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October 14, 2025 46 mins

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What happens when you take simulation out of the lab and put it at the center of global health strategy? We sit down with Dr. Pam Jeffries and Dr. Lennox Huang—co‑chairs of the Global Network for Simulation in Healthcare (GNSH)—to unpack how thought leadership, diversity, and real‑world constraints are reshaping the field for measurable impact.

We dig into what sets GNSH apart from traditional associations: no vendor floor, no siloed tracks, and a laser focus on big system challenges like patient safety, workforce resilience, health economics, and the rapid rise of AI. You’ll hear the story behind the 30‑minute team engagement initiative, a concise, team‑ready approach built from real patient cases that scaled during COVID and proved simulation can fit busy clinical workflows while improving outcomes. Pam and Lennox share how bi‑directional learning between low‑ and high‑resource settings sparks innovations that actually spread, and why bringing CEOs, educators, clinicians, regulators, and industry into the same room changes product roadmaps and policy priorities.

We also look ahead: precision learning, extended reality, and AI‑driven feedback loops that turn simulation into a continuous, data‑informed practice. From defining AI competencies for health professions to translating simulation into capital projects and policy pilots, the path forward is practical and urgent. And if you’re curious about where the world’s sim leaders are heading next, get a preview of the Copenhagen summit—Navigating AI, Economic Investment, and Impact for Global Health Transformation—along with easy ways to connect virtually and at major conferences.

If you care about safer care, smarter training, and systems that learn faster, this conversation offers a roadmap you can act on today. Subscribe, share with a colleague, and leave a review with the one change you’d make to scale simulation in your setting.

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Disclaimer/ Innovative Sim (00:00):
The views and opinions expressed in
this program are those of thespeakers and do not necessarily
reflect the opinions orpositions of anyone at
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):
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Whether you're brand new tosimulation or just want to
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Welcome to The Sim Cafe, apodcast produced by the team at

(01:04):
Innovative Sim Solutions.
Edited 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, tune in,

(01:30):
and learn something new from TheSim Cafe.

Deb Tauber- Host (01:40):
Welcome to The Sim Cafe podcast, where we
bring together leaders,educators, and innovators
shaping the world of healthcaresimulation.
I'm your host, Deb Tauber, withco-host Jerrod Jeffries.
And today we're honored towelcome some truly visionary
guests, Dr.
Pam Jeffries and Dr.
Lennox Huang.
Welcome to the program today.

(02:01):
And why don't you introduceyourselves a little bit more to
our listeners, and then we canget started with some
interesting questions.

Dr Lennox Huang- Guest (02:08):
Well, thanks so much, Deb.
It's really a pleasure to behere.
My name's uh Lennox Huang.
I'm I'm a physician during thedaytime and sometimes during the
nighttime.
I practice in critical care.
And I also have anadministrative job as the Chief
Medical Officer, vice presidentfor medical academic affairs and
education at the Hospital forSick Children in Toronto,
Canada.
And I've been in simulation fora little while now.

(02:30):
Goes back well over 20 yearsand enjoy everything that it
does for our patients, ourfamilies, but also enriching my
personal and professional lifetoo.

Dr. Pam Jefferies- Guest (02:42):
Thank you.
Thanks, Deb, for being here.
I'm Pam Jeffries.
I'm Dean and Professor atVanderbilt University School of
Nursing in Nashville, Tennessee,Music City.
Like Lennox, I've been insimulation for decades, and I've
been in the academics andleadership probably, you know,
over a decade.
But been in the academic sidewhere he's been on the

(03:05):
healthcare side, but you know,truly believe in in simulations
and the enhancement foreducation, clinical practice,
and safe patient care.
Thank you.

Deb Tauber- Host (03:15):
Thank you.
We'll get into our questions.
So for listeners who may not befamiliar, can you share what
GNSH is and how it's differentthan other simulation
associations?

Dr Lennox Huang- Guest (03:26):
Maybe I'll I'll take a stab at that
and I'll ask Pam to join in aswell.
Both she and I have been a partof GNSH for over 10 years.
And I think for me, one of thethings that was special about it
is it was a gathering ofleaders that crossed society, so
academia, but also industrytoo.
And so this was a way ofbringing people together in a

(03:49):
manner that wasn't restricted toyour typical society.
So there, you know, our goalwas not to create another
journal or to have anotherconference where it's the same
things over and over again, butreally to try to see what we
could do so that we bringsimulation into healthcare and
have the greatest impactpossible.
And also have a bit of a lensas health on healthcare more

(04:11):
broadly to say what's out there,how can we get outside of our
bubble of our own, you know, andand we're a group of special
people in simulation, don't getme wrong, amazing group, amazing
community.
But at times we really do needto get out of the bubble of our
specific field, see what's goingon in healthcare more broadly,
and see what's going on acrossthe world.

(04:31):
And so this concept of thoughtleadership being bringing people
from around the world, and soit's a global society, and
people who are leaders, eitherofficial leaders or emerging
leaders, to say, how do we bringsimulation into healthcare have
the greatest impact possible?
Pam, what are your thoughts?
You you've been there from thestart, like me.

Dr. Pam Jefferies- Guest (04:54):
So I don't know that we've said it,
but Lennox and I are bothco-chairs of GNSH, which I find
it's it's a great partnershipbecause he's on the medical
side, I'm on nursing, and thisis interprofessional for all
professions globally.
If you look back historically,and I'm not going to get
involved with that, but it's2010, this is where the
organization was developed for27 representatives.

