The Sim Cafe~

Exploring the Revolution of Healthcare through Clinical Simulations with Teresa Gore. Sponsored by iRIS Healthcare.

November 12, 2023 Deb Season 3 Episode 58
The Sim Cafe~
Exploring the Revolution of Healthcare through Clinical Simulations with Teresa Gore. Sponsored by iRIS Healthcare.
Show Notes Transcript Chapter Markers

Have you ever wondered about the intricate mechanisms behind clinical simulations in healthcare or how they can revolutionize the way we educate future health professionals? Join us as we get a firsthand account from Teresa Gore, an established simulationist and a Fellow in the Society for Simulation in Healthcare and the American Academy of Nursing. 

Let's unravel the many facets of healthcare simulation together, as we explore the forthcoming IMSH virtual conference, with its focus on innovation, dissemination, education, and advocacy. Hear from Teresa's personal journey in this field and her laudable contributions, including bridging the gap between what learners experience and understand through innovative tools such as video demonstrations and debriefing. We also delve into the importance of maintaining psychological safety among learners for effective practice. Listen in, as we end our exchange with a reflection on the profound influence educators unconsciously extend to their students, underlining the power of legacy. So, gear up for an enlightening encounter with healthcare simulation and its potential to transform medical education and practice.

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The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the opinions or positions of anyone at Innovative Sim Solutions or our sponsors. Thanks to Iris Health Solutions Limited for sponsoring this week's podcast. Iris is a scenario design platform which makes it really easy to design, set up and run great scenarios in line with recognized best practice. Iris makes co-design and sharing of scenarios simple, and the library and review ensure one high quality version is always maintained. You can also join the Iris FairShare community and access, reuse or repurpose over 700 scenarios from colleagues around the world, with IP always recognized. The new Iris MiniSim Wizard allows quick and easy scenario creation for simpler sims, such as in situ, primary care and paramedic.

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Welcome to The Sim Cafe, a podcast produced by the team at Innovative Sim Solutions, edited by Shelly Houser. Join our host, Deb Tauber, and co-host Jerrod Jeffries as they sit down with subject matter experts from across the globe to reimagine clinical education and the use of simulation. So pour yourself a cup of relaxation, sit back, tune in and learn something new from The Sim Cafe.

Deb Tauber:

Welcome to another episode of The Sim Cafe. Today, Jerrod and I are here with Teresa Gore. And welcome, Jerrod. How are you today?

Jerrod Jeffries:

I'm doing great. I'm excited for our guest here. I know she has a long withstanding history and so much of the simulation world. She's had her fingers in a lot of pies and I think it's great that we have the opportunity to chat with her.

Teresa Gore:

I'm excited.

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I'm excited to hear Teresa.

Jerrod Jeffries:

But please tell the world who you are, if they don't already know, and if we're allowed to call you Teresa or Dr Moore.

Teresa Gore:

No, Teresa, definitely Teresa. We don't do the title things. It's like hey, I'm Teresa Gore, I am a simulationist. I got an early start, got officially into simulation around 2005,. Really got started 2007,. Started going to the conferences. I was at the right place at the right time. Things opened up for me and I was given an opportunity. A dean said hey, you know, we've got this mannequin that's been donated. Who wants to take on this? And I went, I do, and that's how it all started in 2007. And I started getting involved, got on INASCL board board of directors in 2008.

Teresa Gore:

Very different positions. I did conference planning, did different things. I'm a past president of an axle, which is international nursing association for clinical simulation and learning, and was privileged to be on the board when we wrote the first standards of best practice in simulation. So that was exciting and it has just continued from there. Went and I'm involved in SSH also, became a CHSE and then a CHSE and then I'm a fellow in the society and then I'm a fellow in the American Academy of Nursing and so I loved doing simulation. It is the most fun and I really do enjoy it. I'm a family nurse practitioner also, so we use it in graduate programs too.

Jerrod Jeffries:

Well, I will say I just so enjoy how you're spreading the love. You started one where we're going to chat a little bit about IMSH, who's presented from SSH, and you have such a vast breadth of knowledge so it's going to be a little difficult for me to try to limit it to one topic, but of course we'll do our best here.

Deb Tauber:

Excellent, excellent, so you are on the planning committee for IMSH.

Teresa Gore:

Yes.

Deb Tauber:

Why don't you go ahead and share with our listeners, without spilling the beans too much, some of the exciting things that we can look forward to All?

