October 6, 2025 • 27 mins
Katie Cushman, Simulation Operations Specialist at Atrium Health, shares her journey from nursing student to healthcare simulation professional and how finding her niche in simulation technology combines her passions for healthcare, education, and technology.
• Transitioned from nursing school to pursuing a Bachelor's degree in Healthcare Simulation after realizing bedside nursing wasn't the right fit
• Gained first meaningful exposure to simulation technology at a human-patient simulation day, seeing mannequins in action
• Completed specialized education covering simulation foundations, education principles, operations, research and administration
• Enjoys the technical aspects of working with simulation mannequins and problem-solving when technology challenges arise
• Creates realistic simulations including organ procurement scenarios with Life Share and injury simulations for military training
• Develops pipeline programs introducing middle and high school students to healthcare simulation as a career option
• Recently earned CHSOS certification and aspires to eventually become a Certified Healthcare Simulation Educator and SSH Fellow
• Values mentorship and connections within the simulation community
Contact Katie Cushman at Kathryn.Cushman@advocatehealth.org or find her on LinkedIn to learn more about careers in healthcare simulation.
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Are you a healthcareprofessional or educator looking
to level up your trainingmethods?
(00:20):
Then you need to check out thebasics of healthcare simulation,
a dynamic foundational coursedesigned to introduce you to the
powerful world ofsimulation-based learning.
From mannequins to virtualreality, this class breaks down
the tools, techniques, andstrategies that bring clinical
education to life safely,effectively, and realistically.
(00:40):
Whether you're brand new tosimulation or just want to
refresher course, this will giveyou the confidence and skills
to create engaging, high-impactlearning experiences.
Ready to revolutionize how toteach and train?
Reach out to Deb Tauber atInnovative Sim Solutions to set
up your training today.
Welcome to The Sim Cafe, apodcast produced by the team at
(01:04):
Innovative Sim Solutions andedited by Shelly Houser.
Join our host, Deb Tauber andco-host Jerrod Jeffries, as they
sit down with subject matterexperts from across the globe to
reimagine clinical educationand the use of simulation.
So pour yourself a cup ofrelaxation, sit back, and tune
(01:30):
in and learn something newfrom The Sim Cafe.
Deb Tauber (01:40):
Welcome to another episode of The Sim Cafe.
And today we are very fortunateto have Katie Kushman.
Katie is from Atrium Health,which is part of Advocate Health
in North Carolina.
Katie, why don't you tell ourlisteners just a little bit
about yourself?
And thank you so much for beinga guest.
Katie Kushman (01:58):
Yeah, thank you so much for having me.
So hi everyone, my name isKatie.
I'm a simulation operationsspecialist.
I actually was fortunate enoughto get my Bachelor's Science
in healthcare simulation and anew program as a part of Atrium
Health Carolina College ofHealth Sciences.
So it was a four-year degree.
(02:18):
I actually started as a nursingstudent before that degree,
though, directly out of highschool and made it about a year,
year and a half.
And in clinicals, I just kindof realized that the bedside
nursing wasn't quite the rightspot for me.
And so I left nursing school,but still wanted to do something
with healthcare and possiblywith tech.
(02:40):
And so the program had poppedup and I kind of took a leap of
faith with that and kind of fellin love with simulation over
the course of going through thatprogram.
And so now I've been here insimulation for a total of four
years, I guess if you count myschooling, but officially two
(03:00):
years.
And then I just passed my CHSOScertification this past
January.
Deb Tauber (03:05):
Congratulations on passing that.
Yeah, thank you so much.
Thank you.
So what was your firstexperience with simulation in
healthcare?
Katie Kushman (03:14):
So probably my first experience, uh, once I
had, you know, gotten theacceptance to the program, which
was kind of a leap of faith, Idid like a quick Google search
just to try and figure out whatthe healthcare simulation
industry was.
But the first parts of thecourse were like the foundations
of simulation.
So we did a lot of reviewing ofeducation parts and then the
(03:36):
operation side as well asadministration and research.
But it was a lot of still likereading through the textbooks,
and I had didn't have thatin-person connection with Sim
yet.
And so we had been talking withCrystal Bank and who was my
instructor, and there was ahuman-patient simulation day
with CAE up at Elon University.
(03:57):
And so I thought that was agood jumping point for me to
kind of go see these mannequinsthat I had been reading about in
my textbook and kind of likethe functionality in that
regard.
And so I got to go to thatevent and we got to sit through
a couple of talks aboutsimulation and best practices
and working with the curriculumdesign process and getting to
(04:19):
talk to some of the people fromCAE about instruction and
building and how the mannequinsfunction, getting to see
different types of mannequins.
I got to see their birthingmannequin, I got to see their
adult mannequin, some of theirpediatric mannequins, detached
trainers.
So I really got to put my handson what I had been talking and
(04:39):
learning about for the pastseveral months.
And so that really kind of justgrabbed me.
Like that was where I was kindof like, okay, this is something
that I can really get behindand see myself doing and
understanding maybe how to fixthe mannequin, maybe how to, you
know, get to run the scenarios.
And so I I kind of found thatniche of the technology interest
(05:01):
that I had, as well as stillallowing it to be in touch with
healthcare.
So I thought that was a reallyawesome jumping point for me to
really dive in further.
Deb Tauber (05:11):
Great.
Now so you're in nursing schooland you decide you don't want
to be in nursing anymore.
Katie Kushman (05:19):
Yeah.
Deb Tauber (05:19):
Did you regret that decision at all?
Do you do you regret it at thistime, man?
Katie Kushman (05:23):
At this point in time, I don't.
It was definitely something Ibattled with initially just
because that's what I had toldmyself I wanted to do since I
was like an early teen.
I always enjoyed working withkids and babies and things like
that.
And so I thought I wanted to bea NICU nurse or possibly a
labor and delivery nurse.
(05:44):
And so that's where I spent alot of my time focusing with my
coursework.
I took any human body systemclass or anatomy class.
But when I got into clinicals,I just had some not so great
involuntary reactions to stuff Iwas seeing in the clinical
field that kind of was a verystrong telltale sign that that
(06:04):
wasn't for me.
And so I think it was, it hurtmy pride a little bit, just
right.
Like I had told everybody, youknow, I'm going to go be a nurse
and I'm going to do this.
And so that's definitelysomething that I had to work
through on my own.