(05:16):
And then throughout it'sevolved throughout the years.
In 2021, Lennox and I both wereinvolved with strategic
planning and goal setting.
And that's where we came, it'sevolved to, as he said, thought
leaders.
A group of thought leaders thatglobally are coming together
from different professions.
And I find it so important andvaluable because I'm in my own

(05:36):
world.
I can be in my own professionand nursing, I can be in the US
or North America.
But during COVID, as we foundout, global affects all of us.
The global healthcare issues,workforce, what whatever you
want, these big issues, it ittranscends everywhere.
So that's what we're about,thought leaders.

(05:56):
And that was the missing piece,I'll say, in my whole world,
with simulations, witheducation, with academic, with
healthcare, there's a differentside.
It's not just our view in aNorth America.
So with the thought leaderpercent uh perspective, we came
together and we had a retreat in2021 and labeled ourselves as

(06:16):
thought leaders.
And that's exactly what it is.
We want to bring all walks oflife, all professions and
dealing.
And I'll say since 2021, sinceour GNSH summits that we've had,
we force we focus on workforceissues.
Workforce is major, it reallyelevated itself during COVID and
continues to with thechallenges.

(06:37):
In addition, global healthproblems, illness, health
disruptions, all that.
Whatever's happening here, it'shappening across the world.
And we're how are we alldealing with that?
It was always interesting.
I think it was two years agoour summit was in Dubai.
But interesting to hear aboutthe COVID and the healthcare and
workforce issues.
And all of us, I think werepresented 10 countries at that

(07:00):
time.
We're all shaking our headswith the similarities and
differences.
And what in reflecting back, weall wish we had been together
then and talking about theseissues and how we were
navigating.
So now we're moving forward.
What what would we learn fromthat?
So that's really GNSH bringingthe thought leaders, and it's

(07:20):
more as Lennox said, it's notthe typical, but it's like
organization, professionalorganizations, in addition to
those thought leaders that wewant to bring in to talk about
these certain issues.
We do have an annual summit,which we're getting ready to
have in October in Copenhagen.
We'll talk more about a littlebit later.
But the summit brings togetherall these leaders, thought

(07:41):
leaders, and then what's timely,what's contemporary, what are
the topics we're going to talkabout?
Again, workforces up there, andnow you can imagine the AI, the
technologies, all that.

Jerrod Jefferis- Co-Host (07:52):
So there's a macro level, I feel
that it's much more encompassingwith the thought leaders.
But if GNSH brings togetherthese educators, clinicians as
your co-chairs, and then also Ihear industry and regulation or
regulators.
So I feel like that strengthlies in some of its diversity.
And I want to understand howthat would help impact and

(08:14):
advancing the mission andsimulation.
Could you speak a little onthat?

Dr Lennox Huang- Guest (08:18):
Yeah, well, I think diversity is it's
clearly a strength of GNSH.
And when we say diversity, wemean it in the broadest sense
possible.
So it's crossing multiplecountries.
I think at different points, wehad well over 20 countries in
some of our virtual uhgatherings, some of our
in-person gatherings, there werethe countries numbered in the

(08:38):
teens.
So we were bringing people fromaround the world with very,
very different livedexperiences.
We're bringing people togetherwho are coming from different
professional backgrounds.
And so when you do that, you'rebringing it's not just
traditional healthcarebackgrounds, but if you bring
administrators in, if you bringfolks from industry, they have a
different perspective on theworld.

(08:59):
And I think by bringing theseperspectives together, you get
this melding and anunderstanding of, oh, well, you
know, I never thought about thisissue in quite that way.
Maybe this is a time to changetact.
And we've heard this fromacademic leaders, we've heard
this also from industry leaderstoo.
Some of some of our industryleaders said, well, you know,
that session that we had at oneof our summits where we had

(09:22):
CEOs.
So we've had, we we regularlybring either hospital or system
CEOs or healthcare trust CEOs into speak to the group.
It was transformative for thisindustry leader because they had
never heard what theperspective of a leader who's
not within simulation, but istrying to run a big, complex

(09:42):
organization.
They'd never heard thatperspective before.
And they realized the way theywere approaching what they were
producing was completely wrong.
The way they were focusingtheir company was completely
wrong.
And that actually led them tochange the focus of their
company for the subsequentnumber of years.
It was really an about face.
And so that was reallypowerful.
And it goes both ways.

(10:03):
So that's the interestingthing, too.
So we by bringing in leaderswho are not in simulation, we're
now introducing the field tothem.
And it, you know, they start torealize that, oh, you know,
simulation isn't just aboutrunning ACLS algorithms and
doing uh simulations for themost rare events and the ECMO

(10:26):
transfers and things like that.
Nor is it about purely trainingundergraduate nursing students.
And simulation is a broad,broad field.
We're now moving into systemsimulation, translational
simulation, all of theseterminologies that and areas of
interest that really meld wellwith healthcare more broadly.
And we're now introducing thatto healthcare leaders in in

(10:48):
different places around theworld.
So that magic and thatdiscussion coming together from
all these different voicesreally, really is special.

