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MEdIC Series: The Case of the Difficult Debrief – Expert Review and Curated Community Commentary


Our second case of season 5, The Case of the Difficult Debrief, presented the scenario of a budding simulation educator who had a difficult experience debriefing a cohort of learners.

This month’s case was developed in collaboration with the team at Simulcast, an excellent simulation website operated by a team of emergency providers in Australia, whose work includes a online Journal Club based loosely on the MEdIC discussion concept. After reviewing this commentary, we encourage readers to check out their podcast that delves into some of the issues that arose from this month’s MEdIC case.

The MEdIC team (Drs. Tamara McColl, Teresa Chan, Sarah Luckett-Gatopoulos, Eve Purdy, John Eicken, Alkarim Velji, and Brent Thoma), hosted an online discussion around the case over the last 2 weeks with insights from the ALiEM community. We are proud to present to you the curated commentary and our expert opinions. Thank-you to all participants for contributing to the very rich discussions surrounding this case!

This follow-up post includes

  • Responses from our solicited experts:
    • Dr. Glen Posner (@gdposner) is an Associate Professor and clinician educator in the department of Obstetrics & Gynecology at the University of Ottawa. He is the inaugural Medical Director of the Simulation Patient Safety Program at The Ottawa Hospital, and the Medical Director of the University of Ottawa Skills & Simulation Center. Glenn is also a Simulation Educator for the Royal College of Physicians & Surgeons of Canada. Dr. Posner’s program of research relates to the assessment of the intrinsic CanMEDS roles and patient-safety competencies using all forms of simulation.
    • Dr. Andrew Hall (@AKHallMD) is an Assistant Professor in the Department of Emergency Medicine at Queen’s University where he is the Competency-Based Medical Education (CBME) Lead for the FRCPC-EM training program. He is a Simulation-based Resuscitation Rounds Instructor and runs the Simulation-based OSCE Assessment Program for EM residents. He completed a Masters in Medical Education through the University of Dundee in Scotland. His current research areas include CBME program evaluation, the development and validation of competency-based assessment tools and processes, and the use of simulation and novel technologies for assessment.
  • A summary of insights from the ALiEM community derived from the Twitter and blog discussions
  • Freely downloadable PDF versions of the case and expert responses for use in continuing medical education activities
Expert Response 1: Managing Debriefing Roadblocks (Dr. Glenn Posner)
Expert Response 2: Sharing the Experience (Dr. Andrew Hall)
Curated from the Community (Dr. Eve Purdy)

Case and Responses for Download

Click here (or on the picture below) to download the case and responses as a PDF (182 kb).

Tamara McColl, MD FRCPC

Tamara McColl, MD FRCPC

Associate Editor, ALiEM MEdIC Series
Emergency Physician, St. Boniface Hospital, WRHA
Academic Lead, Educational Scholarship
Department of Emergency Medicine
University of Manitoba