But I will say, being in SIMnow for several years, getting
to watch more of the behind thescenes of healthcare almost, I
(06:27):
really find that superinteresting to see the learners
progress.
Like right when we start withour baby nursing students to
when they're senior nursingstudents or our first-year med
students to our fourth-year medstudents, or even them coming
out of medical school in theirfirst years of residency until
they're leaving, and getting tosee their confidence grow and
the progress of the learnersreally just feeds my soul.
(06:50):
And I, you know, I love gettingto see that and we get to hear
amazing stories from them abouthow simulation made a difference
in their life.
And so I've really found apurpose within simulation that
really just touches oneverything that I have values
for with learning and educationand technology and healthcare.
It's like the perfect job thatholds all the pieces.
(07:11):
And so now I don't have thatregret.
And I love working with ournurse educators and I think
they're all amazing people, butI've found that this is this is
where I was meant to be.
Like I feel like this is aspecial place, and I'm happy.
Deb Tauber (07:23):
Good.
Good.
That's that's important.
That's really important.
Was there a specific momentwhen you were you saw a
simulator and something justglitched?
This is this is absolutelywhere I gotta be.
Katie Kushman (07:35):
Yeah.
Well, so I always likedtinkering with devices and and
technology kind of growing up.
I would like take computersapart and build things, and I
liked all the cables and thewires and connections and those
kinds of things.
Actually, truly, like gettingto see the mannequins in action
was cool, a little creepy, if Ibe if I'm being completely
(07:55):
honest at first, right?
You I had because the onlymannequin I had ever seen was a
low fidelity skills checkoffkind of mannequin and not one
that had all the functionalityof the breathing and the
blinking and the pulses and allof that.
So seeing that for the firsttime I was kind of like, whoa,
what is this?
But honestly, when we get toyou know, crack the mannequin
(08:16):
open, like if we're doing somekind of repair or really kind of
messing like with doing therepairs in the hands-on, or hey,
I need to fix this, kind oflike that critical thinking.
I just that is something that Ireally align with and the
problem solving, right?
Because technology is ablessing and a curse, right?
When it's working great, it'samazing.
And when it's not working,you're really like, okay, is it
(08:37):
just uh unplug it and plug itback in, or do I really need to
like think deeper about likewhat's going on or working with
our team to come up with aworkaround of this is what we
need for the learners, what canwe do to get this?
So honestly, I think justgetting to see the mannequins
and getting to see how thetechnology works and just
seeing, like, kind of like Isaid earlier, like in apply my
(09:00):
healthcare interest and I canapply my technology interest
together.
And we get to kind of have funand create and build the
scenarios and set the room to asetting that we may need it.
And I still get to learn abouthealthcare things and equipment
and things like that.
And so I really get to workwith that.
And I think that's what reallyfills me too is you know, I love
(09:23):
working with our nursingstudents and our medical
students, but I also get to dosome additional work with Sanger
Heart and Vascular.
So we're doing some moreintense cardiac cases, or I've
done some work with Life Share,which is organ procurement.
So, how did we set that up tobecome as realistic as possible?
And like working with some ofour simulated participants as
(09:44):
family members so that we canhelp those learners have those
difficult conversations andgetting to work with a really
amazing team to get to bringthose to life.
So yeah, that's just it.
I love coming to work everyday.
We get to really bringhealthcare to life in a in a
safe and secure setting.
So yeah.
Deb Tauber (10:02):
Now tell me a little bit about your preparation.
How'd you find out about, oh,there's actually a you can go to
school for this.
And then what were the thecourses and what's the degree?
Tell me about the whole programand once again how you how you
found out about it.
Katie Kushman (10:15):
Yeah, yeah, of course.
When I was kind of in a, Iguess a lull we'll call it
between nursing school and thisprogram.
I was just kind of taking somecourses at the community college
just to kind of stay in thatmindset of school.
And they actually did a newsegment on the new program, just
on one of our local newschannels.
And so I ended up calling theschool and seeing if they could
(10:38):
tell me kind of any moreinformation.
Now, I was the very firstbachelor's student to go through
the program.
And so they kind of like tosay, you know, we were building
the plane while we were flyingit.
So I got to be a little bit ofa guinea pig, which at first was
like a little nerve-wracking,right?
Because I didn't know what toexpect fully.
(10:58):
But once we got into it, thatwas really not a concern at all.
I really enjoyed it becausethey got to ask me, like, well,
what do you think about this?
Or, hey, you read through thischapter, what really piqued your
interest?
What do we want to dive inmore?
And everybody was superwelcoming.
We did a um a post-backcertificate or a bachelor's
degree.
And so I was the bachelor'sstudent, and then I had four or
(11:21):
five other classmates that werepost-back certificate.
I will say, when I got on thatcall for the first time to kind
of meet your classmates, I wasthe youngest one on the call,
probably by about 20 years ofage.
So I was a little intimidatedat first, but it ended up
working out phenomenally,actually, because I got to talk
(11:42):
to my peers in the degree forkind of their wisdom and coming
from the healthcare industry orwherever they're working.
And so we kind of met eachother halfway because I brought
the, oh, I have some moretechnology stuff that I
understand.
So I can help you work throughthis if you can kind of help me
figure out what we're talkingabout in this situation.
And so I was very grateful tohave them.
(12:04):
And I kind of found my voice asthey all cheered me on and were
like, yeah, you know the answerto this, or they can see the
passion that I have for acertain course or something like
that.
And so everybody was extremelysupportive in that regard.
And so, yeah, so I got into theprogram and we all did a
foundation's semester ofsimulation again, talking about
(12:26):
all the different aspects.
And then we dove into oureducation course, which I
thought was very interesting,what all our educators go
through, right?
To be able to build theseprograms and cases and working
with the simulation educator andthen working with our subject
matter expert in whatever groupthat we're working with and how
(12:48):
they do their curriculum designand talking about objectives.
And we learned about the Kearnsmodel and then Kirkpatrick and
how they're using those toidentify gaps in knowledge and
what it is that our learnerstruly need.
And so, because our simulationeducators are the expert in
simulation, and then our subjectmatter experts are the expert
of what's going on in theclinical field, we get to merge
(13:11):
that information and then as anoperations specialist, getting
to work with them to help bringthat scenario to life.