Teresa Gore:

Right. So we start, of course, over a year in advance, as we're planning the conference, and we got started with my co-planers, jamie Robertson and Cheryl Camacho, and we were looking for the idea of what we could do that was innovative, that took into account the direction of the board of the Society for Simulation and Healthcare, and they had just announced that they were really going to go for advocacy. They really wanted to do the advocacy. We were just we knew that the conference was going to be on the research summit and around that, looking at the research. So we wanted to look at ideas that we could bring everything together. So we knew that we really wanted to look at, of course, the disseminate and the advocate, and we always are doing education, so it was looking at how else we wanted to wrap it, and we are acronym people and so we came up with the word idea and that's where we came up with the innovate, disseminate, educate and advocate. And so we have an opportunity when you're doing and you're being a coach here, you get to look at all these different speakers some speakers that have been brought before and you get to look at some of their videos and some of their YouTube's and then you get to see what matches and what we're trying to cover. Well, there are four days that we need speakers and there's four letters and idea. So we covered each day we cover something a little different for our one, for our keynotes and our plenary.

Teresa Gore:

So the first one's going to open up with Michael Bonner, and he's an educator and he's going to bring you this. You know, last year we were kind of standing, we're standing on the shoulders of giants. That's what we always say. We build upon. The year before us, remember, we had speakers that were all over the stage and bringing this energy. Michael's going to be that way. He's got this energy about himself and he's going to talk about educating and being innovative in your education and how to engage, and he's been an author. He's got a lot of different background. So then our next one is going to be Kendra Hall and she is going to be the Lou Obendorf speaker and Lou's always looking for how we're going to advocate for health care. So her lens on this is going to be the storytelling aspect of it. How do you tell your story to get others engaged at that same time and get them to where they're going? Oh yes, this is what I want. I need this, and so it's going to show you how to use storytelling in that.

Teresa Gore:

Then our next day we're going to have Duncan Wardle and he's going to be our innovate person. Yes, he's from Disney, okay, so we were, yeah, okay. So now we're starting to see, remember a while back when we had, when we had IMSH at Disney and a dinner, and you know we had them there and we had the one. I mean, we had all of that from Disney and how that was. So we've got Duncan Wardle that's going to be with us. And then we have Kim Becking and she's going to be our disseminate person.

Teresa Gore:

And the thing that we want to stress to people is disseminate is not just article publication. You know, when you're trying to get tenure and then academia, that's what you think about podcast. All of these different things are different ways that you disseminate presentations. Being able to get people to understand what you do and want to go along with you is another way. So she's going to bring this from that momentum mindset. You know, we know about the fixed mindset, the growth mindset. She gets the momentum going and it's called a momentum mindset and that's where it's looking at spreading the news. But when you have those naysayers, don't get bogged down in the minutia part of it. It is how to go forth and don't let that drag you down. And so that's that, our speakers. And then we've got some other things planned too, but those are our speakers and we're really excited about those. Those were our top four. They were all available, all willing to do it, and then you can go on the website and look at three of them have videos up talking about being at IMSH 2024.

Deb Tauber:

That's going to be fantastic. I do remember just so concretely, being at that meeting in Disney. They went ahead and showed how Harry Potter was created.

Teresa Gore:

Yes.

Deb Tauber:

It was just. I get the chills just thinking about it now. It was just so engaging and fascinating and how they got the car to float and fly and how it got away in the wind and landed on somebody's patio.

Teresa Gore:

You know, those are the things is that we don't know what we're going to get when we go to these conferences and what you're going to hold on to, and that's why it's so important that we have these great speakers that give you the nugget. Even though it may not be just simulation specific, it's something that's going to help carry simulation forward in the community.

Deb Tauber:

Excellent, excellent. Now Jared and I are going to be in the press box again. We're going to be having the podcast live from the press box. So we're going to have you back, you and the group, yay. And we're going to see how, because I mean, it was so exciting last year to have we interviewed the three planning committee members and then they all came back afterward and they were just so excited.

Teresa Gore:

Yes.

Deb Tauber:

Yes, yes.

Jerrod Jeffries:

You know, deb and I had so many responses after IMSH where people were like, oh, I felt like I was there for a little bit because you're being able to go and extract these little nuggets from everybody. Who's had such a different build up to the conference? Yes, so we had a meeting planning committee, but then we talked with a slew of people from SSH and then you had we had some vendors there. We also had some key opinion leaders within healthcare simulation, so you get such a widespread of expertise and what they're planning when it comes to this epicenter of what simulation is.

