• Nicole Kester-Greene, Caroline Filipowska, Heather Heipel, Gerhard Dashi, and Dominique Piquette.
• Division of Emergency Medicine, Department of Emergency Services, Sunnybrook Health Sciences Centre, University of Toronto, 2475 Bayview Ave, Toronto, ON, M4N 3M5, Canada. nicole.kestergreene@sunnybrook.ca.
• CJEM. 2021 May 1; 23 (3): 374-382.

ObjectivesTo describe postgraduate emergency medicine (EM) residents' perceptions of simulation-based curriculum immediately post-simulation training.MethodsThis interpretive qualitative study explores residents' reflections on a city-wide, adult EM simulation-based curriculum. Focus group interviews gather residents' insights immediately post-simulation. Postgraduate trainees from the University of Toronto EM residency program were eligible to participate. We explored participants' perceptions of how well learning objectives were addressed, helpful/challenging aspects of the simulations, feelings during sessions, debriefing/pre-briefing, simulation integration into the broader EM curriculum, and anticipated changes in practice after the session.ResultsOur findings indicate that EM residents' learning goals for the simulation sessions evolve as they progress through residency training. Junior trainees report performance-oriented goals while senior trainees report learning-oriented goals. Differing motivations may affect residents' perceptions of the quality of the simulation experience. Junior residents want to feel prepared for the scenario and primed with the appropriate knowledge to manage the case. Senior residents focus on developing teamwork competencies and on mastering new clinical skills in the simulation environment.ConclusionsJunior and senior emergency medicine residents differ in their goal orientation during simulation-based training. Educators who develop simulation-based curricula should be mindful that junior residents may benefit from preparatory materials while senior residents prefer to be challenged. Resident reflections may significantly contribute to improvement of simulation-based curricula.

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