And so talking through thatwhole design process and what
that looks like, and thenestablishing the psychological
safety with the learners andgoing through that pre-brief and
what does that look like?
So we spent about 45 hours forthat semester in that course
(13:33):
where we pretty much justshadowed and followed around
with the educators through thisentire process, which I was
fascinated by just because Ithink the education side of it
is very interesting and how theyget to pull all these different
parts and pieces together tobuild this for the learners and
then getting to collaborate withthem to then build the scenario
(13:54):
and the programming and thevitals and all of those things.
So that was the first classthat I went through.
And then we talked a little bitabout the debriefing process as
well, like plus Delta and allthe different debriefing
avenues.
And then after the educationcourse, we jumped into our
operations specialist course.
And that's where I really justI hit the ground running with
(14:16):
that one.
I was so excited to just divein and see like what they really
got to do because we were, Iwas able to, because the college
was through HRM Health and thenour simulation center right is
attached to HRM Health.
I was able to shadow a lot ofour operations specialists and
get to see what they did.
And they were all phenomenaland really welcomed me with an
(14:38):
open arm.
And I was the kid that asked athousand questions.
I was like, what does this do?
How do you do that?
What do we do in thissituation?
Can I observe you for this?
And so I would just followaround like a little puppy,
right?
Like all day, every day.
And I was just fascinated byall of it and all of the
different things that we coulddo.
And it's 7:45 in the morningand this isn't working.
(14:59):
What are we gonna do to fixthis problem?
Okay, option A didn't work.
Okay, cool.
Well, let's go ask this otheroperation specialist because
maybe they've had the situationbefore.
So, really just that likefast-paced critical thinking
environment I really enjoyed.
And then kind of getting to becreative to build the moulage
and the scene for a scenario,and then just getting to program
(15:20):
the different scenarios, thecourse progression of is this
patient gonna get better?
Is this patient gonna getworse?
What does that look like?
And then getting to observe thelearners and again more of that
collaboration with oureducators.
And then I got to learn moulagethat we do.
So we get to be creative andthey let us build a lot of stuff
in-house, which is superawesome.
(15:43):
And so I was learning how tomake like chest skins and suture
pads and IV pads that we allget to make in-house.
And we get to do someoccasional work with the
military.
And so I get to really getcreative with that, right?
Because they have some prettyintense injuries.
That was a whole nother gatethat I didn't know existed too,
it was just that entire creativeside of things of really
(16:06):
getting to create all thedifferent wounds and models.
And how do I make this fakebleed?
And how do I have to cutartery?
How can we represent that whenand those kinds of things or
some burns on a patient?
So I get to test out and figureout how these different
elements can go and become apart of the a scenario.
(16:27):
And so I truly, truly love thatside of it and getting to
experiment and build.
And so that's just anotheramazing part of the ops side.
And then finally, we did ourcourses on research and
assessment as well asadministration.
So how are we tracking researchwithin simulation to help aid
(16:48):
with learners and those kinds ofthings?
And then the administration ishow do you how do you run a sim
center, right?
Mannequins aren't cheap.
And depending on what kind ofsim center you're running, you
might have a really big budgetor you might not have much of a
budget at all.
And so looking at all of thosedifferent viewpoints of what can
you create on a budget?
(17:09):
How can you use what you have?
And so they gave us some prettyinteresting questions to be
like, okay, here's your budget.
You need to do X, Y, and Z asyour objectives.
How would you go about buildingthat?
How do you manage your budget?
How do you have a team?
Like what kind of people wouldyou have on your team based off
all of the different jobs withinsimulation?
And so I really, really like todo that.
(17:30):
I would say I'm kind ofbusiness minded too.
So kind of just getting tofigure out all of those parts
and pieces to build that puzzle,I thought was very, very cool.
So we got, yeah, a very, veryfull overview of of simulation
in in the industry.
And so I was very excited to gothrough that.
Deb Tauber (17:46):
Katie, how many people were in your cohort?
Katie Kushman (17:49):
In my initial cohort, there were I believe
there were five of us.
Deb Tauber (17:53):
Okay.
And did you guys was itmajority online or was it?
Katie Kushman (17:58):
Yes.
Okay.
So the simulation courses, wehad like a weekly meeting
online, and then we're also inperson.
So those courses I did get tocome in person for, but the rest
of my general education kind ofbased courses were all online
and asynchronous.
Deb Tauber (18:13):
And how long did the whole program take?
Katie Kushman (18:15):
With the credit uh credits I was able to
transfer from nursing school, itwas three years.
Deb Tauber (18:22):
Oh wow.
Okay.
Mm-hmm.
Well, there you go.
And in what cohort were you inas far as like how many?
Because I know it's a newprogram.
Katie Kushman (18:30):
I was the very first cohort.
Deb Tauber (18:31):
Okay.
So you were in the firstcohort, and what are they up to
now?
Katie Kushman (18:35):
So a couple of them, I think, used it more as
kind of just like a steppingstone with their career with the
certificate, because at thetime I was the only bachelor's
student.
So one of them, I know he worksas like a dean at a community
college.
Another one is nursing faculty,and then another one is a
(18:55):
pharmacist.
I think she was trying to maybeintegrate simulation into the
pharmacy training somewhat.
And then another one is aconsultant, but she was working
to bring simulation intotrainings for their equipment.
Deb Tauber (19:10):
All right.
Yeah.
Now, do you have a favoritesimulation story?
Favorite simulation story.
Katie Kushman (19:16):
I would say I have kind of two, I guess, if
you will.
So one of mine is just gettingto do some of those life share
and military builds, justfinding that passion for those
and really getting to set thisstone.
More so I think life share,just because we got to bring
(19:37):
something that not a lot ofpeople talk about, right?
We know, right, for organprocurement and those kinds of
things.
It's something that's done, butbeing able to set up a scenario
for that where we had familymembers, we had the patient on
the vent, and we were really,really able to create like that
(19:59):
realistic scenario of machinesbeeping and your patients there.
And family members, maybe itwas expected, maybe it was
unexpected.
We really got to bring thatemotion to life.
Our SPs are absolutelyphenomenal to the point where I
was kind of getting choked upsitting in our control room
about the scenario of themtalking with the family members
(20:20):
about what was happening andwhat their options were, and
also giving those people thatwork in the life share community
the opportunity to have thoseconversations and practice that,
right?
