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104 Sharing learning outcomes – simulation in the leeds teaching hospitals emergency departments, and development of a weekly newsletter “simnews”
  1. A Holdstock,
  2. A Davies
  1. Leeds Teaching Hospitals Trust, UK


Our EDs run twice weekly in-situ simulations developing the clinical and non-technical skills of our workforce and assessing our system processes. Whilst the impact of simulation is significant, in-situ simulation is delivered to small staff numbers each time. Due to the nature of a busy ED, maximising the time and impact of a debrief can be challenging and we recognised the need to develop a means to summarise and share the key learning outcomes of our programme.1

We developed a weekly simulation editorial -- “Sim News”. Based around the in-situ simulation cases, we summarise simulation and debrief key learning into bite size chunks with links to external resources for further information. Each learning summary has three distinct sections: Clinical soundbites, Non-technical skills and System Learning with a final “Take Home Message”.

Initial distribution was via departmental email and departmental twitter feed “@MyIED” with the knowledge that social media is widely accepted in the medical and FOAMED community.2,3 Distributing information in this way enables us to demonstrate our work and share sessional learning outcomes to a wider audience. Linked with this, each episode is uploaded to a closed group departmental Facebook account and the Trust Virtual Learning Environment. The next step is to reinforce weekly take home messages at nursing and medical handover.

Using a multi-modality model of sharing learning via email, poster, social media, and face to face at handover helps us reach every member of the team and appeal to variety of learners across our trust and to a wider group of enthusiasts.

We demonstrate that simple steps can be made to share learning amongst a department in an accessible and palatable way. In doing so, the well-established effects of simulation on patient safety and clinical education can be extended wider.4,5




  3. Scott, Kevin R. et al. Integration of social media in emergency medicine residency curriculum. Ann Emerg Med 2014;64(4)396–404.

  4. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. Patterson, MD et al. BMJ Qual Saf 2013;22(6):468–77

  5. Teamwork evaluation during emergency medicine residents’ high-fidelity. Innocenti et al: BMJ STEL 2016;2:12–18.

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