‘Visiting uncertainty’: an immersive primary care simulation to explore decision-making when there is clinical uncertainty

Figures & data

Figure 1. Simulation cycle used to design the ACC and the ‘home visit’ scenario.

Table 1. Acute care course design overview.

Time		Course Component	Features/pedagogy of simulation-based educational intervention
Pre-course		Setting Learning Objectives Equipment Preparation Simulated Participant Preparation Faculty Preparation Learner Preparation	Curriculum Integration Educational Context Simulation Fidelity InterSim Facility at QUB Simulation Fidelity Instructor Training Instructor Training Team Training Timetable Orientation to new InterSim Facility at QUB eALS
Intra- course	Pre-brief Learning Activity Debriefing	Psychological safety Promote engagement Orientation to the Simulation Environment Advanced Clinical Skills Simulated Scenarios Debriefing Conversations– PEARLS or The Diamond Debrief strategies	Confidentiality Mutual Respect Open Dialogue Behavioural Expectations Simulation Limitations and Suspending Disbelief Visualisation of Future Professional Selves Near peer teaching (Academic F2s) InterSim Facility Educational Resources Facilitators Simulated Participants Course Structure Deliberate Individual Practice for Mastery of Advanced Clinical Skills Activity Theory Social Learning Theory Dialogism Active Learning Education = ‘drawing learning out from students’ Environment – seated at plectrum table Reflective Learning Transformative Learning
Post-Course		Student Evaluation Faculty Evaluation Faculty Meta-debrief	Reflective Learning for ACC faculty with Course Evaluation and modification for feeding forward
Planned Future Developments		Learner Preparation Longitudinal Qualitative Research	Technology assisted learning – App Impact of simulation based education on priming learners for experiential learning in the clinical environment IPE with nursing students

Figure 2. Image illustrating a simulation home visit of an acutely unwell patient and a connected conversation suite used for observation and debriefing.