marino Festa, Marisa Brett Fleegler, Jim Gerard, Elaine
Gilfoyle, Ron Gottesman, David Grant, Vincent Grant, Mindy
Fiedor Hamilton, Ellen Heimberg, Lennox Huang, Betsy Hunt,
Lindsay Johnston, Liana Kappus, David Kessler, Susanne
Kost, Afrothite Kotsakis, Arielle Levy, Yiqun Lin, Lindsay Long,
Joe Lopreiato, Tensing Maa, Ralph Mackinnon, Mary Beth
Mancini, Deepak Manhas, Pete Meaney, Garth Meckler, Elaine
Meyer, Mike Moyer, Elaine Ng, Akira Nishisaki, Denis Oriot,
Frank Overly, Janice Palaganas, Mary Patterson, Dawn Taylor
Peterson, Jonathan Pirie, Martin Pusic, Jennifer Reid, Nicola
Peiris, Traci Robinson, Taylor Sawyer, Ella Scott, Yuko Shiima,
Nicole Shilkofski, Elaine Sigalet, Kimberly Stone, Glenn
Stryjewski, Stephanie Sudikoff, Nancy Tofil, Terry Varshney,
Debra Weiner, Marjorie Lee White, John Zhong

Debriefing
Eppich W, Cheng A. How Cultural-Historical Activity Theory can Inform
Interprofessional Team Debriefings. Clin Sim Nurs 2015;11:383-9.
Eppich W, Cheng A. Promoting Excellence & Reflective Learning in
Simulation (PEARLS). Sim Healthc 2015;10:106-15.

Teamwork, Communication

Procedural Skill Simulation
Tiyyagura G et al. The Greater Good: How Supervising Physicians
make Entrustment Decisions in the Pediatric Emergency Department.
Acad Ped 2015;4;14:597-602.

Technology

Acute Care / Resuscitation
Abelairas-Gomez C et al. Efectos del refuerzo audiovisual en tiempo
real sobre la ejecucion de las compresiones toracicas realizadas por
escolares. Emergencias 2015;27:189-92.
Lin Y, Cheng A. The role of simulation in teaching pedciatric
resuscitation: current perspectives. Adv Med Educ Pract 2015
Lee J et al. High-Fidelity Simulation in Pediatric Emergency Medicine.
PEC 2015;31:260-5.
Jones A et al. Visual assessment of CPR quality during pediatric
cardiac arrest: Does point of view matter? Resuscitation 2015;90:50-5.

Human Factors
Chime NO et al. Comparing Practice Patterns Between Pediatric
Emergency Medicine & Emergency Medicine Physicians. PEC 2015; In
Press.
Pusic MV et al. Learning Curves in Health professions Eucation. Acad
Med 2015.
Agra Tunas MC et al. Spinal muscular atrophy and respiratory failure.
How do primary care paediatricians act in a simulated scenario? Anales
Pediatr 2015.
Rodriguez-Nunez A et al. Quality of chest compressions by Down
syndrome people. Resuscitation 2015;119-22.

Patient Safety
O’Leary F et al. Identifying incidents of suboptimal care during
paediatric emergencies. Resuscitation 2014.

INSPIRE as Link

INSPIRE as Sim Advocate

ALERT Progress Reports
1. Sigalet E – Feasibility & Efficacy of an Online Faculty
Development Course on Effective Feedback
2. Mallory L – Simulation-based Assessment Tools for
the General Pediatrics Milestones
3. MacKinnon R – Improving High School student CPR
performance using an Online Leaderboard
4. Lemke D – Rapid Cycle Deliberate Practice
Simulation-based Training
5. Chang TP – Improving In-hospital CPR performance
using an Online Leaderboard

Progress ALERTs
• Gaps/questions

ALERT Working Group II
1. Butler L – Physical Presence vs. Telepresence on
Teamwork & Communication in Emergencies
2. Slamon N – Biometric Parameters of Critical Care
Practitioners using HexoskinTM
3. Herskovitz S – Improving Infant Lumbar Puncture
Success with Patient Positioning
4. Jang HY – PALS-on-Demand Skill Training
5. Gangadharan S – In situ Simulation to detect Latent
Safety Threats in Critical Care Transport

ALERT Working Group II
• Gaps/questions
• 2 weeks
• 2 months
• 6 months
• 1 year

Schedule - PM
• 1130 – 1230: Lunch & Network Update
• 1230 – 1300: Progress ALERT Presentations
• 1300 – 1345: New ALERT Presentations - II
• 1345 – 1445: Working Group Meetings – II
• 1445 – 1515: Completed Projects
• 1515 – 1530: Break
• 1530 – 1615: Cognitive Simulation
• 1615 – 1645: Future Directions, Discussion
• 1645 – 1730: Funding, Question & Answer

Completed Projects
1. Scherzer DJ – Survey-based assessment of
pediatric trainees' epinephrine knowledge
2. Auerbach M – ImPACTS
3. Adler M - Approach to Confederate Training within
the Context of Simulation-Based Research

Completed Projects
• Lessons learned
• Gaps/questions
• Next steps

Break!
http://inspireSim.com/

Cognitive Simulation
Martin V Pusic, MD PhD
New York University
January 16, 2016

Disclosures (MVP)

INSPIRE @ IMSH 2016
Future Directions & Open
Group Meeting
Jordan Duval-Arnould, PhD
Johns Hopkins University
January 16, 2016

Disclosures (JDA)

Funding Mechanisms for
Simulation-based Research
Question & Answer
Ralph J MacKinnon, MBChB
Royal Manchester Children’s
Hospital
January 16, 2016
Todd P Chang, MD MAcM
Children’s Hospital Los Angeles
San Diego, CA, USA

Disclosures (RJM/TPC)
• Grant Funding provided by National Health Services
(RJM), American Heart Association (TPC), National Board
of Medical Examiners (TPC)
• No Conflicts of Interest to report

What are our Experiences?
• How many of us have attempted to obtain:
– International Funding?
– National / Government Funding for Research?
– Government Funding for Education or Programming?
– Industry Funding?
– Military Funding?
– Foundation / Charity Funding?
– Hospital / University Funding?
• What has been successful? What have been failures?

Questions …

Thank you
INSPIRESimulationNetwork@gmail.com
http://www.INSPIRESim.com/
Twitter: @INSPIRE_Network

INSPIRE @ IMSH 2016

Empfohlen

Empfohlen

Weitere ähnliche Inhalte

Ähnlich wie INSPIRE @ IMSH 2016

Ähnlich wie INSPIRE @ IMSH 2016 (20)

Mehr von INSPIRE_Network

Mehr von INSPIRE_Network (20)

Kürzlich hochgeladen

Kürzlich hochgeladen (20)

INSPIRE @ IMSH 2016