Because I would hope I'm neverin that situation, but I was
very glad that they had thatability to practice that.
So I think that really spokevolumes to me.
(20:40):
And then another big uh projectthat I work on is doing a lot
of our pipeline work.
Now that I'm in this industryand I'm realizing that this is a
career option, this issomething I didn't know existed
till three, four years ago,right?
So working with our middleschool and high school age kids
out in the community in theschool systems to show them what
(21:02):
healthcare simulation is andwhat the operations role is.
And so I get to go out and dosummer camps with them and get
to have fun.
And so I've built kind of myown little curriculum, you know,
in working with some of oureducators to help show them what
healthcare simulation is, andthen that if you want to work in
healthcare and you don't wantto be a doctor or nurse, that
(21:23):
there's more careers that theycan work with.
Deb Tauber (21:26):
Good, good.
Now, where do you see yourselfgoing?
You're you know, you're youngin the field, and and where do
you where do you see?
Katie Kushman (21:35):
Yeah, I think eventually, so my goal would
definitely be to eventually seemy cheese A.
I think that would be somethingsuper cool to go to.
And then probably I would liketo continue to grow as a leader
in the SSH community.
I think that's something thatI'm working by going to
conferences.
I've been able to go to SimOpsfor two years now and making
(21:57):
those connections and findingmentors in the field to help me
to continue to grow.
Maybe possibly publishing inStorm someday.
I think that would be coolabout maybe some of the moulage
that I'm doing and those kindsof things.
And then even possibly one daybecoming an SSH fellow.
I think that would be a biggoal for one day.
So yeah.
Deb Tauber (22:16):
Yeah, good, good.
Well, is there anything youwant to ask me?
Yeah.
With I guess me talking alittle bit about how we're doing
our pipeline, I was wondering,how did you get started with
The Sim Cafe?
Oh, thank you.
Great question.
So it was during the pandemicand my daughter was over and she
was talking about podcasts.
(22:37):
And I was like, Well, how doyou listen to them?
What are they?
So I kind of found out aboutit.
So this was obviously 2020,right?
And uh she explained to me whatthey were, and I thought, you
know, I know a lot of people insimulation.
I bet you I could see peoplearen't as busy right now during
the pandemic, might beinterested in and willing to
(22:58):
talk to me.
So I wrote down a list and Ihad a list of names of people
that I was gonna reach out to.
And sure enough, I would callthem up and they'd be willing to
do an interview.
So that's how it kind of gotstarted from there.
And then uh I ended up, theyinvited us to do uh a podcast at
SSH Live.
Okay, very cool.
(23:18):
And I thought, what's gonnahappen?
Because I know myself is it'sgonna get closer to the day.
Katie Kushman (23:24):
Uh-huh.
Deb Tauber (23:24):
And I'm gonna say, I think I got COVID, I can't
come, or something.
I was gonna make up some kindof excuse.
So I thought, if I get, and Ibefriended Jared Jeffries at
that time.
Okay.
And uh he had a great story,and I thought, you know, maybe
if I ask him if he wants to bemy co-host, then if he goes, I'm
not gonna bail if I havesomebody else going that um that
(23:47):
it's counting on me.
Katie Kushman (23:48):
Right.
Deb Tauber (23:48):
So sure enough, we went, and that's how we got
started is having a co-host, andum that and how things kind of
continue to take off from there.
Katie Kushman (23:58):
Yeah.
What would you say your bestpiece of advice is to to finding
all of these people in thesimulation community?
Because I've been listening toyour podcast now for a couple of
months, and it's been reallycool because I've actually
gotten to meet some of thepeople that you've talked with,
which I think is super cool.
So, yeah, what would you whatwould you say your biggest piece
of advice for that is?
Piece of advice for just yeah,meeting people in the in the
(24:23):
healthcare community.
Deb Tauber (24:24):
Oh, I think just reaching out.
You know, a lot of at the endof the simcaf a we'll say, if
someone wanted to reach out toyou, where would they go?
Go ahead.
If you have a question forthem, reach out.
They're I think the thing aboutthis the people in simulation
is many of them are justextremely humble and they really
want to give what what they uhand share.
(24:44):
And so to just reach out tothem, I'd say I would say many
of us, and I can speak backbecause I've spoke to many
people.
Many people who are in this uhin this industry just feel like,
oh, I'm here, I'm an imposter,right?
I I shouldn't be here.
I mean, it's the way I feel allthe time, you know, like I
shouldn't be here, but but I am,yeah, and I'm willing to share.
(25:06):
And yeah, people will call meup and they'll be like, Oh, I
can't believe I'm talking toyou.
And I'm like, Well, what'd youthink was gonna happen?
Katie Kushman (25:13):
I know it is it does feel like an honor to be
able to talk to you.
And I I definitely say I bat Iwould battle with imposter
syndrome some days.
I'm like, oh, do I really getto do all of these amazing
things and get to be a part ofthis amazing community?
Deb Tauber (25:26):
Right.
So right.
I think when I became a fellowwas really when it slapped me in
the face.
Yeah.
Katie Kushman (25:33):
Yeah.
Well, it was it was kind of a adisbelief moment when I once I
took my CHSOS exam and I gotthat like pass letter and my
email and everything, and I was,oh my gosh, I did it.
You know, I've been thinkingabout taking this and I've heard
about it and been studying forit, and here it is.
I actually have it in myletters, which I think is
(25:53):
awesome.
Deb Tauber (25:54):
Thank you.
Thank you.
Well, Katie, if our listenerswant to get a hold of you, where
would they do that?
If they want to learn about,hey, I want to go from whatever
I'm doing, or I'm a youngperson, younger person and I
want to get into Sam.
Let me see.
Can I lean into Katie for someinformation?
Katie Kushman (26:09):
Yeah, absolutely.
Yeah, I have my email.
So it's Katherine K-A-T-H-R-Y-Ndot Cushman C-U-S-H-M-A-N at
advocatehealth.org.
And so that would probably bethe best way to reach me at this
point in time is via email.
Deb Tauber (26:26):
Are you on any social media?
Katie Kushman (26:27):
Like, you know, I am on LinkedIn actually.
Yes, you can find me onLinkedIn as well.
Deb Tauber (26:31):
Okay.
So send you a little I am inthere.
All right.
Yeah.Well, thank you so much. Yeah, thank you for having me today.
