Hello Sim Enthusiasts!
With the new year comes new blood. I’m excited to be your new Simulation Division Vice Chair! We hope to continue the fantastic work our current team have accomplished this past year and look forward to offering new and fantastic opportunities for everyone to get involved in. We hope you will find this newsletter useful. If you have any questions, comments, concerns or suggestions, please feel free to contact us at simulation@emra.org
Aga De Castro, MD, MPH
Vice Chair, EMRA Simulation Division
Emergency Medicine Resident Physician
University of Connecticut/Hartford Hospital


Upcoming Events
Journal Article of the Month
Simulation Resources


#1 EMRA Simulation Research Grant
With the success of last year’s inaugural research grant, we are seeking addition funding to make the grand prize even greater in 2018. Our hope is to spur more interest in getting involved with simulation by supporting amazing projects. Stay tuned for details on submitting your proposal for the next award cycle! Once again, we couldn’t have done this without your enthusiasm to pursue medical simulation and educational research!
#2 Introduction to Simulation
Included is a link on a fantastic website geared towards medical students interested in creating a simulation program. This website was developed by the creators behind SIM – Student Initiative in Medical Simulation. Please take a look on our website or through this link: http://www.joinsims.com/simulation-resources.
#3 SimWARS @ SAEM 2018
Get pumped! Plenty of fantastic ideas are already flowing for the upcoming SimWARS event at SAEM in Indianapolis this May 2018. Stay tuned for concrete deadlines in February 2018 on how you can participate!
#4 Society for Simulation in Healthcare (SSH) at IMSH 2018
The Emergency Medicine Division of SSH just had their annual meeting at IMSH 2018 in Los Angeles this month. They are looking for more resident (and medical student) involvement in their division. Paid membership to SSH is NOT required to get involved with the division as a medical student or resident. Please contact simulation@emra.org for more details on how to participate!
#5 ‘CHAOS’ is coming to CORD 2018
We are excited about LEADING this awesome NEW event for EMRA’s debut at CORD’s Academic Assembly 2018! In conjunction with several other EMRA committees/divisions, this new competition promises to give participants an educational (yet fun) experience! Check out the link for more details on how to register and WIN PRIZES!!! https://www.emra.org/events/CHAOS-in-the-ED/
#6 CORD Committee Opportunity!
Ever wonder how CORD comes up with ideas or how the theme for the next Academic Assembly will be decided? Committees, which are made up of YOU, the CORD member! As a resident, now is your chance to bring your ideas to the table, make change a reality, and sharpen your leadership skills! Consider joining the Simulation Academy by logging in to cordem.org for more details!

UPCOMING EVENTS (with tentative timelines)

CORD 2018
-April 21-24, 2018 in San Antonio, TX
-April 21st – Simulation Division Meeting (TBA)
-April 24th, 9am-12pm – ‘CHAOS’ in the ED
SAEM 2018
-May 15-18, 2018 in Indianapolis, IN


“Comparison of Simulation-based Resuscitation Performance Assessments With In-training Evaluation Reports in Emergency Medicine Residents: A Canadian Multicenter Study”
Andrew Koch Hall, J. Damon Dagnone, Sean Moore, Karen G. H. Woolfrey, John A. Ross, Gordon McNeil, Carly Hagel, Colleen Davison and Stefanie S. Sebok-Syer


Simulation stands to serve an important role in modern competency-based programs of assessment in postgraduate medical education. Our objective was to compare the performance of individual emergency medicine (EM) residents in a simulation-based resuscitation objective structured clinical examination (OSCE) using the Queen's Simulation Assessment Tool (QSAT), with portfolio assessment of clinical encounters using a modified in-training evaluation report (ITER) to understand in greater detail the inferences that may be drawn from a simulation-based OSCE assessment.


A prospective observational study was employed to explore the use of a multicenter simulation-based OSCE for evaluation of resuscitation competence. EM residents from five Canadian academic sites participated in the OSCE. Video-recorded performances were scored by blinded raters using the scenario-specific QSATs with domain-specific anchored scores (primary assessment, diagnostic actions, therapeutic actions, communication) and a global assessment score (GAS). Residents’ portfolios were evaluated using a modified ITER subdivided by CanMEDS roles (medical expert, communicator, collaborator, leader, health advocate, scholar, and professional) and a GAS. Correlational and regression analyses were performed comparing components of each of the assessment methods.

Portfolio review and ITER scoring was performed for 79 residents participating in the simulation-based OSCE. There was a significant positive correlation between total OSCE and ITER scores (r = 0.341). The strongest correlations were found between ITER medical expert score and each of the OSCE GAS (r = 0.420), communication (r = 0.443), and therapeutic action (r = 0.484) domains. ITER medical expert was a significant predictor of OSCE total (p = 0.002). OSCE therapeutic action was a significant predictor of ITER total (p = 0.02)

Simulation-based resuscitation OSCEs and portfolio assessment captured by ITERs appear to measure differing aspects of competence, with weak to moderate correlation between those measures of conceptually similar constructs. In a program of competency-based assessment of EM residents, a simulation-based OSCE using the QSAT shows promise as a tool for assessing medical expert and communicator roles.




EMRA Joins CORD Academic Assembly 2018
As mentioned last month, EMRA will be hosting its spring meeting at the CORD Academic Assembly.
[Official announcement on the EMRA website - https://www.emra.org/spring-meeting/
EMRA Simulation Webpage  
The EMRA webpage is revamped and we’ve heard really great feedback from end-users. We are actively trying to keep all site information up-to-date, as well as provide links to simulation resources and past newsletters.  Feel free to make suggestions regarding content you would like added to the page. 
EMRA Pediatric Sim Case submissions
We are continuing to compile a NEW compendium of pediatric simulation in collaboration with the great minds behind the Introduction to Simulation, an Educational Guide for Medical Students. If you are interested in being listed as a contributing author to a potential EMRA publication (which makes for an attractive add-on to any CV), please email simulation@emra.org for detailed information and how you can get involved!
EMRA Simulation Projects:
Many division projects are underway!  Stay tuned for updates.

That pretty much covers it for this month!  Let me know if you have any questions or want to get involved. 

-Aga De Castro, MD, MPH

Simulation Division Board members
Tony Zhang, Chair, xzhang09.emra@gmail.com 
Aga De Castro, Vice Chair, decastro@uchc.edu
Alex Tran, Public Relations, alextran.emra@gmail.com  
Chana Rich, SimWars Liaison, chana.l.rich@gmail.com 
Nick Salerno, Division Liaison to EMRA BOARD, EMRA Director of Technology, nickrsalerno.emra@gmail.com