Teresa Gore:

I always look at it and I tell people we're with our tribe, okay, so when we go to these conferences like IMSH 2024, we don't have to explain to you, we don't have to explain to anybody what we do. We all get it there, and so you don't take that energy that you normally have trying to get people to understand. You're already all there, so you have your foundation and from there it just launches to where you can sit down. I've sat down for dinner with somebody and we've come up and says, oh, that would be a great study to do. We need to look at that and you know where. It's like.

Teresa Gore:

You're pulling out pieces of paper or napkins in your writing notes or you're taking your phone out and you get some of the best collaboration. That happens because we do get and that's why I love about our title we do get an idea. We go, oh, let's go with this, and so many different things are launched from there. That's what is fabulous about it and that's that momentum and that's that energy that you get because you're there with your people and it is, you're just embraced.

Deb Tauber:

I can't agree more. I can tell you a lot of my best ideas are on a bar napkin. Yeah, on a napkin from the airplane.

Jerrod Jeffries:

That's also. You made me think, trisik. I've never realized how much time I actually do start conversations trying to tell people to like, just get to point A yes, Wait Simulation, and my default is like so you know pilots, right, yeah, and so everybody can kind of shove on that, but I don't want to say it's a waste of energy, but you do. I mean, that's really well said.

Teresa Gore:

It takes a lot of your time. We get straight to our stories. Then, instead of having to get people and do the backstory behind it, we get to jump right to the haha. This is it, and that is what is great about bringing all of this together.

Jerrod Jeffries:

And what's cooler is you jump to it but you can go so deep, so fast. So, yes, in the first 30 seconds, like oh, are you doing VR or XR? And it's like you know, I think I even saw last year, or definitely saw it some ghosts was the depth and the speed to that depth is, yes, unmanable, and it's like whoa you're not defining, you're not going.

Teresa Gore:

AR VR , XR what do you mean by those? Aren't they all just a headset? No, and that is what is great, and that's why we bring these together. That's why it is worth an investment in attending, because we all know that we can get education online. But you don't get that collaborative feeling and it's. I'll leave there so energized, and I know I'll leave there exhausted because I've done a conference before. I will leave there going. Oh dear God.

Jerrod Jeffries:

And you're planning committee.

Teresa Gore:

Yeah, but you leave there going. Okay, I now have replenished my soul, because it's like people say that when I talk about simulation I kind of light up because that's what I do, and so when you get that, it replenishes you to go to the next time. You get a chance to be with people and talk to people and get those ideas and just be able to go. Yes, I'm doing it, and that's the great thing is that being involved in simulation from early on is that when things started more being published and talked about and presented, it was so reassuring as to when you could sit there and go. So that's what I've been doing. Somebody's got a name for it because we didn't even know back then. We were doing it because it was based on education and it was based on what we thought we knew, and so when it was confirmed by research, you know it was a great feeling, and so it's just kind of the way that we get around.

Deb Tauber:

Yeah, and I want to take a minute to thank our sponsors, iris, student powered simulations for sponsoring this this week's episode, and we do want to talk a little bit more with you, Teresa. A couple more questions. One of them is how did you feel when you learned that you were going to be on the planning committee?

Teresa Gore:

I was very excited. All three of us took it very serious is because I just explained how I feel at a conference and that's what I look at. My job is right now is to make sure that that we are providing the people attending with that opportunity to energize your inner being, your soul, to go forward into the simulation community, to advance simulation, to teach health care providers to be the best providers for quality care and ultimately impact patient safety and improve patient outcomes. That's what all of this is about, and so it was very exciting for me to sit there and go. I have the opportunity to have an impact. I have the opportunity to give back to the simulation community what's been given to me all these numerous years before.

Jerrod Jeffries:

I don't want to say that's rare, because that's probably incorrect, but I love your mentality when you're thinking I've received, I've. You know in your words earlier, we've stood on the shoulders of giants, yes, and trying to give back, and it's trying to leave a legacy, and that's why I love the Disseminate piece of the idea Is to leave a legacy. You have to disseminate, you have to be able to say, hey, I've learned this. This is taking me one, two, three, four decades to learn, a A hard way, through all the different pickups, turbulence, etc. Yeah, and it right, it's not gonna be the exact same way of in the future, because, of course, technology is always changing and no matter what. But You're still gonna have this roadmap or shortcut to say well, don't waste two years here or, you know, reinforce this learning behavior before this other one, because it'll be a building foundation and I think that's what we find out with Simulationist is that we sit there and we go oh well, here, take this and build upon it.

Teresa Gore:

Don't start back. Recreating the wheel is because there is this. This is where we are. We all know that we want to keep growing. We don't know where the road map is gonna end because it's gonna be an ever-changing end as Everything and technology and learning continues to evolve. But we've got a roadmap Started. Don't go back at the very start when we've got a rest. Stop right here that we can help you go forward.