You're welcome and happysimulating.
Thank you.
Outro tag (26:43):
Thanks again to Innovative Sim Solutions for
sponsoring this week's episode.
Ready to revolutionize how youteach and train?
Then check out the basics ofhealthcare simulations with
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Thanks for joining us here atThe Sim Cafe.
(27:07):
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Innovative SIM Solutions or oursponsors.
Thanks to Innovative SIMSolutions for sponsoring this
week's episode.
Are you a healthcareprofessional or educator looking
to level up your trainingmethods?
(00:20):
Then you need to check out thebasics of healthcare simulation,
a dynamic foundational coursedesigned to introduce you to the
powerful world ofsimulation-based learning.
From mannequins to virtualreality, this class breaks down
the tools, techniques, andstrategies that bring clinical
education to life safely,effectively, and realistically.
(00:40):
Whether you're brand new tosimulation or just want to
refresher course, this will giveyou the confidence and skills
to create engaging, high-impactlearning experiences.
Ready to revolutionize how toteach and train?
Reach out to Deb Tauber atInnovative Sim Solutions to set
up your training today.
Welcome to The Sim Cafe, apodcast produced by the team at
(01:04):
Innovative Sim Solutions andedited by Shelly Houser.
Join our host, Deb Tauber andco-host Jerrod Jeffries, as they
sit down with subject matterexperts from across the globe to
reimagine clinical educationand the use of simulation.
So pour yourself a cup ofrelaxation, sit back, and tune
(01:30):
in and learn something newfrom The Sim Cafe.
Deb Tauber (01:40):
Welcome to another episode of The Sim Cafe.
And today we are very fortunateto have Katie Kushman.
Katie is from Atrium Health,which is part of Advocate Health
in North Carolina.
Katie, why don't you tell ourlisteners just a little bit
about yourself?
And thank you so much for beinga guest.
Katie Kushman (01:58):
Yeah, thank you so much for having me.
So hi everyone, my name isKatie.
I'm a simulation operationsspecialist.
I actually was fortunate enoughto get my Bachelor's Science
in healthcare simulation and anew program as a part of Atrium
Health Carolina College ofHealth Sciences.
So it was a four-year degree.
(02:18):
I actually started as a nursingstudent before that degree,
though, directly out of highschool and made it about a year,
year and a half.
And in clinicals, I just kindof realized that the bedside
nursing wasn't quite the rightspot for me.
And so I left nursing school,but still wanted to do something
with healthcare and possiblywith tech.
(02:40):
And so the program had poppedup and I kind of took a leap of
faith with that and kind of fellin love with simulation over
the course of going through thatprogram.
And so now I've been here insimulation for a total of four
years, I guess if you count myschooling, but officially two
(03:00):
years.
And then I just passed my CHSOScertification this past
January.
Deb Tauber (03:05):
Congratulations on passing that.
Yeah, thank you so much.
Thank you.
So what was your firstexperience with simulation in
healthcare?
Katie Kushman (03:14):
So probably my first experience, uh, once I
had, you know, gotten theacceptance to the program, which
was kind of a leap of faith, Idid like a quick Google search
just to try and figure out whatthe healthcare simulation
industry was.
But the first parts of thecourse were like the foundations
of simulation.
So we did a lot of reviewing ofeducation parts and then the
(03:36):
operation side as well asadministration and research.
But it was a lot of still likereading through the textbooks,
and I had didn't have thatin-person connection with Sim
yet.
And so we had been talking withCrystal Bank and who was my
instructor, and there was ahuman-patient simulation day
with CAE up at Elon University.
(03:57):
And so I thought that was agood jumping point for me to
kind of go see these mannequinsthat I had been reading about in
my textbook and kind of likethe functionality in that
regard.
And so I got to go to thatevent and we got to sit through
a couple of talks aboutsimulation and best practices
and working with the curriculumdesign process and getting to
(04:19):
talk to some of the people fromCAE about instruction and
building and how the mannequinsfunction, getting to see
different types of mannequins.
I got to see their birthingmannequin, I got to see their
adult mannequin, some of theirpediatric mannequins, detached
trainers.
So I really got to put my handson what I had been talking and
(04:39):
learning about for the pastseveral months.
And so that really kind of justgrabbed me.
Like that was where I was kindof like, okay, this is something
that I can really get behindand see myself doing and
understanding maybe how to fixthe mannequin, maybe how to, you
know, get to run the scenarios.
And so I I kind of found thatniche of the technology interest
(05:01):
that I had, as well as stillallowing it to be in touch with
healthcare.
So I thought that was a reallyawesome jumping point for me to
really dive in further.
Deb Tauber (05:11):
Great.
Now so you're in nursing schooland you decide you don't want
to be in nursing anymore.
Katie Kushman (05:19):
Yeah.
Deb Tauber (05:19):
Did you regret that decision at all?
Do you do you regret it at thistime, man?
Katie Kushman (05:23):
At this point in time, I don't.
It was definitely something Ibattled with initially just
because that's what I had toldmyself I wanted to do since I
was like an early teen.
I always enjoyed working withkids and babies and things like
that.
And so I thought I wanted to bea NICU nurse or possibly a
labor and delivery nurse.
(05:44):
And so that's where I spent alot of my time focusing with my
coursework.
I took any human body systemclass or anatomy class.
But when I got into clinicals,I just had some not so great
involuntary reactions to stuff Iwas seeing in the clinical
field that kind of was a verystrong telltale sign that that
(06:04):
wasn't for me.
And so I think it was, it hurtmy pride a little bit, just
right.
Like I had told everybody, youknow, I'm going to go be a nurse
and I'm going to do this.
And so that's definitelysomething that I had to work
through on my own.
But I will say, being in SIMnow for several years, getting
to watch more of the behind thescenes of healthcare almost, I
(06:27):
really find that superinteresting to see the learners
progress.
Like right when we start withour baby nursing students to
when they're senior nursingstudents or our first-year med
students to our fourth-year medstudents, or even them coming
out of medical school in theirfirst years of residency until
they're leaving, and getting tosee their confidence grow and
the progress of the learnersreally just feeds my soul.
(06:50):
And I, you know, I love gettingto see that and we get to hear
amazing stories from them abouthow simulation made a difference
in their life.
