Instructional Scaffolding in the Pre-Brief

  • students walked into the sim lab like wide-eyed deer in the headlights
    • their performance pretty much mirrored that analogy
    • did they learn anything just by being scared?
  • pre-briefs are defined as short sessions before the simulation
    • set expectations and roles (take this thing seriously)
    • familiarize students with equipment and debrief procedures
    • but teaching doesn’t usually happen here (or in the debrief for that matter)
  • simulation is often incorporated into the flipped classroom
    • watch a video (or read something) at home and then come to class to do simulation
  • we inserted a pre-brief using instructional scaffolding between the home module and the simulation session
    • students watch videos at home & complete a 1-page fill-in-the-blank worksheet
    • before simulation they learn their roles, expectations but also go through some mini-cases using that worksheet
    • then evaluated their performance on a checklist
    • their performance significantly improved on the checklist and their impressions of the sessions were better

Pulseless Arrest With Blanks


  • checklist
    • immediately (<10 seconds) started CPR upon determining patient is pulseless
    • initiated defibrillation upon observing a shockable rhythm
    • switched compressors every 2 minutes with brief (<10 seconds) pause in compressions
    • gave proper doses of vasopressors and anti-arrhythmic at the appropriate time
  • reflection
    • I feel confident in performing a resuscitation of a patient in pulseless arrest (strongly disagree…)
  • quiz
    • fill in the worksheet without a crutch
    • given scenarios, pick the next step

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