Dr. Pam Jefferies- Guest (10:57):
I'll dovetail onto that.
And thanks, Jerrod, for thequestion about the diversity.
We are very intentional at GNSHas well to look at underserved
low-income areas geographically.
In fact, for the summit, we'reso intentional we offer
scholarships for some of thoselow-income areas because coming
to a conference, summit,whatever is very difficult.

(11:18):
So we're really proud of thatfact.
But when we get together, youhear from the underserved
countries and the industrialcountries where they're
flourishing, and we learn fromeach other.
And in fact, one summit, we onetopic was sustainability, and
looking at all of that and theclimate change and effects on
health disruptions, etc., andwhere simulations come in, etc.

(11:42):
I think it was Pakistan as oneof the leaders from the
low-income country.
She was just so thankful tohear about sustainability and
what she can take back toPakistan and influence.
They kind of started on some ofthat, uh, on that notion, but
she'd learned a lot.
Now she can take back to hercountry and really be impactful

(12:04):
and influential in those areas.
So that's just another example.
But we really embrace diversityas Lennox said in many ways.

Dr Lennox Huang- Guest (12:13):
I'll just add it it goes both ways.
So I think oftentimes when wehear about inequity, and you
know, there's an assumption thatthe flow of innovation and the
flow of adoption and the flow ofeverything goes in one
direction from the high resourceto the low resource, and that's
where the learning takes place.
And you know, what we've foundand discovered is it's it's not

(12:34):
at all that.
It's it goes bi-directionally,it goes in a network manner.
On the one hand, maybe there'ssomething uh around
sustainability that could havean impact in Pakistan.
On the other hand, we heard inone of our conferences about or
one of our summits aboutinnovations in Nepal around how
to move large-scale changeforward and increase adoption

(12:56):
that were really, reallyrelevant to people practicing in
tertiary and quaternary carecenters where they're feeling
like they're running against abrick wall for how to move
large-scale change uhinitiatives forward.
And I think we're going to lookforward in this coming summit,
we have, for instance, a leaderfrom the African Simulation
Network.

(13:17):
And while it's not onehomogeneous network, I think
being able to hear all thesedifferent voices about how,
well, in fact, in differentcircumstances and different
cultures in different areas,certain principles actually hold
true for adoption, fortranslation.
And again, there's a I use theword magic, I used it a couple

(13:39):
of times, but it really ismagical, the sort of
conversations that we have.

Jerrod Jefferis- Co-Host (13:43):
Yeah, and you and I don't think you
can script those or it's they'repriceless, right?
It's because with how large anddifferentiated you are from the
other perhaps conferences orsummits or organizations that
I'm aware of, I feel like jetGNSH with the thought leadership
tied into the more macroperspective, is is certainly a
unique organization that standsout a little differently than

(14:06):
the rest of them.

Dr. Pam Jefferies- Guest (14:07):
Yeah, thank you for asking because I
think sometimes we're notgetting our stories out there.
That's probably why I meanwe're we're still involved in
GNSH and we believe with theaims, the strategic goals and
all that, because it's soimportant and rewarding when we
get leaders from all thesedifferent countries together.
We as Lennox said, we learnfrom each other.

Jerrod Jefferis- Co-Host (14:28):
But and just to clarify, there's
industry involved two of theseconferences, or it's mostly
yeah, you're shaking your head.
Yes.
Yes.

Dr. Pam Jefferies- Guest (14:35):
That was that's very intentional too.
We industry is a stakeholderand they learn a lot from us.
You know, sometimes they'reover here, but really they
impact what they're what we'redoing impacts what they're
making and what they bring tothe table, or what needs, you
know, in the research anddevelopment area, what's next
and where are the gaps, whetherit's in practice, patient care

(14:56):
spin in the education worldunder experiential learning.
So it's great.
They're great partners.

Dr Lennox Huang- Guest (15:03):
And we say summit because it's not a
typical conference where youhave a vendor section and uh and
they stay outside of theacademic sessions.
This is really a melting ofminds.
There is no there is no vendorsection, in fact.
That's an explicit thing thatwe do.
And and what it does is bringsleaders from different areas of
the sim industry and includingpeople who are just emerging

(15:25):
together in a way that they canhear from others who've perhaps
been in the field for a littlebit longer.
And then collectively, whereour focus is you know, there
isn't it's not trying to sell aproduct or move something
forward, but it's trying tosolve big problems in
healthcare.
And as we start to hear thesebig problems, say, well, well,
where's the connection with uhwith with our field?

(15:46):
And is there something thatalready is out there that we
should be now connecting, or isthere a future direction that we
need to be taking?

Deb Tauber- Host (15:54):
Doing a lot with it as a think tank group.

Dr. Pam Jefferies- Guest (15:57):
Yeah, it's kind of that.
And even for the summit, Imean, this year health economics
is on there.
Of course, AI is going to be onthere because that's exploding
everywhere and impactinghealthcare at bedside and
education and research andeverywhere.
But we're I would say we'revery contemporary trying to keep
our finger on the pulse in ourown worlds, but globally.

Deb Tauber- Host (16:18):
Pam, you've been a pioneer in simulation for
nursing and education.
What inspired you to expandyour work into the global arena
with GNSH?
And Lennox, how has simulationshaped your own perspective as a
physician leader?
Where do you both see GNSH infive years?