And so I've really found apurpose within simulation that
really just touches oneverything that I have values
for with learning and educationand technology and healthcare.
It's like the perfect job thatholds all the pieces.
(07:11):
And so now I don't have thatregret.
And I love working with ournurse educators and I think
they're all amazing people, butI've found that this is this is
where I was meant to be.
Like I feel like this is aspecial place, and I'm happy.
Deb Tauber (07:23):
Good.
Good.
That's that's important.
That's really important.
Was there a specific momentwhen you were you saw a
simulator and something justglitched?
This is this is absolutelywhere I gotta be.
Katie Kushman (07:35):
Yeah.
Well, so I always likedtinkering with devices and and
technology kind of growing up.
I would like take computersapart and build things, and I
liked all the cables and thewires and connections and those
kinds of things.
Actually, truly, like gettingto see the mannequins in action
was cool, a little creepy, if Ibe if I'm being completely
(07:55):
honest at first, right?
You I had because the onlymannequin I had ever seen was a
low fidelity skills checkoffkind of mannequin and not one
that had all the functionalityof the breathing and the
blinking and the pulses and allof that.
So seeing that for the firsttime I was kind of like, whoa,
what is this?
But honestly, when we get toyou know, crack the mannequin
(08:16):
open, like if we're doing somekind of repair or really kind of
messing like with doing therepairs in the hands-on, or hey,
I need to fix this, kind oflike that critical thinking.
I just that is something that Ireally align with and the
problem solving, right?
Because technology is ablessing and a curse, right?
When it's working great, it'samazing.
And when it's not working,you're really like, okay, is it
(08:37):
just uh unplug it and plug itback in, or do I really need to
like think deeper about likewhat's going on or working with
our team to come up with aworkaround of this is what we
need for the learners, what canwe do to get this?
So honestly, I think justgetting to see the mannequins
and getting to see how thetechnology works and just
seeing, like, kind of like Isaid earlier, like in apply my
(09:00):
healthcare interest and I canapply my technology interest
together.
And we get to kind of have funand create and build the
scenarios and set the room to asetting that we may need it.
And I still get to learn abouthealthcare things and equipment
and things like that.
And so I really get to workwith that.
And I think that's what reallyfills me too is you know, I love
(09:23):
working with our nursingstudents and our medical
students, but I also get to dosome additional work with Sanger
Heart and Vascular.
So we're doing some moreintense cardiac cases, or I've
done some work with Life Share,which is organ procurement.
So, how did we set that up tobecome as realistic as possible?
And like working with some ofour simulated participants as
(09:44):
family members so that we canhelp those learners have those
difficult conversations andgetting to work with a really
amazing team to get to bringthose to life.
So yeah, that's just it.
I love coming to work everyday.
We get to really bringhealthcare to life in a in a
safe and secure setting.
So yeah.
Deb Tauber (10:02):
Now tell me a little bit about your preparation.
How'd you find out about, oh,there's actually a you can go to
school for this.
And then what were the thecourses and what's the degree?
Tell me about the whole programand once again how you how you
found out about it.
Katie Kushman (10:15):
Yeah, yeah, of course.
When I was kind of in a, Iguess a lull we'll call it
between nursing school and thisprogram.
I was just kind of taking somecourses at the community college
just to kind of stay in thatmindset of school.
And they actually did a newsegment on the new program, just
on one of our local newschannels.
And so I ended up calling theschool and seeing if they could
(10:38):
tell me kind of any moreinformation.
Now, I was the very firstbachelor's student to go through
the program.
And so they kind of like tosay, you know, we were building
the plane while we were flyingit.
So I got to be a little bit ofa guinea pig, which at first was
like a little nerve-wracking,right?
Because I didn't know what toexpect fully.
(10:58):
But once we got into it, thatwas really not a concern at all.
I really enjoyed it becausethey got to ask me, like, well,
what do you think about this?
Or, hey, you read through thischapter, what really piqued your
interest?
What do we want to dive inmore?
And everybody was superwelcoming.
We did a um a post-backcertificate or a bachelor's
degree.
And so I was the bachelor'sstudent, and then I had four or
(11:21):
five other classmates that werepost-back certificate.
I will say, when I got on thatcall for the first time to kind
of meet your classmates, I wasthe youngest one on the call,
probably by about 20 years ofage.
So I was a little intimidatedat first, but it ended up
working out phenomenally,actually, because I got to talk
(11:42):
to my peers in the degree forkind of their wisdom and coming
from the healthcare industry orwherever they're working.
And so we kind of met eachother halfway because I brought
the, oh, I have some moretechnology stuff that I
understand.
So I can help you work throughthis if you can kind of help me
figure out what we're talkingabout in this situation.
And so I was very grateful tohave them.
(12:04):
And I kind of found my voice asthey all cheered me on and were
like, yeah, you know the answerto this, or they can see the
passion that I have for acertain course or something like
that.
And so everybody was extremelysupportive in that regard.
And so, yeah, so I got into theprogram and we all did a
foundation's semester ofsimulation again, talking about
(12:26):
all the different aspects.
And then we dove into oureducation course, which I
thought was very interesting,what all our educators go
through, right?
To be able to build theseprograms and cases and working
with the simulation educator andthen working with our subject
matter expert in whatever groupthat we're working with and how
(12:48):
they do their curriculum designand talking about objectives.
And we learned about the Kearnsmodel and then Kirkpatrick and
how they're using those toidentify gaps in knowledge and
what it is that our learnerstruly need.
And so, because our simulationeducators are the expert in
simulation, and then our subjectmatter experts are the expert
of what's going on in theclinical field, we get to merge
(13:11):
that information and then as anoperations specialist, getting
to work with them to help bringthat scenario to life.
And so talking through thatwhole design process and what
that looks like, and thenestablishing the psychological
safety with the learners andgoing through that pre-brief and
what does that look like?
So we spent about 45 hours forthat semester in that course
(13:33):
where we pretty much justshadowed and followed around
with the educators through thisentire process, which I was
fascinated by just because Ithink the education side of it
is very interesting and how theyget to pull all these different
parts and pieces together tobuild this for the learners and
then getting to collaborate withthem to then build the scenario
(13:54):
and the programming and thevitals and all of those things.
So that was the first classthat I went through.
And then we talked a little bitabout the debriefing process as
well, like plus Delta and allthe different debriefing
avenues.
