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Telementoring for remote simulation instructor training and faculty development using telesimulation
  1. Isabel Theresia Gross1,2,
  2. Travis Whitfill1,2,
  3. Luize Auzina3,
  4. Marc Auerbach1,2,
  5. Reinis Balmaks3,4
  1. 1Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut, USA
  2. 2Department of Emergency Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
  3. 3Department of Pediatrics, Riga Stradins University, Riga, Latvia
  4. 4Department of Clinical Skills and Medical Technology, Riga Stradins University, Riga, Latvia
  1. Correspondence to Dr Isabel Theresia Gross, Pediatrics, Yale University School of Medicine, New Haven, CT 06510, USA; isabel.t.gross{at}


Introduction Simulation-based training is essential for high-quality medical care, but it requires access to equipment and expertise. Technology can facilitate connecting educators to training in simulation. We aimed to explore the use of remote simulation faculty development in Latvia using telesimulation and telementoring with an experienced debriefer located in the USA.

Methods This was a prospective, simulation-based longitudinal study. Over the course of 16 months, a remote simulation instructor (RI) from the USA and a local instructor (LI) in Latvia cofacilitated with teleconferencing. Responsibility gradually transitioned from the RI to the LI. At the end of each session, students completed the Debriefing Assessment for Simulation in Healthcare (DASH) student version form (DASH-SV) and a general feedback form, and the LI completed the instructor version of the DASH form (DASH-IV). Outcome measures were the changes in DASH scores over time.

Results A total of eight simulation sessions were cofacilitated of 16 months. As the role of the LI increased over time, the debrief quality measured with the DASH-IV did not change significantly (from 89 to 87), although the DASH-SV score decreased from a total median score of 89 (IQR 86–98) to 80 (IQR 78–85) (p=0.005).

Conclusion In this study, telementoring with telesimulations resulted in high-quality debriefing. The quality—perceived by the students—was higher with the involvement of the remote instructor and declined during the transition to the LI. This concept requires further investigation and could potentially build local simulation expertise promoting sustainability of high-quality simulation.

  • instructor development
  • telesimulation
  • simulation
  • near-peer coaching

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  • Contributors ITG and RB conceptualised the study and drafted the initial manuscript. TW, MA and LB critically reviewed, revised and approved the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement No data are available.

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