Deb Tauber:

Absolutely. That is just so true. Now, Teresa, do you have a favorite or most impactful simulation story that you'd like to share? I think.

Teresa Gore:

I do. It is when I when I think about I have so many different ones, but I can remember one back in the early when we were going why do you really need to video the students? They all hate it. So we were videoing and I had this student that when we got to debriefing I said well, when you paused, what were you thinking? She said I didn't stop. I Never paused and I looked at her and I said, yeah, you were. You were thinking she goes. I never stopped. I was going the whole time. We looked at the video and she said I Would have argued with you if I wouldn't have seen that video and and it was an a light bulb moment for me Because I had learned at that point, their mind is going through all the algorithms.

Teresa Gore:

Well, if I do this, I get this, and it's all that critical thinking, clinical judgment that we're trying to teach. Their mind goes so fast during that, their body standing still, and we've all seen it in simulation where they're doing they go because that's them going through the algorithm and that was when what we see and what they feel there's a gap and that's that bridging it and the debriefing and using the video to see it and Just to let you know, that happened back in 2009 and it has never Left me. I sit there and I can look at the students and a lot of times when I do a debriefing, I'll do a halt right there and then we partially debrief so that they can see where their thinking is. They get a chance to see and then connect and then Make the right decisions, because it depends on you. Of course, it would have to be a formative assessment with an earlier learner to do that and things like that. But then that is one of the things that I get.

Teresa Gore:

It is that they are so afraid to, especially if you educated. If you talk the class, like on heart failure, if you talk that class on heart failure, the next week you do a simulation on heart failure. They want to impress you, they want you to know you're a great teacher. I get it. But if you go back to cobs, experiential learning, they have to have that concrete experience To actually practice it and they get so upset and that's one of the reasons they get so upset with themselves. And so it's setting that up correctly through Prebriefing.

Teresa Gore:

But I always start with do you learn better from your successes or your struggles. I've never had a student say my successes, I always go, my struggles? I said we're gonna have a learning opportunity. Then that's what this is for. If you could already do it, perfect, it's a waste of your time, my time. So let's go learn. And that allows them and provides them with some psychological safety To be able to go forward and do their simulation and then connect it in the briefing so that when they go to perform with a patient, they can perform a little better. That's wonderful.

Jerrod Jeffries:

I think that's really well stated. Have you ever been told that you're someone's favorite teacher?

Teresa Gore:

Yeah, I still have some students who who contact me on Facebook and will send things and go do you remember me from? And I was like, and this would be? I had somebody at my first teaching job contact me about two years ago. I.

Jerrod Jeffries:

Wow.

Teresa Gore:

Yeah, and so we don't know who all we touch, mm-hmm, and we don't know who all they touch, so we will never know our true impact. All we can do is do the next right thing and hope that you get it. And it's great when you have a former student call and ask your question and say this is where I am, or you see them publish, or you see them presenting, and that is just to me it's one of the best things that you can say in your professional life.

Jerrod Jeffries:

And going back to your theme for this year for IMSH, right, the idea you know, innovate, disseminate, educate, advocate. You're able to touch so many more lives with the right dissemination, the right education. And then you're able to say, fortunately for you, you've been able to say, oh, I've been able to left you feedback through a medium such as Facebook, right, but if you're able to, at scale, reach more individuals, one and two have a close feedback mechanism, I think that also would push the boundaries of, you know, simulation and health care, all the more so. I do love that the student has closed the loop with you to say, hey, just letting you know this is what I think that is always.

Teresa Gore:

one of those things is that when you get that, you're just like I did make a difference, and that's what we're all trying to do is make a difference. And you know that gets to some other things with the conference that we're going to be doing. Everybody's been saying DEI, but some of the newest research is saying EDI, because being is where equity should be above all. So that's why they're changing it to EDI. So whether you say EDI or DEI, it's all the same letters. But one of the things is that we're going to have, as you know how, on the floor with all the vendors that we have the exhibit hall, we have those tables in the back for lunch. Well, there's going to be some special tables back there that we're going to have people that can sit there and you can talk to them about how to include DEI or EDI in your simulation, in your simulation program. Talk with people, any issues that you may be facing as a simulationist. So that's one of the aspects we're looking at.

Teresa Gore:

And then we all know that mental health is so important that we wanted to have. When you go to these conferences, you get all high and you get going. Oh, this is great, great. But sometimes you're like I need to have a moment to myself, I need to have a moment to gather, to get centered, but you don't want to go back a mile to three miles to your hotel. So we're going to have some mindfulness rooms with some mindfulness exercises, and we're working with mindfulness affinity group and we're working with the DEI group. So we're working with these different groups within SSH to provide these resources to people who are attending so that you can center your body back, so that you can have the best experience and learn the most at the conference.