Dr. Pam Jefferies- Guest (16:37):
Well, I guess I'll start.
So I love the GNSH and astayed, and I have stayed
involved, even though you talkto Lennox and I, we both have
very busy schedules, we have dayjobs, we have a lot of stuff
going on.
But we we believe in thephilosophy, we believe in the
the aim, the goal, uh, thepriorities.
I think global is just reallyimportant.

(16:58):
You can't just stay myopic andfocus in your own world.
That's important, but we havetouch points everywhere.
Globally, that I I'm verypassionate about that, even
though you you call me apioneer, thank you.
That was a very uh nicecompliment.
But in nursing, we we've done alot growing through the years
and getting in our professionand in our pre-licensure program

(17:21):
and all that, but it's muchmore than that.
It's you know, the wholeoutcome with simulation is
high-quality patient care.
We're trying to provideeducation to our future nurses,
our future health professionalsto affect patient care.
That's what it's all about.
And if you don't go global,you're missing something.
So GNSH fills that void for me,or you know, how do we impact

(17:45):
global?
I want the most impactpossible, the most influence
will apply, and that gives megreat joy and pleasure.
And to give you an example thatthe global, I mean, this was
years ago, it had nothing to dowith GNSH, but you kind of if
you want to track the the recordhere.
I can't even remember how manyyears ago.
I've got a MOOC, a massive openonline course, and in

(18:08):
simulations.
There's basically seven modulesfor the world to get free,
right?
I think it's called essentialsof clinical simulation in
healthcare or something.
But that's for the worldbecause there's so many folks in
the underserved countries orglobally that can't go to
conferences like we do and learnabout simulation 101, learn
about debriefing, learn abouthow to integrate it in the

(18:30):
curriculum.
So I wanted to intentionallyput that in a massive open
online course throughCoursera.org.
It's still there.
And there's over 25,000participants.
But that is impactful becausethere's folks that now can learn
more about simulation and helpother educators, researchers,
healthcare providers in theirown world.

(18:52):
So global that I just wouldfill a void if the global
presence wasn't there.
So Glenn, back to you.

Dr Lennox Huang- Guest (18:59):
Yeah, so so I've had uh I've had an
interesting career to date.
So I I landed in relativelysenior leadership role fairly
early in my career as uh as anacademic physician.
And so now I've been I've beenin these leadership roles for
it's approaching, uh, I want tosay approaching about 18 to

(19:19):
20-ish years almost.
And when you landed somethinglike this early in your career
and you've got other polls tomaintain your clinical expertise
and develop your clinicalexpertise and to try and develop
an academic career and to tryand do all of these other
things, the only way to do thisand stay sane is to try and find
all the connections and whereit all melds together.

(19:41):
And as a result, I've I'vefound that simulation has really
helped me immensely as aclinician.
So whether it's the actualclinical skills or the
conversations that you're havingor starting to understand
aspects of patient safety from afrontline clinician standpoint,
this helped me along all theway through.
And as I was thinking about myleadership roles, you know,

(20:05):
started it off in an academicsetting as an associate chair
and then a chair of adepartment.
I need to find ways wheresomething I was really
passionate and interested aboutactually helped me in my other
job.
And things like understandinghuman performance and safety and
systems really started toemerge, and the fields of these

(20:25):
areas of simulation were alsomaturing along the same time.
And we did things like usesimulation to shape how we
renovated and built uh newclinical spaces in a hospital.
So this was something I had onmy administrative side that I
needed to move ahead.
And then at the same time, Ithought, well, well, here's
something that seems to work atthe same time.

(20:47):
Why don't we do the two thingstogether?
So finding those connectionswas serendipity for me because I
just happened, there was a needand it happened to come
together.
And what I've realized is thatthis is something I think that
is scalable.
So there's no reason whyinserting sulation into all
aspects of healthcare shouldn'tbe something that just takes

(21:10):
place everywhere.
And I think that's thechallenge, it's one of the
challenges that we see from aGNSH standpoint is how do we get
the language of stimulation,the terminology of simulation,
the practice of stimulation intothe minds of every operational
leader that is in charge of ahealthcare system or healthcare
institution.

(21:30):
How do you integrate thatreally well?
We've seen it do wonders on theeducation side.
So I think on the educationside, it is pretty much there,
whether you're talking about anyone of the health professions
going in, I think there's anexpectation for simulation.
What I don't think we've quiteseen yet, although there's been
tremendous progress, is being onthe minds of every health

(21:53):
administrator, whether you're amanager, director, a vice
president, or a CEO.
If you're introducing a policy,if you're going through
accreditation, if you'restarting to think about how you
can run your organization moreefficiently, simulation should
just be woven in every othersentence.
And, you know, we're gettingthere, and we're certainly uh
pretty close to that point in myown institution at Sick Kids in

(22:16):
Toronto.
And I've seen this start tohappen in other places.
And when that happens, it'sincredible because all the
benefits that come along withthis are the very things that
appeal to healthcareadministrators.
So you talk about safety andyou talk about managing
resources and tight resources,you talk about retention and the
health human resource crisis.

(22:38):
These are all things that aretop of mind for administrators.
And now we're seeing, as Pamsaid, you know, we're on top of
the emerging topics, likethinking about macroeconomic
trends, looking at planetaryhealth and where AI is taking
healthcare to.
So by focusing simulation onthe big, big healthcare trends,

(22:59):
I think we're going to positionour field in a place where it'll
be better integrated inhealthcare organizations across
the world.

