**Study Fact Sheet** **Study Title**: “Development of a behaviorally anchored rating scale for assessing the Advocacy-Inquiry Molecule.”  **Who are we and what is this?** We are the Center for Medical Simulation (CMS). CMS is dedicated to using simulation to improve safety, quality and education in healthcare. **What is the research study’s goal?** Medical educators often participate in debriefings as part of training and education. A communication strategy designed to help recognize the frames that drive actions in learners is referred to as the Advocacy-Inquiry Molecule. There is currently no validated rubric to assist in assessment of the progression of learners as they attempt to acquire this communication skill. This research attempts to provide evidence to validate a novel behaviorally anchored rating scale, to determine its usability, and acceptability, and to study the impact of applying this scale on debriefers ability to perform the skill itself. **How did you get my name and contact information?** You are within the researchers’ professional network. We are contacting you because you meet our inclusion criteria of being a practicing simulation professional. **What is involved and how many participants will there be?** We are recruiting approximately 20 participants. You will initially perform a demographic pre-survey. You will engage initially in an audio only recording of your own ability to perform the Advocacy-Inquiry Molecule (AIM) after watching a 1 minute a trigger video of a simulated encounter. These recordings will be saved on a platform called GoREACT and are only visible to the study investigators. You will then go through a series of attempts at rating audio-clips of people performing the AIM, and a rater-training program. You will rate approximately 12 AIM attempts. You will do this through a digital platform called GoREACT, which will record your ratings. Finally, you will record an audio file of one more of your own attempts at the AIM onto GoREACT. A post-survey about your perceptions of the usability of the system will complete the your participation in the project. **Do I have to participate?** No, your participation is completely voluntary. You have the right to decline to participate and doing so won't affect any medical care you receive at Mass General Brigham now or in the future, or any benefits you receive now or have a right to receive. Deciding not to participate won't affect your professional standing or evaluations in your programs or departments, future promotions or access to learning activities. You may drop out of the study at any time without any consequences.  **What are the risks and possible discomforts?** Study related risks and possible discomforts are minimal, if any. No sensitive information is being sought as part of this study. All information gathered during your participation will be stored in a secure location. Your survey information will be stored de-identified on MassGeneral Brigham research database. Your videos will be submitted via smartphone to a learning management system called GoREACT that stores these videos securely. Your de-identified information may be used or shared with other researchers without your additional informed consent. Your videos will not be used for other purposes without your consent. None of your data will be used for clinical care. None of your data will be connected to any clinical databases. **What are the benefits to me?** Individuals may benefit from participation by developing additional insight about the Advocacy-Inquiry Molecule. You may apply this insight to your own use of this important communication technique, as well as use an improved ability to evaluate co-faculty and future learners. **Will I be paid to participate?** There is no remuneration for participation in this study. **Will I pay to participate?** There is no payment required to participate in this study. **What if I have questions about the study or my rights as a research participant?** Dr. Lon Setnik from The Center for Medical Education is leading this study. For questions about the study or your rights as a study participant, please contact Dr. Lon Setnik at 617.726.3034 or [[email protected].](mailto:[email protected] "mailto:[email protected]") If you want to speak to someone not directly involved in this study, contact the Mass General Brigham IRB at [857-282- 1900](app://obsidian.md/(null)) or [[email protected]](mailto:[email protected] "mailto:[email protected]") ** ## Draft Email to recruit: As part of our work in healthcare simulation, we are focusing on the importance of engagement in healthcare simulation debriefing. We are requesting your participation in a study about developing a validated rubric for evaluating the Advocacy-Inquiry Molecule (AIM). You have been identified as a healthcare simulation debriefer. We are looking for 20 individuals such as yourself to participate in performing and rating the AIM. AYou will initially perform a demographic pre-survey. You will engage initially in an audio only recording of your own ability to perform the Advocacy-Inquiry Molecule (AIM) after watching a 1 minute a trigger video of a simulated encounter. These recordings will be saved on a platform called GoREACT and are only visible to the study investigators. You will then go through a series of attempts at rating audio-clips of people performing the AIM, and a rater-training program. You will rate approximately 12 AIM attempts. You will do this through a digital platform called GoREACT, which will record your ratings. Finally, you will record an audio file of one more of your own attempts at the AIM onto GoREACT. A post-survey about your perceptions of the usability of the system will complete the your participation in the project. The study will occur at your own schedule, asynchronously and online. If you agree to participate we will obtain your oral consent prior to the start of your participation. Please feel free to contact us with any questions. We look forward to meeting with you! ## Debrief Plan ### Semi-structured interview: - We will debrief using a 4 phases: ### Reactions What are your initial reactions after going through this process? ### Facts: You just participated in a process whereby you applied a rubric for the AIM to audio clips. You underwent a rater-training process. You also performed AIM before and after. That was our intention, how did you experience it? ### Topic Selection: We have some ideas about topics, but first we would love to hear, what is on your mind after participating in this? What would you like us to know about your experience? Big Buckets: 1) How, if at all, did this process impact your view of learning? 2) How, if at all, did this process impact your view of rating others? 3) What did you notice about the interaction between learning and rating  4) What did you notice about the relationships, about the interaction between you and the other people implied in this process? 5) What did you notice about your ability to observe and manage your own performance of the AIM at the end of this process? 6) What did you observe from a psychological safety perspective while by participating in this process? 7) What could we do to make this process better? 8) Why would you recommend, or not, this process to a colleague or friend interested in learning AIM or evaluating AIM? 9) What else should we know about your experience with this process? - [x] Meet with MGH IRB rep to finalize submission of NHSR [completion:: 2022-03-10]