Abstract

Introduction 30 new clinical teaching fellows (CTFs) are starting new posts during a global pandemic. Usual large teaching rooms are storerooms for personal protective equipment and the capacity in other smaller rooms reduced by social distancing. Medical students are, however, key workers and training of them is an essential role. Simulation suite capacity has also been reduced; pandemic virtual adaptions to simulation practice, with remote simulation1 and virtual debrief2 to engage learners, will need to become the ‘new normal’. Innovative ways of ‘training the trainer’ in simulation debriefing needed to be developed due to room and to avoid time commitments of very small groups. Methods Online videoconferencing using mixed method interactive tutorials were designed to meet this training need, with theory provided by video presentations, interactive discussions via polling software and facilitated discussion. Examples of debrief were critiqued and a framework for debriefing established. CTFs then practised debrief using ER clips freely available from the internet, with people playing characters and others the debriefers with Meta-debrief post. An immersive online environment to train debriefing similar to the normal classroom environment was created. Results All CTFs undertook theory, critique and practice of online simulation debrief. Feedback expressed surprise in how engaging the mixed methodology online session could be, commenting on the interactive and immersive environment; the use of video clips of clinical situations allowed debrief in this environment. The overall rating for the session was 4.6/5. Conclusion It was possible to provide an online, immersive and interactive learning and debriefing environment for a cohort of 30 CTFs within COVID social distancing restrictions and no sufficiently large training room. Participants were shown that virtual debrief could be engaging and a rich learning environment if correct conditions were established.2 The recommended structure is use of mixed methods and video clips to engage in theoretical knowledge, critique and practice. References Peres N and Mason T. Virtual Simulation. ( 2020) Don’t forget the bubbles. https://dontforgetthebubbles.com/virtual-simulation/ Cheng A; Kolbe M; Grant V; Eller S; Hales R; Symon B; Griswold S; Eppich W. A practical guide to virtual debriefings: communities of inquiry perspective. (2020) Advances in Simulation 5:18 https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-020-00141-1

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