Deb Tauber- Host (23:06):
Thank you.

Jerrod Jefferis- Co-Host (23:07):
So I want to go back to the question
though.
The the last question was wheredo you see GNSH in five years?
Do you see it in five years tohave an imprint of simulation
across all healthcareprofessions?

Dr Lennox Huang- Guest (23:20):
Well, I think we're pushing the thought
leadership end of thingstremendously.
So by bringing leaders fromvarious societies, convening
them in a way and introducingthem to certain topics and
allowing these conversations tohappen, I think there is already
an advancement of the field.
We saw that with one of ourdear colleagues, Chad Epps.
Chad was at one point thepresident of GNSH.

(23:42):
Around the time that as anorganization, we were saying,
well, we need to connect topatient safety and the patient
safety movement.
And we developed things likeour 30-minute initiative.
And then Chad then became waspresident of SSH and connected
what he was seeing in ourconversations that took place in
GNSH to some of the directionsof SSH, which then also had a

(24:05):
spill-on impact too.
So by having these thoughtleadership connections and
conversations, I think each ofthose organizations then sort of
said, oh, you know, we hadn'treally thought about this.
We should bring this back tosomething that we're focusing
on.
And maybe this is going to beprecision learning through AI,
and maybe it's going to beunderstanding that simulation

(24:28):
has to have a value propositionfor uh health human resources,
or that as the world becomesmore conscious about how the
planetary impact of health careand the environmental impact of
healthcare, simulation has to beright there too.

Dr. Pam Jefferies- Guest (24:43):
And I will expand just in five years
with GNSH is continue to growour thought leaders.
We mentioned, I think thesummit this year, there's 10
countries, if not more, Linux.
I can't remember.
One's virtual summit, we had 20countries, but we should be ex
continue to expand.
I know SSH has a globalconsensus model.

(25:03):
There were 62 countries ororganizations involved.
So I see our growth in fiveyears.
I feel that we're filling avoid that's current and probably
will continue to be.
And the void is as thoughtleaders.
If you look, um, Jerrod andDebbie both have been, you know,
we go to whether it's the NLN,whether it's the SSH or IMSH,

(25:25):
whether it's INACSL, wherever wego, you know, those conferences
are very different.
People are there, of course,they're networking and
socializing, but they'relearning about education or the
latest research and bestpractices and what I can take
home.
Or GNSH is not like that.
We're talking about thosebigger issues and trying to
problem solve, even setpriorities.

(25:46):
Maybe that's where we're goingin five years, where GNSH
globally we have this thesethree major priorities that have
transcended across you knowthis many countries.
And this is where we need to beputting our emphasis, right?
We're not there yet, but we'rein dialogue.
We're trying to, we've got theinfrastructure um and starting
to process it.

(26:06):
But having that thoughtleadership, and you don't have
at those other conferences, thiswas a missing piece I feel GNSH
is filling because thatreflective practice, just that
dialogue, that respect,listening to others and what
they're doing.
And we've already givenexamples how it's
bi-directional, we're learningfrom each other.
And you come out of there andyou feel really good because

(26:29):
either you've impacted someoneor someone's impacting you.
And I feel rewarded through theGNSH summit, whether it's
virtual or on site, because itis global and touching many,
many countries, organizations,stakeholders, such as our
industry partners, andindividual members too.

(26:50):
We try to reach out wherever wehave the summit, we invite
those individual members.
Like last year it was inToronto.
So we had many Canadians there.
This year we're gonna have uhseveral Danish uh coming or from
the Scandinavian countries.

Jerrod Jefferis- Co-Host (27:04):
And what do you find is some of your
biggest challenges in aligningthese international efforts?
And are you doing anything tohelp overcome some of those
barriers?

Dr. Pam Jefferies- Gues (27:11):
There's challenges, of course, because
we all have different cultures.
There's there's challenges inthe United States with 50
different states becauseeverything is different and has
different cultures.
So some of those are justunderstanding, having the right
terminology, the right verbiage.
Am I understanding thiscorrectly?
Because I can I can hear thisstory and interpret it one way,

(27:32):
and maybe that's not theinterpretation.
So the matter of clarity,respect, and even there may be a
sweet spot in the middlebecause somebody ha leaves this
or this, but how do we get inthe middle with more of a
collaborative mindset, not oneon here, one here?
So a shared mental model,that's what I was trying to
think of.
So those are some of thechallenges.

(27:53):
Lang there's language barriersor too when you try.
Not every country's Englishspeaking.
So how do we get that togetherand making sure we're hearing
the same message or trying toget their message across, even
though language barriers.
Those are a few.
Lennox, I know you've got someto add as well.