Deb Tauber:

That's going to be really helpful. I just learned yesterday 5, 4, 3, 2, 1 is a mindfulness practice, which is 5, 5 things I can see, 4, 4 things I can touch, 3, 3, 3 things I can hear, 2, 2 things I can smell and 1, 1 thing I can taste, and I'll tell you.

Jerrod Jeffries:

since I learned it. Since I learned it, it is. I want some fire. Yeah.

Deb Tauber:

It has really helped me to be more mindful and present when I start to get away from myself.

Teresa Gore:

So what was it again? 5?

Deb Tauber:

5 things I can see, 4 things I can touch, 3 things I can hear, 2 things I can smell and 1 thing I can taste.

Teresa Gore:

Say chocolate, I knew it would come in there.

Jerrod Jeffries:

Always keep a chocolate bar nearby, that's it.

Teresa Gore:

You know, Mental health break. Well, I mean, that's what we're saying is that we need to have some of these. You know that may be something we place in there. We're going to have something like some QR codes that are apps. You can listen to different things that people can do to center themselves so that they can go and give it their all, but it's their center again.

Jerrod Jeffries:

So you're adding IMSH 2024 in San Diego. You're going to be adding EDI. Edi I don't want to say booth, but area where people can hang out. There's going to be a little bit more focus on mental health and lighten up. Is there anything else? Or I mean because these are great.

Teresa Gore:

Those are our two that we kind of focused in on, because then you can see what can you grow for the next year. So instead of doing a lot of little things, we chose some areas to focus to bring the most for that.

Deb Tauber:

So, yes, Very important areas. Yeah, this has just been absolutely inspiring. Is there anything that you'd like to leave our listeners with, or any questions for Jared and I today?

Teresa Gore:

I challenge everyone to get a growth mindset. Okay, your fixed mindset is I can't. This is my God given ability, that's what I've got. A growth mindset is that I can change, I can learn, I have permission to fail, I have permission to have a struggle and have a learning opportunity, because if I don't push the boundaries, then it won't have growth, and if I don't have growth and simulation doesn't have growth what will we have done during COVID If we weren't innovators? So it is to have that growth mindset so that you can innovate, disseminate, educate and advocate and be involved. Take every opportunity you can, because when I started, I never thought I would publish and I was always afraid to say no. And because I didn't say no, I wound up with a beautiful career that I'm so thankful for, for being at the right place at the right time and being open to the challenge.

Jerrod Jeffries:

Maybe you become at the right place at the right time because of your growth mindset.

Teresa Gore:

It could be, but it was like I was. I've got to do this.

Jerrod Jeffries:

That's beautiful Teresa. Thank you for sharing this. Yes.

Deb Tauber:

Yes, it's absolutely beautiful. All right, well, we look forward to seeing you at IMSH and, once again, we'll interview you in the podcast booth. And thank you so much for all that you're doing. Thank you for your charity of knowledge, as Ferooz calls it, for sharing all these wonderful things and getting people together and getting them excited, and all of your passion and things that you have contributed to health care simulation.

Teresa Gore:

Thank you very much. And just to let remind everybody, there's still the diamond ball, as we opened up the presidential diamond ball and the sim fit. If you're a runner, there's a chance to exercise so that we can look at mind, body and spirit. So, all together, so yep In that time. Thank you it does, and it's so much fun.

Deb Tauber:

Right Anything, Jerrod, do you want to say?

Jerrod Jeffries:

I appreciate you being here. I think now we're a couple months before, but the time between now and the actual event goes by so fast because of the holiday? Yes, and so I take it. I appreciate you taking the time to be with us, Teresa, and getting a peek inside your mind of the one of the planning committee members for IMSH 2024. So thanks again.

Teresa Gore:

Thanks a lot and we look forward to talking with you from the booth there, as we're in the midst the next time.

Deb Tauber:

Okay, thank you very much and happy simulating.

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Thanks again to Iris Health Solutions Limited for sponsoring this week's podcast. Iris Health Solutions Limited makes co designing, sharing and creating sim scenarios quick and easy. Thanks for joining us here at The Sim Cafe. We hope you enjoyed. Visit us at www. innovativesim solutions. com and be sure to hit that like and subscribe button so you never miss an episode. Innovative Sim Solutions is your one stop shop for your simulation needs, a turnkey solution.

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