‘Let's pretend’ in paediatrics: in situ simulation in practice

In-situ simulation is simulation-based education which is integrated into the clinical environment rather than in a dedicated training venue. It is used to improve clinical care, team dynamics and leadership as well as evaluate system issues and identify latent threats in the environment.

Designing a simulation, whether impromptu or planned, is crucial to its success. Considering the scenario and learning outcomes, location, equipment required and ensuring the right facilitators are available is essential. A simulation proforma can help to structure and deliver a successful session. It is important to create a supportive educational environment where participants feel comfortable and there is open debrief which identifies key learning for individuals, the department and wider system.

Embedding simulation into a department can be challenging but equally rewarding and lead to improvements in team performance and communication.