Dr Lennox Huang- Guest (28:09):
Well, we've had a lot of
conversations, and Pam and Ihave been involved in a lot of
conversations around how do weovercome two things,
fragmentation and inequity.
And you, you know, this happensat a society level, but it also
happens at a country level too.
And the it is a real challengefor countries where it's a low

(28:31):
middle income country to try andget to a physical conference
somewhere.
Right.
I mean, you think about theresources, the cost of flying
halfway across the world, payingfor a hotel, paying for the
conference fees.
That's a real challenge.
And so we've deliberately, asan organization, kept our costs
as low as possible.
We've tried our best to havesponsorships, we've had

(28:53):
certainly philanthropicdonations as well to support
attendants fromlow-middle-income countries.
I think we're deliberatelytrying to move around the world
for geographic variation too.
So, you know, in small ways,we're trying to address that.
The fragmentation issue issomething that's interesting
because if you think about yourtypical academic conference that

(29:15):
you might go to, oftentimesthere's debates there, right?
So, you know, you could take adebate of, well, do you talk
about feelings or do you nottalk about feelings in
debriefing?
Is that important, notimportant?
Is it have impactful or not?
You know, our perspective israther than to get into this
thing where we start to havemore and more this versus that
type debates, we're looking atthe big picture problem that

(29:37):
actually exists.
And so you're taking people whomay have a bunch of different
perspectives.
And rather than having thoseperspectives be in direct
conflict with each other arounda particular issue, you're
saying, hey, let's orient onthat bigger problem off to the
side here that we're not eventhinking about.
So take health human resources,take planetary health, take uh

(29:59):
AI, non.
Not just in terms of using AIto design scenarios, but AI in a
very broad sense, whether it'sthe ethics or or how it's
integrating into all ofhealthcare.
And let's get an awareness ofthat and let's start to think
about how all of our collectiveminds might be able to uh tackle
that problem.

Deb Tauber- Host (30:16):
Can you share a specific example of how GNSH
initiative that's had ameasurable impact, something
specific like patient safety,healthcare systems, or
education?

Dr. Pam Jefferies- Guest (30:26):
If I can go back, it's the 30-minute
team engagement.
Those were developed.
We have 16 patient safetycases, and they were based from
the Patient Safety Foundation.
They were real patient stories.
We put together with ascenario, and simulations are in
there.
It's all about teams.
Anyway, without giving morespecifics, there it's on our

(30:47):
website, gnsh.org.
But out of those 16 casesduring COVID, they were used
widely greatly.
We have metrics on our websitewhere hundreds of people used
these virtual cases and keptclinical progression going
during COVID when we couldn'tget in the hospitals.
But many of the faculty on theacademic side used the cases for

(31:10):
educational instruction wherethey were really met on the
hospital side to engage teamsand to provide more awareness on
team communication, engagement,problem solving, and to prevent
errors, quite frankly.
So that translated into theacademic side during COVID.
And I remember doing so manywebinars during COVID, even

(31:33):
announced about the GNSH casesand the 30-minute can't we were
on a 30-minute campaign, team,team engagement.
But metrics will show itselfhow impactful it was, and
there's stories and there'sarticles written on that as
well.
So I'll keep that story short.
I know Linux has other examplesas well.

Dr Lennox Huang- Guest (31:53):
Yeah, and I'll build on the 30-minute
initiative.
So I think the last count uh wehad had Kaswang do a little
inquiry on this, it wasapproaching 300,000 independent
views of the tool and uses ofthe tool crossing multiple
countries.
And I don't remember the exactnumber of countries, but again,
reflective of the GNSH audiencein terms of use of that

(32:16):
particular tool.
And the interesting thing isthis tool emerged as a direct
result of a hospital CEO at oneof our summits telling us that
the traditional way of thinkingabout simulation with the three
to one ratio of debrief, and ifyou're gonna run a 15-minute
simulation, then that means it's45 minutes of debrief and

(32:39):
that's gonna take a whole hour.
That is just impossible to doin a busy, large community
hospital.
There's no way they're gonna beable to do that.
And we said, well, so how do wemake this more initiative, kid,
more interesting, and actuallybe able to be integrated in
terms of the regular workflow?
Well, it's well, you know, ifif it totaled about 30 minutes
and you could break it up intosegments, and then we start

(33:01):
thinking, well, that if youcould tell a story, a meaningful
story that connects directlywith care, then you now start to
make it really relevant to theteams that are providing care.
And it's something that wepotentially could fit into the
day, and that's what led to the30-minute initiative.
And maybe what we can back upeven to 2015, one of the things

(33:21):
that came out of our meeting inStevenger at that time was a
white paper looking at the valueof simulation.
So this goes back a decade, butwe had a consensus statement
that crossed, again, countries,societies, industry, really
outlining the value ofsimulation it brought to
healthcare more broadly.

(33:42):
And that also led to a toolthat allowed people and leaders
to have conversations withdecision makers, framework for
people to have theseconversations.
So some of that early work,while now you know there's been
updates and more work, includingthings like the global
consensus uh for simulation inhealthcare, I think it really

(34:04):
paved the way for this thinkingto emerge and for individual
groups to have these uhconversations to get simulation
more embedded into their ownorganizations.

Jerrod Jefferis- Co-Host (34:15):
I love that.
And I also want to push it evena little further.
Is so with the advances of allthese different realities and of
course AI, how do you seesimulation evolve even more over
the next decade?
And then what type of role, ifany, will GNSH play in guiding
that type of evolution?