And then after the educationcourse, we jumped into our
operations specialist course.
And that's where I really justI hit the ground running with
(14:16):
that one.
I was so excited to just divein and see like what they really
got to do because we were, Iwas able to, because the college
was through HRM Health and thenour simulation center right is
attached to HRM Health.
I was able to shadow a lot ofour operations specialists and
get to see what they did.
And they were all phenomenaland really welcomed me with an
(14:38):
open arm.
And I was the kid that asked athousand questions.
I was like, what does this do?
How do you do that?
What do we do in thissituation?
Can I observe you for this?
And so I would just followaround like a little puppy,
right?
Like all day, every day.
And I was just fascinated byall of it and all of the
different things that we coulddo.
And it's 7:45 in the morningand this isn't working.
(14:59):
What are we gonna do to fixthis problem?
Okay, option A didn't work.
Okay, cool.
Well, let's go ask this otheroperation specialist because
maybe they've had the situationbefore.
So, really just that likefast-paced critical thinking
environment I really enjoyed.
And then kind of getting to becreative to build the moulage
and the scene for a scenario,and then just getting to program
(15:20):
the different scenarios, thecourse progression of is this
patient gonna get better?
Is this patient gonna getworse?
What does that look like?
And then getting to observe thelearners and again more of that
collaboration with oureducators.
And then I got to learn moulagethat we do.
So we get to be creative andthey let us build a lot of stuff
in-house, which is superawesome.
(15:43):
And so I was learning how tomake like chest skins and suture
pads and IV pads that we allget to make in-house.
And we get to do someoccasional work with the
military.
And so I get to really getcreative with that, right?
Because they have some prettyintense injuries.
That was a whole nother gatethat I didn't know existed too,
it was just that entire creativeside of things of really
(16:06):
getting to create all thedifferent wounds and models.
And how do I make this fakebleed?
And how do I have to cutartery?
How can we represent that whenand those kinds of things or
some burns on a patient?
So I get to test out and figureout how these different
elements can go and become apart of the a scenario.
(16:27):
And so I truly, truly love thatside of it and getting to
experiment and build.
And so that's just anotheramazing part of the ops side.
And then finally, we did ourcourses on research and
assessment as well asadministration.
So how are we tracking researchwithin simulation to help aid
(16:48):
with learners and those kinds ofthings?
And then the administration ishow do you how do you run a sim
center, right?
Mannequins aren't cheap.
And depending on what kind ofsim center you're running, you
might have a really big budgetor you might not have much of a
budget at all.
And so looking at all of thosedifferent viewpoints of what can
you create on a budget?
(17:09):
How can you use what you have?
And so they gave us some prettyinteresting questions to be
like, okay, here's your budget.
You need to do X, Y, and Z asyour objectives.
How would you go about buildingthat?
How do you manage your budget?
How do you have a team?
Like what kind of people wouldyou have on your team based off
all of the different jobs withinsimulation?
And so I really, really like todo that.
(17:30):
I would say I'm kind ofbusiness minded too.
So kind of just getting tofigure out all of those parts
and pieces to build that puzzle,I thought was very, very cool.
So we got, yeah, a very, veryfull overview of of simulation
in in the industry.
And so I was very excited to gothrough that.
Deb Tauber (17:46):
Katie, how many people were in your cohort?
Katie Kushman (17:49):
In my initial cohort, there were I believe
there were five of us.
Deb Tauber (17:53):
Okay.
And did you guys was itmajority online or was it?
Katie Kushman (17:58):
Yes.
Okay.
So the simulation courses, wehad like a weekly meeting
online, and then we're also inperson.
So those courses I did get tocome in person for, but the rest
of my general education kind ofbased courses were all online
and asynchronous.
Deb Tauber (18:13):
And how long did the whole program take?
Katie Kushman (18:15):
With the credit uh credits I was able to
transfer from nursing school, itwas three years.
Deb Tauber (18:22):
Oh wow.
Okay.
Mm-hmm.
Well, there you go.
And in what cohort were you inas far as like how many?
Because I know it's a newprogram.
Katie Kushman (18:30):
I was the very first cohort.
Deb Tauber (18:31):
Okay.
So you were in the firstcohort, and what are they up to
now?
Katie Kushman (18:35):
So a couple of them, I think, used it more as
kind of just like a steppingstone with their career with the
certificate, because at thetime I was the only bachelor's
student.
So one of them, I know he worksas like a dean at a community
college.
Another one is nursing faculty,and then another one is a
(18:55):
pharmacist.
I think she was trying to maybeintegrate simulation into the
pharmacy training somewhat.
And then another one is aconsultant, but she was working
to bring simulation intotrainings for their equipment.
Deb Tauber (19:10):
All right.
Yeah.
Now, do you have a favoritesimulation story?
Favorite simulation story.
Katie Kushman (19:16):
I would say I have kind of two, I guess, if
you will.
So one of mine is just gettingto do some of those life share
and military builds, justfinding that passion for those
and really getting to set thisstone.
More so I think life share,just because we got to bring
(19:37):
something that not a lot ofpeople talk about, right?
We know, right, for organprocurement and those kinds of
things.
It's something that's done, butbeing able to set up a scenario
for that where we had familymembers, we had the patient on
the vent, and we were really,really able to create like that
(19:59):
realistic scenario of machinesbeeping and your patients there.
And family members, maybe itwas expected, maybe it was
unexpected.
We really got to bring thatemotion to life.
Our SPs are absolutelyphenomenal to the point where I
was kind of getting choked upsitting in our control room
about the scenario of themtalking with the family members
(20:20):
about what was happening andwhat their options were, and
also giving those people thatwork in the life share community
the opportunity to have thoseconversations and practice that,
right?
Because I would hope I'm neverin that situation, but I was
very glad that they had thatability to practice that.
So I think that really spokevolumes to me.
(20:40):
And then another big uh projectthat I work on is doing a lot
of our pipeline work.
Now that I'm in this industryand I'm realizing that this is a
career option, this issomething I didn't know existed
till three, four years ago,right?
So working with our middleschool and high school age kids
out in the community in theschool systems to show them what
(21:02):
healthcare simulation is andwhat the operations role is.
And so I get to go out and dosummer camps with them and get
to have fun.
