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Manifesto for healthcare simulation practice

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    The ethical imperative of psychological safety in healthcare. In response to the Manifesto for healthcare simulation practice.
    • Sharon Griswold, MD MPH, Professor of Emergency Medicine Penn State Health Milton S. Hershey Medical Center
    • Other Contributors:
      • Toshiko Uchida, MD, Associate Professor of Medicine and Medical Education
      • S. Barry Issenberg, MD, Michael S. Gordon Professor of Medicine and Medical Education, Director of the Gordon Center for Research
      • Ivette Motola, MD, Associate Professor of Emergency Medicine, Asst. Director of the Gordon Center for Simulation and Innovation in Medical Ed.
      • William C. McGaghie, PhD, Professor of Medical Education and Preventive Medicine
      • Michael A. Gisondi, MD, Associate Professor and Vice Chair of Education, Principal, The Precision Education and Assessment Research Lab
      • Amelia Lorenz, Standardized Patient
      • Jeffrey H. Barsuk, MD, MS, SFHM, Professor of Medicine and Medical Education

    We read the Park et al. Manifesto for healthcare simulation practice1 with great interest and present this commentary to prompt continued discussion.

    The effects of the pandemic are widespread throughout healthcare and health professions education. In the Manifesto, the authors implore simulationists to “adopt a commitment to comprehensive safety, to advocate collaboratively and to lead ethically.” They emphasize working remotely and fear that some simulationists’ “calls for safety are overlooked or even disregarded by their own institutions.” We emphatically agree that healthcare simulationists should inform clinical and educational leaders about safety, collaborative advocacy, and ethics during the current pandemic and in its aftermath.

    The article suggests that standardized patients (SPs) may not have an empowered voice to speak up if they feel unsafe in the learning environment and that SPs should have the same psychological safety as learners and patients. We agree with the authors that psychological safety for all simulationists, learners, and clinicians is imperative to the health and wellbeing of learners and patients.

    The Quadruple Aim of healthcare suggests a thriving, well-trained, and fulfilled workforce provides better care for patients.2 In this unusual time, there is an essential tension among the competing priorities of professional safety, service, duty, and satisfaction. We simulationists have spent decades demonstrating how rigo...

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    Conflict of Interest:
    None declared.