Dr Lennox Huang- Guest (34:34):
I think it's pretty clear.
We're in we're in this erawhere simulation isn't just
confined to a room.
I mean, we've had thediscussions around moving out of
the Sim Center, getting intothe clinical space.
But I think we're, you know,we're getting into the virtual
space now, right?
It's uh learning overall isbecoming much more continuous.
Where possible, it'sdata-driven, it's starting to,

(34:54):
there are the possibilities ofreal personalized precision
learning are now starting toemerge, and AI is going to play
a huge role into this.
When you start to think aboutadaptive learning systems and
you talk about learninghealthcare learning systems in
general, well, simulation is anatural translational tool for
this.
So we've been thinking aboutthis for a number of years now

(35:17):
from a GNSH perspective.
This is why we've brought in AIleaders who are not directly in
the SIM world, because we needto hear about what's happening
with big data.
We need to hear what'shappening with machine learning,
and we need to hear aboutgenerative AI, not from our
narrow simulation lens, but morebroadly how things are
evolving, how each of thosethings are getting integrated

(35:40):
into healthcare systems.
Some places are creating theirown AI service.
I know of places where they tryto have simulation as a
clinical service line.
And, you know, there's moderatesuccess, I would say, a number
of places, but now I think AI islike taking over so that many,
many places now are starting tothink of an AI service line.

(36:02):
So how can simulation be there?
How can SIM be directlyintegrated into that that kind
of uh that kind of work?
And this extends into thingslike extended reality.
So we've certainly been, as anorganization, part of
conversations around what needsto happen on in terms of the
research agenda for extendedreality.

(36:23):
And I think we're going tocontinue to be a part of this
and help influence thoughtleaders around the world.
Wonderful.

Dr. Pam Jefferies- Guest (36:29):
As far as GNSH, I mean, AI is on our
agenda for this summit coming upin a few weeks.
In addition, it was last year.
I mean, it's just exploding.
We would we would be crazy notto include that on the agenda
because that's an emergingtopic, right?
It's not even emerging, it's anexploding topic.
And it's really important inhealthcare because AI is moving

(36:50):
into healthcare, the bedside,system issues, system point of
care, all of that.
Not even just for nursing, butacross health professions.
But what do we need to learn?
How do we use simulations tohelp replicate or model model
those practices?
That's one thing.
Also using the AI tools, Ithink, for more efficiency.
I remember the days where wesat and used to write

(37:11):
interprofessional simulations,getting medicine, we had clergy
because we wanted to writespiritual ones, we had nursing,
and it we take an evening to doit.
Now with the right promptthrough AI, you can write a
simulation scenario in twominutes.
And then I can make itcompetency-based and get the
tool to measure this on painmanagement, whatever that is.
So that's just it'smind-boggling really, but it's

(37:35):
it's creating more efficiency.
But the other thing is ineducation, even with AI, is
developing these A models, whereAI models where it's giving
feedback to students in just intime manner.
It's like a debriefing, right?
But you can talk to it in acompetency-based way as well.
On the academic side, wherewhere we have to go, or uh

(37:56):
Jerrod, you say where are wegonna go?
I mean the research, themetrics are all important.
The implementation scienceusing AI is important.
So, what are those metrics?
How are we evaluating what'sworking, what's not?
Because we know there's goodAI, there's hallucinations,
there's not great AI in someareas, and very much

(38:17):
systems-oriented as well ashealth professional.
So it doesn't even behoove usto do something for nursing, do
something for medicine.
And I'll just leave last plugis AI competencies for our
health professions.
What does that look like?
First of all, you have to havestandardized health professional
AI competencies, and I'll speakfrom the academic side to make

(38:38):
sure our learners, ourprospective health professional
students are getting the basicsbecause once they go on
healthcare, it's being utilized.
And you don't want to startfrom scratch, you want to retain
the health professionals you'rehiring.
We've got to do a better job insynergizing with the academic
practice partnerships on that aswell.

Jerrod Jefferis- Co-Host (38:57):
That's a that's a great answer.

Dr. Pam Jefferies- Guest (39:00):
So you have you got it.
Yeah, no, definitely.

Jerrod Jefferis- Co-Host (39:02):
But I but I also just you mentioned it
at the beginning of thisanswer, too, is I want to get a
little more information aboutthe GNSH summit.
Can you give us a little moreinformation about that?

Deb Tauber- Host (39:11):
Yep.
Absolutely.
Too late to sign up.
Yeah, not at all.
Not at all.

Dr Lennox Huang- Guest (39:16):
Not at all.
It's uh it's at the end of thismonth, it's in Copenhagen.
So the title of our summit isNavigating AI Economic
Investment and Impact for GlobalHealth Transformation.
And it's an incredible group.
We have over 10 countriesrepresented already, and we've
got a large number of leadersfrom multiple societies, from

(39:37):
multiple industries coming inand meeting.
And I think maybe I'll justcontextualize this in this day
and age where it feels likeborders are becoming a lot more
fixed and solid, and people areretreating in some ways.
I really do believe thatsimulation can show an alternate
way to this and cross theseborders and bridge perceived

(39:58):
gaps that cross geographicboundaries, cross cultural
boundaries, cross professionalboundaries.
So, you know, I think I thinkthis is one small way of us
getting together and having ahuge impact around this world
that's going to betransformative.

Dr. Pam Jefferies- Guest (40:13):
So Lennox gave you the title, some
major concepts, of course, isgoing to be workforce, gonna be
health economics, another one'sAI and integration, not only in
simulation and citation, but theuse across the health
profession.
And around patient safety, wehave a Danish speaker also
looking at the Danish Society onPatient Safety.

(40:34):
So overall, this these are thecontemporary topics we try to
get.
And when you come out, you heardiverse thoughts, what folks
are doing around the world.
And what do we have 10countries represented or more,
Lennox?

