%% [[Designing Curricula]] people:: Lon Setnik dates:: 2022-12-08 %% *.* This reminds me of the realism gap that we need to bridge when working on [[Designing Curricula]] projects. It's kind of like providing great learning experiences, and since [[wisdom can't be told]], can you provide [[Transformative Learning]] experiences that open the door to seeing [[hierarchy]] in a new way? This is a subset of [[fidelity in simulation]], and the various forms of realism. This matters because hierarchy is one of the key barriers to safety in teams, and [[speaking up training doesn't work]]. ### What would the opposite argument be? We just need to teach people to speak up, to overcome the hierarchy. We just need shared communication norms. We only need ... %% tags: #note/idea | #on/fidelity | #on/realism | #on/simulation | #on/safety | #on/hierarchy %% ## Sources: [Simulcast: Dec, 2022](http://simulationpodcast.com/162-advances-in-simulation-exploring-hierarchy-through-sociological-fidelity/) Garber, A. B., Posner, G., Roebotham, T., Bould, M. D., & Taylor, T. (2022). Facing hierarchy: A qualitative study of residents’ experiences in an obstetrical simulation scenario. _Advances in Simulation_, _7_(1), 34. [https://doi.org/10.1186/s41077-022-00232-1](https://doi.org/10.1186/s41077-022-00232-1) Boet, S., Bould, M. D., Layat Burn, C., & Reeves, S. (2014). Twelve tips for a successful interprofessional team-based high-fidelity simulation education session. _Medical Teacher_, _36_(10), 853–857. [https://doi.org/10.3109/0142159X.2014.923558](https://doi.org/10.3109/0142159X.2014.923558) Sharma, S., Boet, S., Kitto, S., & Reeves, S. (2011). Interprofessional simulated learning: The need for ‘sociological fidelity.’ _Journal of Interprofessional Care_, _25_(2), 81–83. [https://doi.org/10.3109/13561820.2011.556514](https://doi.org/10.3109/13561820.2011.556514) Pack, R., Columbus, L., Duncliffe, T. H., Banner, H., Singh, P., Seemann, N., & Taylor, T. (2022). “Maybe I’m not that approachable”: Using simulation to elicit team leaders’ perceptions of their role in facilitating speaking up behaviors. _Advances in Simulation_, _7_(1), 31. [https://doi.org/10.1186/s41077-022-00227-y](https://doi.org/10.1186/s41077-022-00227-y) Thomas, L., & Reeves, S. (2015). Sociological fidelity: Keeping the patient at the heart of interprofessional learning. _Journal of Interprofessional Care_, _29_(3), 177–178. [https://doi.org/10.3109/13561820.2015.1035179](https://doi.org/10.3109/13561820.2015.1035179)