And so I've built kind of myown little curriculum, you know,
in working with some of oureducators to help show them what
healthcare simulation is, andthen that if you want to work in
healthcare and you don't wantto be a doctor or nurse, that
(21:23):
there's more careers that theycan work with.
Deb Tauber (21:26):
Good, good.
Now, where do you see yourselfgoing?
You're you know, you're youngin the field, and and where do
you where do you see?
Katie Kushman (21:35):
Yeah, I think eventually, so my goal would
definitely be to eventually seemy cheese A.
I think that would be somethingsuper cool to go to.
And then probably I would liketo continue to grow as a leader
in the SSH community.
I think that's something thatI'm working by going to
conferences.
I've been able to go to SimOpsfor two years now and making
(21:57):
those connections and findingmentors in the field to help me
to continue to grow.
Maybe possibly publishing inStorm someday.
I think that would be coolabout maybe some of the moulage
that I'm doing and those kindsof things.
And then even possibly one daybecoming an SSH fellow.
I think that would be a biggoal for one day.
So yeah.
Deb Tauber (22:16):
Yeah, good, good.
Well, is there anything youwant to ask me?
Yeah.
With I guess me talking alittle bit about how we're doing
our pipeline, I was wondering,how did you get started with
The Sim Cafe?
Oh, thank you.
Great question.
So it was during the pandemicand my daughter was over and she
was talking about podcasts.
(22:37):
And I was like, Well, how doyou listen to them?
What are they?
So I kind of found out aboutit.
So this was obviously 2020,right?
And uh she explained to me whatthey were, and I thought, you
know, I know a lot of people insimulation.
I bet you I could see peoplearen't as busy right now during
the pandemic, might beinterested in and willing to
(22:58):
talk to me.
So I wrote down a list and Ihad a list of names of people
that I was gonna reach out to.
And sure enough, I would callthem up and they'd be willing to
do an interview.
So that's how it kind of gotstarted from there.
And then uh I ended up, theyinvited us to do uh a podcast at
SSH Live.
Okay, very cool.
(23:18):
And I thought, what's gonnahappen?
Because I know myself is it'sgonna get closer to the day.
Katie Kushman (23:24):
Uh-huh.
Deb Tauber (23:24):
And I'm gonna say, I think I got COVID, I can't
come, or something.
I was gonna make up some kindof excuse.
So I thought, if I get, and Ibefriended Jared Jeffries at
that time.
Okay.
And uh he had a great story,and I thought, you know, maybe
if I ask him if he wants to bemy co-host, then if he goes, I'm
not gonna bail if I havesomebody else going that um that
(23:47):
it's counting on me.
Katie Kushman (23:48):
Right.
Deb Tauber (23:48):
So sure enough, we went, and that's how we got
started is having a co-host, andum that and how things kind of
continue to take off from there.
Katie Kushman (23:58):
Yeah.
What would you say your bestpiece of advice is to to finding
all of these people in thesimulation community?
Because I've been listening toyour podcast now for a couple of
months, and it's been reallycool because I've actually
gotten to meet some of thepeople that you've talked with,
which I think is super cool.
So, yeah, what would you whatwould you say your biggest piece
of advice for that is?
Piece of advice for just yeah,meeting people in the in the
(24:23):
healthcare community.
Deb Tauber (24:24):
Oh, I think just reaching out.
You know, a lot of at the endof the simcaf a we'll say, if
someone wanted to reach out toyou, where would they go?
Go ahead.
If you have a question forthem, reach out.
They're I think the thing aboutthis the people in simulation
is many of them are justextremely humble and they really
want to give what what they uhand share.
(24:44):
And so to just reach out tothem, I'd say I would say many
of us, and I can speak backbecause I've spoke to many
people.
Many people who are in this uhin this industry just feel like,
oh, I'm here, I'm an imposter,right?
I I shouldn't be here.
I mean, it's the way I feel allthe time, you know, like I
shouldn't be here, but but I am,yeah, and I'm willing to share.
(25:06):
And yeah, people will call meup and they'll be like, Oh, I
can't believe I'm talking toyou.
And I'm like, Well, what'd youthink was gonna happen?
Katie Kushman (25:13):
I know it is it does feel like an honor to be
able to talk to you.
And I I definitely say I bat Iwould battle with imposter
syndrome some days.
I'm like, oh, do I really getto do all of these amazing
things and get to be a part ofthis amazing community?
Deb Tauber (25:26):
Right.
So right.
I think when I became a fellowwas really when it slapped me in
the face.
Yeah.
Katie Kushman (25:33):
Yeah.
Well, it was it was kind of a adisbelief moment when I once I
took my CHSOS exam and I gotthat like pass letter and my
email and everything, and I was,oh my gosh, I did it.
You know, I've been thinkingabout taking this and I've heard
about it and been studying forit, and here it is.
I actually have it in myletters, which I think is
(25:53):
awesome.
Deb Tauber (25:54):
Thank you.
Thank you.
Well, Katie, if our listenerswant to get a hold of you, where
would they do that?
If they want to learn about,hey, I want to go from whatever
I'm doing, or I'm a youngperson, younger person and I
want to get into Sam.
Let me see.
Can I lean into Katie for someinformation?
Katie Kushman (26:09):
Yeah, absolutely.
Yeah, I have my email.
So it's Katherine K-A-T-H-R-Y-Ndot Cushman C-U-S-H-M-A-N at
advocatehealth.org.
And so that would probably bethe best way to reach me at this
point in time is via email.
Deb Tauber (26:26):
Are you on any social media?
Katie Kushman (26:27):
Like, you know, I am on LinkedIn actually.
Yes, you can find me onLinkedIn as well.
Deb Tauber (26:31):
Okay.
So send you a little I am inthere.
All right.
Yeah.Well, thank you so much. Yeah, thank you for having me today.
You're welcome and happysimulating.
Thank you.
Outro tag (26:43):
Thanks again to Innovative Sim Solutions for
sponsoring this week's episode.
Ready to revolutionize how youteach and train?
Then check out the basics ofhealthcare simulations with
Innovative Sim Solutions and DebTauber today.
Thanks for joining us here atThe Sim Cafe.
(27:07):
We hope you enjoyed.
Visit us at www.innovativesimsolutions.com.
And be sure to hit that likeand subscribe button so you
never miss an episode.
Innovative Sim Solutions isyour one stop shop for your
simulation needs.
A turnkey solution.
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