Dr Lennox Huang- Guest (40:47):
Well, let's count at least 10
countries.
Um, I think uh some people areit's interesting because people
move around the world, so theysome people uh will will
actually end up representingmore than one country.

Dr. Pam Jefferies- Guest (40:59):
So we talk about the topics and the
education and the reflection andthe dialogue, but also
important is just the networkingand you boundary span your with
your colleagues.
So now I'll learn more aboutcolleagues in Pakistan, in South
Africa.
Somebody's coming from Brazil,from they're just all over.
And it's just so rewarding uhafter the during the summit,

(41:22):
after the summit.
And then we try to keepconnections, and in between the
summit, that is we have onesummit a year, that's usually
November, October, whenever thatis, and then we try to have
virtual, two virtual summits,one in the spring.
Well, just another virtualsummit, it's it's in the spring
usually to keep connections.
In the meantime, of course, wewe have a 10-member GNSH board

(41:45):
that we're working through andour aims and priorities as well.

Deb Tauber- Host (41:50):
Very, very exciting.
Now we really appreciate thetime, your efforts, the things
that you're doing.
We're so grateful to have youguys today.
If you could leave ourlisteners with one message about
the global simulation movement,what would that be?

Dr Lennox Huang- Guest (42:05):
I think one is to join the movement.
So whether you're a clinician,an educator, a policymaker, you
know, simulation is the bridgeto safer, smarter care that's
also more compassionate.
And, you know, join themovement, connect with people
around the world, and you'regoing to be personally enriched,

(42:26):
but you're also going to have ahuge impact.

Dr. Pam Jefferies- Guest (42:29):
And I'll leave with the notion that
even though globally we'redifferent, different countries,
different cultures, we have moresimilarities than differences.
And you really recognize thiswhen you get together.
And there's such a I'll justsay from my personal
perspective, there's a greatappreciation for those
differences and learning aboutdifferent aspects, not only in

(42:51):
simulation, but in patient careand health profession education
that ultimately leads to youknow high-quality patient care
that we're all striving for.

Deb Tauber- Host (43:01):
Thank you.
Now, if the listeners want tojoin the conference, where would
they go?

Dr. Pam Jefferies- Guest (43:07):
Well, it's October 23rd through 26th.
You can go on gnsh.org.
It's we're also on LinkedIn toregister, and you need to
register soon because it's rightaround the corner.
Being held at the Marriott,well, the housing's at the
Marriott Hotel in Copenhagen.

Dr Lennox Huang- Guest (43:26):
And then Lennox, uh the site University
of Copenhagen's been a fantasticpartner for us, and and then
they're going to be hosting alarge part of the conference uh
physically at the University ofCopenhagen.

Dr. Pam Jefferies- Guest (43:40):
And Dr.
Peter Diekman is kind of ourco-host.
Usually, when we go to adifferent country, we find a
university partner where we canpartner with.
And Peter, and probably in theSEM world, a lot of people know
uh Dr.
Diekman.
So that's who we've beenworking with, and we give a
shout out to him.

Deb Tauber- Host (43:59):
Thank you.
And just one final question.
If our for our listeners whomight not be able to attend the
conference, you said that you'relooking for people to join this
movement.
How could they do that on asmaller scale?

Jerrod Jefferis- Co-Host (44:11):
Well, certainly the the virtual
conference.

Dr. Pam Jefferies- Guest (44:13):
Yeah, virtual in the spring, we will
be getting that date, andthat'll be posted on gnsh.org.
So that's one way.
Linux, you got other thoughts?

Dr Lennox Huang- Guest (44:22):
What we oftentimes do as well, and and
while people may not be able tomake it to Copenhagen, a lot of
folks do make it to some of theother conferences, whether it's
uh IPSSW, CSIM, uh IMSH, andothers.
And so we've been trying tohave gatherings at each of these
conferences too.
Some of the gatherings arealmost purely social, but uh

(44:43):
it's that networking componentwhere you know people can
connect and they say, Oh, youknow, what we you we were
talking about this the othertime.
What are you working on now?
Somewhere a little bit moreformal because we're trying to
work with a variety of societiesto see what we can advance
together.
And of course, uh getting ontoour mailing list.
So if you go onto gnsh.org,there's multiple links there and

(45:04):
uh easy way to connect there oron LinkedIn.
We there's a GNSH webpage.
You can look up either Pam,myself, and we will connect you
if you if you're not able tofind the GNSH uh website itself.

Dr. Pam Jefferies- Guest (45:17):
So we will have a reception at IMSH,
I'm sure, in January.
That's absolutely that that'llbe the next one because we're in
October already.

Deb Tauber- Host (45:26):
Yeah, we're in October already.
All right.

Jerrod Jefferis- Co-Host (45:30):
But thank you both so much for your
time.
We appreciate it and uh lookforward to seeing what GNSHSH
continues to do.
And uh you know be cheering forus.
Yes, it's a real pleasure.

Deb Tauber- Host (45:41):
Well, thank you.
Thank you so much.
Yeah, our pleasure.
Congratulations on the greatwork and just keep it up and
wish you the best for yourconference.
Happy simulating.

Disclaimer/ Innovative S (45:50):
Thanks again to Innovative Sim
Solutions for sponsoring thisweek'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.

(46:14):
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.
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