• Timothy Chaplin, Brent Thoma, Andrew Petrosoniak, Kyla Caners, Tamara McColl, Chantal Forristal, Christa Dakin, Jean-Francois Deshaies, Eliane Raymond-Dufresne, Mary Fotheringham, David Ha, Nicole Holm, James Huffman, Ann-Marie Lonergan, George Mastoras, Michael O'Brien, Marie-Rose Paradis, Nicholas Sowers, Errol Stern, and Andrew K Hall.
• Department of Emergency Medicine, Queen's University, Kingston, ON.
• Can J Emerg Med. 2020 Jan 1; 22 (1): 103-111.

ObjectiveSimulation plays an integral role in the Canadian healthcare system with applications in quality improvement, systems development, and medical education. High-quality, simulation-based research will ensure its effective use. This study sought to summarize simulation-based research activity and its facilitators and barriers, as well as establish priorities for simulation-based research in Canadian emergency medicine (EM).MethodsSimulation-leads from Canadian departments or divisions of EM associated with a general FRCP-EM training program surveyed and documented active EM simulation-based research at their institutions and identified the perceived facilitators and barriers. Priorities for simulation-based research were generated by simulation-leads via a second survey; these were grouped into themes and finally endorsed by consensus during an in-person meeting of simulation leads. Priority themes were also reviewed by senior simulation educators.ResultsTwenty simulation-leads representing all 14 invited institutions participated in the study between February and May, 2018. Sixty-two active, simulation-based research projects were identified (median per institution = 4.5, IQR 4), as well as six common facilitators and five barriers. Forty-nine priorities for simulation-based research were reported and summarized into eight themes: simulation in competency-based medical education, simulation for inter-professional learning, simulation for summative assessment, simulation for continuing professional development, national curricular development, best practices in simulation-based education, simulation-based education outcomes, and simulation as an investigative methodology.ConclusionThis study summarized simulation-based research activity in EM in Canada, identified its perceived facilitators and barriers, and built national consensus on priority research themes. This represents the first step in the development of a simulation-based research agenda specific to Canadian EM.

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